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Bulimia Nervosa

Bulimia Nervosa is characterised by an often secretive cycle of binge eating followed by purging. Bulimia includes eating large amounts of food (ie more than most people would eat in a meal) over a short period of time and then "compensating" or getting rid of the food by vomiting, laxative abuse or over-exercising.

Some symptoms include:

  • Repeated episodes of binge eating and purging, often resulting in feelings of shame and self-hatred.
  • Feelings of being out of control during a binge and eating beyond comfortable fullness.
  • Purging after a binge (this may include vomiting, abuse of laxatives, diet pills or diuretics, excessive exercise or fasting).
  • Extreme concern with weight and shape. 
  • Frequent dieting.
Health Risks of Bulimia Nervosa

Recurrent bingeing and purging can place a great deal of stress on the body and can lead to electrolyte and chemical imbalances that may effect the heart and other major organs.

Effects of vomiting:

  • Tooth decay, erosion of enamel and staining due to exposure to stomach acid.
  • Enlarged or swollen salivary glands.
  • Abdominal pain.
  • Sore throat.
  • Indigestion and heartburn.
  • Electrolyte imbalances that can lead to irregular heartbeat and in rare cases heart failure or death. Dehydration and loss of sodium and potassium cause electrolyte imbalance.
  • There is a slim chance of gastric rupture from excessive vomiting.
Effects of laxative abuse:

  • Chronic irregular bowel movements.
  • Dehydration which may lead to an electrolyte imbalance. 
  • Bowel disease.
  • Bleeding (may lead to anaemia).
  • Constipation.
Effects of syrup of ipecac abuse:
Syrup of ipecac is very dangerous and can lead to major damage to the nervous system and heart.
Effects of diuretic abuse:

  • Abuse of diuretics may lead to a serious condition called hypokalemia where the body loses too much potassium. This may cause disturbances in the heart's rhythm and may even cause it to stop.
  • Dehydration.
Effects of diet pill abuse:

  • May lead to heart rhythm disturbances and changes in blood pressure and pulse.
Effects of excessive exercise:

  • May lead to stress fractures.
  • May lead to menstrual cycle abnormalities.