Usually None But: 1. Bilateral parotid enlargement 2. If they vomit-cavities, loss of enamel, gum disease, erosions on the lingual surface 3. Russell sign: callosities, scarring, and abrasions on the knuckles from inducing vomiting 4. Dry skin or acne, nail changes, and diffuse hair loss.
Answered 4/22/2016
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Chipmunk cheeks: Physical signs and symptoms of bulimia calluses or scars on the knuckles or hands from sticking fingers down the throat to induce vomiting. Puffy “chipmunk” cheeks caused by repeated vomiting. Discolored teeth from exposure to stomach acid when throwing up. May look yellow, ragged, or clear. Not underweight – men and women with bulimia are usually normal weight or slightly overweight.
Answered 4/12/2014
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