By MindAndBody (23, California)

What is bulimia?
Bulimia is an eating disorder characterized by a cycle of excessive eating, followed by some sort of purging (vomiting, use of laxatives or diuretics or compulsive exercise). The disorder is usually a result of underlying emotional causes; many people use it as a way to control stresses or pressures in their lives. Bulimia is a serious condition that can cause severe medical consequences, including death.
What are the warning signs of bulimia?
- Weight frequently fluctuates; obsesses about gaining weight
- Reacts to emotional stress by overeating, then feels guilty
- Feels guilt or shame about eating
- Almost always goes to the bathroom immediately after eating (to vomit)
- Consumes high-calorie foods before purging
- Uses diet pills, laxatives or diuretics to lose weight
- Exercises obsessively, even despite injury, illness or bad weather
- Shows signs of throwing up
- Shows swelling of the cheek or jaw area
- Has cuts and calluses on the backs of the hands and knuckles
- Has teeth that look clear
- Is secretive about binging and purging
- Is close to a normal weight (may be slightly underweight or slightly overweight)
- Has irregular menstruation
- Feels emotionally out of control
- Has frequent mood swings and depressive behavior
What are the health consequences of bulimia?
- Irritation and tears in the esophagus;
- Swelling of the glands (under the jaw)
- Erosion of tooth enamel; increased cavities
- Chronic kidney problems
- Low potassium
- Fatigue, dizziness or fainting
- Stomach and intestinal problems
- Growth of fine hair all over the body
- Cessation of menstruation
- Irregular heart beats; can lead to heart failure
- Electrolyte imbalance; dehydration
- Sensitivity to cold
- Dry skin and thinning hair
- Peptic ulcers and pancreatitis
Where can I get help for a friend with bulimia?
For advice on how to talk to a friend about your concerns, read Be the Solution.
For more information, check out:
Eating Disorders Awareness and Prevention (EDAP): Answers to questions, information and referrals
1-800-931-2237
http://www.nationaleatingdisorders.org
EDReferral: Comprehensive, easy-to-search database for eating disorder treatment professionals
http://www.edreferral.com
Facts: Compulsive Overeating
Staying Active
Facts: Exercise and Mental Health


