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bulimia nervosa p. 590
for bulimia nervosa p. 589
anovulation and p. 669
drug therapy for p. 596
laxative abuse by p. NaN
Mallory-Weiss syndrome and p. 386
SSRIs for p. 599
treatment p. 726
with bulimia nervosa p. 590
bulimia nervosa p. 589
anorexia/bulimia nervosa p. 589
bulimia nervosa p. 726
enamel erosion (bulimia nervosa) p. 589
Purging can take a couple of different forms: one is self-induced vomiting, performed by manually stimulating the gag reflex or drinking ipecac syrup; the other is defecation with the aid of laxatives or diuretics.
To fit the diagnosis, the cycle of binging and purging must be repeated consistently at least once a week for a period of 3 months, but can happen as often as multiple times per day.
The onset of bulimia typically happens around adolescence, usually in individuals with low self-esteem who have a strong desire to have control over key aspects of their life including their weight.
They are often fixated on food, including the amount of food they consume as well as the caloric and fat content of that food.
The pattern of bulimia is often cyclical, with someone setting unrealistic goals for themselves (like getting a 100 percent on every exam they take).
When they don’t reach those goals, they binge, and then they purge to try to “fix” the binging episode.
Individuals with bulimia will also try to control their weight in other ways—by taking stimulants, by going on extreme diets such as “water fasts” where they consume only water, and by exercising excessively.
The main distinction between these two disorders has nothing to do with this act of binging and purging; it’s actually defined by an individual's weight.
People with bulimia are usually normal weight or overweight, whereas people with anorexia are underweight.
The binging and purging cycles associated with bulimia can result in a number of serious side effects.
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