What is Bulimia Nervosa? 

Bulimia nervosa is an eating disorder characterized by:

  • Eating large amounts of food in a sitting that is larger than what most individuals would eat (binge eating).
  • Feeling that one cannot stop eating or control what or how much one is eating.
  • Repeated efforts to prevent gaining weight, such as self-induced vomiting, misuse of laxatives, diuretics, or other medications, fasting, or excessive exercise.
  • Preoccupation with body shape and weight.

What is Binge Eating?

  • Binge eating can be eating an amount of food that is definitely larger than what most people would eat in a similar period of time under similar circumstances.
  • Binge eating can also be feeding as though one cannot stop eating or control what or how much one is eating.

Children and adolescents with Bulimia Nervosa can present in a variety of ways. Some children may appear uncomfortable eating around others and may withdraw from their usual friends and activities. They may frequently diet, take food, or store food in unusual places. After they engage in binge eating, they may engage in compensatory behaviors to attempt to prevent weight gain. Parents may notice large amounts of food have disappeared or find food wrappers and containers hidden in their child’s bedroom or space. Parents may also notice a disruption in their child’s normal eating behaviors, such as eating planned meals. Parents may notice that their child typically enters the bathroom after meals or wants to be alone after eating. Children and adolescents with Bulimia Nervosa may also create a lifestyle that makes time for binge and purge sessions. They typically show significant concern about weight and shape and their weight may fluctuate frequently. They may show signs of low self-esteem, depression, guilt, shame, and anxiety.

Common Physical Complications Associated with Bulimia Nervosa

Bulimia nervosa is associated with numerous medical complications that can be very dangerous. However, many of these complications are reversible with discontinued use of laxatives, diuretics, and enemas, and cessation of self-induced vomiting.

Medical complications include:

  • Electrolyte imbalances (which can lead to heart attack and kidney failure)
  • Cardiac irregularities
  • Swollen salivary glands
  • Gastrointestinal disturbances
  • Dental deterioration
  • Finger clubbing or swelling
  • Edema and dehydration
  • Loss of menstrual periods and menstrual irregularities