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Bulimia nervosa

  • Bulimia is a psychological disorder characterized by episodes of binge eating.  In order to prevent weight gain, the individual induces vomiting, takes laxatives, diuretics (water pills), temporarily starves, or vigorously exercises.  Depression is often associated with this disorder.  By some estimates, 19% of college age women have bulimia.

  • May have none
  • Tooth decay (from vomiting)
  • Sore throat
  • Indigestion
  • Hypothermia (low body temperature, i.e., below 35 degrees Celsius)
  • Pancreatitis with abdominal or back pain, nausea, and vomiting
  • Constipation
  • Hemorrhoids
  • Cardiac arrhythmia
  • Congestive heart failure

  • Depression
  • Stress
  • Over concern with weight/body shape

  • Psychotherapy
  • Behavior therapy
  • Newer SSRI antidepressants such as Paxil 

  • Laboratory findings may show:
  1. Electrolyte abnormalities (chemical imbalances, such as low levels of magnesium and potassium)
  2. There may be evidence of Dehydration
  3. Increased pancreatic enzymes
  4. May be all normal

  • Anorexia Nervosa
  • Depression
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