Please read the Disclaimer at the end of this page.
What is bulimia nervosa? — Bulimia nervosa, often just called "bulimia," is an eating disorder in which people have episodes of overeating. These overeating episodes are called "binges." After overeating, people then use unhealthy behaviors to rid their bodies of the food and avoid gaining weight. These behaviors are called "purges."
Bulimia is more common in females than males. It usually begins in the teen or early adult years.
Many people with bulimia are a normal weight for their height. Because their weight appears healthy, other people might not know that they have an eating disorder. But it's important for people to get treatment, because bulimia can cause serious problems.
What are the symptoms of bulimia? — People with bulimia:
●Binge at least once a week for 3 months or longer – During binges, people eat a much larger amount of food than normal. When they overeat, they usually feel out of control, guilty, afraid, or ashamed.
●Purge or exercise after they eat – To avoid gaining weight after overeating, people:
•Make themselves vomit
•Exercise too much
•Use medicines to make themselves vomit, urinate, or have bowel movements
●Judge themselves based on their weight and body shape – They feel good about themselves if they are thin and feel bad about themselves when they think that they are overweight.
Is there a test for bulimia? — No. But your doctor or nurse should be able to tell if you have it by doing an exam and talking with you about your eating habits, behaviors, and thoughts.
Your doctor or nurse will do tests to check your health, because bulimia can lead to many health problems. You will probably have:
●Blood tests
●Urine tests
●An electrocardiogram ("ECG") – This test measures the electrical activity in your heart and records your heart rate and rhythm (figure 1).
What problems can bulimia cause? — Bulimia can cause different kinds of health problems. That's because people vomit too often or use certain medicines too much. These health problems can include:
●Dehydration – This is when the body loses too much water. It can make you feel thirsty, tired, dizzy, or confused, and have dark yellow urine.
●Feeling very tired
●Irregular menstrual periods
●Belly pain, bloating, and trouble having bowel movements
●Damage to the esophagus (the tube that connects the mouth to the stomach)
●Damage to the teeth, gums, or cheeks
●Problems with the heart, kidney, and glands
People with bulimia can also have:
●Depression – This is when people feel very sad, empty, or hopeless most of the time, or do not enjoy the things that usually make them happy. In addition, people can have trouble with their sleep, appetite, energy, memory, or concentration. Some people with depression think about hurting themselves. If you are thinking of hurting yourself, call your doctor or nurse right away or go to the hospital. In the US, you can also call or text 988 to reach the Suicide & Crisis Lifeline.
●Anxiety – This is when people worry a lot or think about certain things over and over.
●Problems with alcohol or drug use
How is bulimia treated? — Treatment for bulimia involves:
●Psychotherapy – Psychotherapy involves meeting with a therapist to talk about your feelings, thoughts, and life. Different kinds of psychotherapy can be helpful, including:
•Working one-on-one with a therapist
•Group therapy – You can join a group for people with eating disorders.
•Family therapy – You and your family can work with a therapist.
●Medicines – Some medicines that treat depression can also help treat bulimia.
●A healthy eating plan – You can work with a dietitian (food expert) to make a healthy eating plan. If you are underweight or overweight, the dietitian can make a meal plan to help you get to a healthy weight.
Most people with bulimia can be treated at home, but some need to be treated in the hospital. It depends on the person's weight, symptoms, and health problems. Treatment for bulimia can be hard work, and it can take a long time. A complete recovery can take years.
What happens after treatment? — Many people get better with treatment. But people with bulimia often "relapse." This is when their symptoms and unhealthy eating patterns return.
To help prevent a relapse, follow your treatment plan and keep seeing your therapist. If you start to have symptoms again, let your family, therapist, or doctor know as soon as possible so that you can get help.
Patient education: Anorexia nervosa (The Basics)
Patient education: Malnutrition (The Basics)
Patient education: Generalized anxiety disorder (The Basics)
Patient education: Depression in adults (The Basics)
Patient education: Depression in children and teens (The Basics)
Patient education: Medicines for depression (The Basics)
Patient education: Depression in adults (Beyond the Basics)
Patient education: Depression treatment options for adults (Beyond the Basics)
Patient education: Depression in children and adolescents (Beyond the Basics)
Patient education: Depression treatment options for children and adolescents (Beyond the Basics)
Do you want to add Medilib to your home screen?