Clinical Features of Bulimia Nervosa

A. Unlike anorexia patients, bulimic patients tend to be at or above their expected weight for age. Bulimic patients tend to be ashamed of their behavior and often hide it from their families and physicians.

B. There is an increased frequency of affective disorders, substance abuse (30%), and borderline personality disorder (30%) in bulimia patients.

C. Purging can be associated with poor dentition (consequence of acidic vomitus on teeth). Electrolyte abnormalities (hypokalemia), dehydration, and various degrees of starvation can occur. Menstrual abnormalities are frequent.

D. Prognosis is generally better than for anorexia nervosa, and death rarely occurs in bulimia.

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Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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