Alternative Names
Bulimia nervosa; Binge-purge behavior; Eating disorder – bulimia
Definition of Bulimia
Bulimia is an illness in which a person binges on food or has regular episodes of significant overeating and feels a loss of control. The affected person then uses various methods — such as vomiting or laxative abuse — to prevent weight gain.
Causes, incidence, and risk factors
Many more women than men have bulimia, and the disorder is most common in adolescent girls and young women. The affected person is usually aware that her eating pattern is abnormal and may experience fear or guilt with the binge-purge episodes.
Symptoms
In bulimia, eating binges may occur as often as several times a day for many months.
Signs and tests
A dental exam may show or gum infections (such as ). The enamel of the teeth may be eroded or pitted because of excessive exposure to the acid in vomit.
Treatment
People with bulimia rarely need to be hospitalized, except under the following circumstances:
Expectations (prognosis)
Bulimia is a chronic illness and many people continue to have some symptoms despite treatment. People with fewer medical complications of bulimia, and who are willing and able to engage in therapy, tend to have a better chance of recovery.
Review
Paul Ballas, DO, Department of Psychiatry, Thomas Jefferson University Hospital, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. – 2/1/2010
