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Bulimia Nervosa Explained

People with bulimia nervosa engage in binge-eating followed by purging behaviors in order to control their weight. The symptoms of physical, behavioral, and emotional aspects may differ. It is unclear what precisely causes bulimia — it could be a blend of genetic elements and habits that have been acquired. By increasing education and understanding of the symptoms of bulimia, it may be possible to prevent it.

Table of contents

What Is Bulimia Nervosa
People Most Affected
Bulimia vs. Anorexia
Bulimia vs. Binge Eating
Signs & Symptoms
Possible Causes
Bulimia Complications
Diagnosing Bulimia
Bulimia Treatments
Bulimia Prevention
Bulimia Outlook
When To Seek Help

What is bulimia nervosa?

Bulimia, also referred to as Bulimia Nervosa, is a type of eating disorder. Mental health conditions that can be potentially life-threatening, eating disorders are. An obsession with food and weight may be indicative of an eating disorder. This obsession may have a detrimental effect on your physical and emotional health. Bulimia nervosa can be defined as a pattern of eating characterized by binge eating, which involves consuming an unusually large amount of food in a short period of time. Purging the food. Inducing vomiting and taking laxatives are two methods that may be used in purging. Medications known as laxatives can help speed up the passage of food through your body. Misuse of water pills (diuretics) or diet pills may also be among the characteristics of bulimia nervosa. Fasting by eating very little or not at all. Working out too much. Storing food for later binge eating and purging. Typically, individuals suffering from bulimia are at a normal, healthy weight. Despite their own view of their body shape and/or weight, they harshly judge themselves. Their body image is often closely related to issues of self-esteem.

Who does bulimia nervosa affect?

Bulimia nervosa affects people assigned female at birth more often than people assigned male at birth. It typically develops during adolescence or early adulthood. But it can affect people of all ages. Between 1% and 2% of people will experience bulimia during any given year. Bulimia can occur in people of any sex, gender, age, race, ethnicity or body type.

Differences between bulimia nervosa & anorexia nervosa?

People with bulimia nervosa usually have a normal weight. They engage in a cycle of binging and purging. People with anorexia nervosa are usually underweight. They engage in self-starvation, extreme diets and extreme exercise to lose weight. People with anorexia nervosa think they’re fat even though they’re very thin. They may get so thin they look sick.

Differences between bulimia nervosa & binge eating?

People with bulimia nervosa binge eat and then purge, or try to get rid of the food or weight. People with binge eating disorder binge but they don’t purge. Also, people with bulimia are usually at a weight that’s healthy for them. People with binge eating disorder typically have overweight/obesity. SYMPTOMS AND CAUSES The symptoms of bulimia nervosa can be behavioral, such as finding empty food wrappers. The physical signs can include dental issues. The signs and symptoms of bulimia nervosa can be behavioral, emotional and physical.

What are the signs and symptoms of bulimia nervosa?

Bulimia nervosa can be hard to spot. People with the condition often binge and purge privately. But empty food wrappers and laxative packaging can be warning signs of bulimia. Other behavioral and emotional symptoms of bulimia nervosa include: Frequent visits to the bathroom, particularly after meals. Excessive exercising. Preoccupation with body image. Intense fear of gaining weight. Depression, anxiety or substance abuse. Feeling out of control. Feeling guilty or shameful about eating. Withdrawing socially from friends and family. The physical symptoms of bulimia nervosa can include dental issues. Self-induced vomiting can cause erosion of your tooth enamel from your stomach acid. Your teeth may also appear clear instead of white and be more sensitive. Other physical symptoms of bulimia nervosa can include: Swollen cheeks or jawline. Gastrointestinal problems such as constipation and acid reflux. Scars, scrapes or calluses on your knuckles (from forced throwing up). Fainting. Irregular menstrual periods. Muscle weakness. Bloodshot eyes. Dehydration.

What causes bulimia nervosa?

The exact cause of bulimia nervosa isn’t known. But researchers think it may be a combination of genetics and learned behaviors. If you have a relative that has or had an eating disorder, you’re at a higher risk of developing one yourself. Popular culture and the media put pressure on people to have a certain body type. These outside influences can affect your body image and self-esteem. Also, feeling stressed, upset or out of control can all lead to bulimia.

What complications are associated with bulimia nervosa?

Bulimia can prevent your body from getting the nutrients it needs. Many different complications can occur due to bulimia nervosa including: Throat and stomach ulcers. Tooth decay and cavities. Esophagus inflammation (esophagitis) and tears. Damage to your intestines and stomach damage. Electrolyte imbalance. Abnormal heart rhythm (arrhythmia). Heart failure. Increased risk of suicide. DIAGNOSIS AND TESTS

How is bulimia nervosa diagnosed?

To diagnose bulimia nervosa, your healthcare provider will perform a physical examination. They’ll ask you about your medical history and symptoms. It’s OK to be nervous when talking with your healthcare provider. But they want to help you get better. So it’s important to be honest with your healthcare provider about your eating habits. Your healthcare provider will diagnose bulimia nervosa if you meet the following criteria: Do you have repeated episodes of binge eating? Do you feel a lack of control over your eating during an episode? Do you engage in inappropriate purging behaviors? Have you experienced binge eating at least once a week for three months? Does your body weight or shape have a strong influence on your self-image? There aren’t any laboratory tests to specifically diagnose bulimia. Your healthcare provider may order tests to see how bulimia has affected your health. These tests include: Blood test. Urinalysis. Kidney function test. Electrocardiogram (EKG). MANAGEMENT AND TREATMENT

How is bulimia nervosa treated?

Your healthcare provider may treat bulimia nervosa using a variety of techniques. They may refer you to a team of specialists including dietitians and mental health professionals. Treatments may include: Psychotherapy: Cognitive-behavioral therapy is a type of individual counseling. It focuses on changing your thinking (cognitive) and behavior (behavioral). Treatment includes techniques for developing healthy attitudes toward food and weight. It also includes approaches for changing the way you respond to difficult situations. Nutritional counseling: Nutrition counseling involves learning healthier ways to eat. You’ll work with a registered dietitian or counselor to get back on track. Medication: Selective serotonin reuptake inhibitors are a type of antidepressant. They can reduce the frequency of binge eating and vomiting. But the long-term effectiveness of these drugs isn’t clear. They’re also effective at treating anxiety and depression. These conditions are common among people with bulimia nervosa. Support groups: Support groups can be helpful when used with other forms of treatment. In support groups, people and their families meet and share their stories. PREVENTION

How can I prevent bulimia nervosa?

If bulimia runs in your family, be aware of the warning signs so you can catch the problem early. Early treatment can break unhealthy eating patterns before they become harder to overcome. You can reduce your risk of bulimia nervosa by getting treatment for other conditions like depression and anxiety disorders. Educators and parents can also teach young people the “ideal” body type portrayed by the media isn’t realistic. In fact, it can be unhealthy and even unsafe. OUTLOOK / PROGNOSIS

What is the outlook for people with bulimia nervosa?

Many people with bulimia get better with treatment and go on to lead healthy lives. Some people improve at first but then relapse and need treatment again. Statistics show about half of people with bulimia fully recover with appropriate treatment. Left untreated, people with bulimia nervosa may develop serious complications. Some people may need to receive additional medical care at a hospital or treatment center. LIVING WITH

When should I seek help?

If your relationship with food causes you stress or gets in the way of your everyday life, you may have an eating disorder. You should seek immediate treatment if you also have any of the following symptoms: Chest pain. Shortness of breath (dyspnea). Heart palpitations. Dizziness. Fainting. Severe sore throat. Acid reflux. A note from Cleveland Clinic Many people worry about their weight. But people with bulimia nervosa have an obsession with food and weight. Bulimia nervosa is a serious condition that can affect your mental and physical health. If you think you have bulimia nervosa, don’t be embarrassed about seeking help. With proper medical care and mental health counseling, you can get better. Take the first step to protecting your well-being by talking to your healthcare provider.

And Remember….Choose you First! :)

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