Bulimia Nervosa

Bulimia Nervosa is an eating disorder involving repeated episodes of binge eating followed either by periods of fasting, self-induced vomiting and the abuse of laxatives and diuretics (agents which increase the amount of water lost by the kidneys) in order to induce weight loss. Unlike anorexia nervosa (see this section) there is no denial that the problem exists, and there are associated feelings of guilt and shame. The repeated vomiting may cause gastric problems and erosion of the enamel of teeth, together with disturbances in the level of potassium in the bloodstream, causing muscle weakness. This is made worse by using laxatives and diuretics. As with anorexia, a combination of educational, psychological and medical treatments may be necessary in order to change the behaviour.
 

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