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Doctor insights on: Bulimia

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Dr. Heidi Fowler
746 doctors shared insights

Bulimia (Overview)

Apsychiatric disorder in which a person over eats a lot of food at one time (binging) and then vomits later to purge herself of the unwanted foods eaten.


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How does bulimia usually start?

How does bulimia usually start?

Disliking your body: It usually starts with an intense feeling of dissatisfaction for one's body image. This intense dissatisfaction then leads to the binging and/or purging behaviors often associated with an eating disorder. ...Read more

Dr. Heidi Fowler
746 doctors shared insights

Bulimia (Overview)

Apsychiatric disorder in which a person over eats a lot of food at one time (binging) and then vomits later to purge herself of the unwanted foods eaten.


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Symptoms of bulimia -- is severe dryness or acne a symptom of bulimia?

Symptoms of bulimia -- is severe dryness or acne a symptom of bulimia?

Not usually: Commonly seen signs in bulimia include a thin build, low heart rate and low blood pressure, fine hair on trunk, swelling in the feet and hands. Purging causes eroded dental enamel from vomiting, scarred/scratched hands from inducing it, esophageal/stomach tears and metabolic problems. Severe dryness and acne are not seen commonly unless there is a coexisting disease process. ...Read more

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What are the main effects and symptoms of bulimia?

What are the main effects and symptoms of bulimia?

An Eating Disorder: Bulimia nervosa is an eating disorder in which one has a distorted body image often suffering from binge eating (eating very large amounts of food in a short time), purging (self-induced vomiting), laxative or diuretic abuse and excessive exercise. One can develop gum infections, cavities, swollen parotid glands, and electrolyte imbalances. This condition requires professional treatment. ...Read more

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What are some big signs of bulimia in a fifty-year-old?

What are some big signs of bulimia in a fifty-year-old?

Age independent: Bulimia doesn't vary with age. It consists of ingesting excessive calories and "compensating" by getting rid of them (purging) through vomiting or laxitive use. Occasional binge eating is not bulimia. Recurrent binge eating without prugring does occur too; it is one form of morbid obesity. ...Read more

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I need to get a diagnosis for bulimia but I'm scared?

I need to get a diagnosis for bulimia but I'm scared?

Bulimia: You can start with your family physician on this, since you do need a careful review of your health with this disorder. Your doctor may know of excellent psychologists and psychiatrists in your community who can help with in-depth treatment of this problem. You can also educate yourself further, and then it may not be so scary: http://www.Nationaleatingdisorders. Org/ there is hope for you! ...Read more

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Is there any kind of online test or quiz that you know of that can help diagnose an eating disorder such as bulimia?

Is there any kind of online test or quiz that you know of that can help diagnose an eating disorder such as bulimia?

Online diagnosis: Eating disorders are serious business, and can have serious health consequences, see a human professional psychiatrist or clinical psychologist if u really have a q. About it — u r worth it. For some educations see: http://cpancf. Com/eatingdisorders. Asp. ...Read more

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How to recover bulimia?

How to recover bulimia?

Psychodynamic: Bulimia is sometimes the result of a vicious internal struggle between self-indulgence and self-destructiveness. The cycle goes as follows: punitive self-denial, then feelings of deprivation and anger, followed by self-indulgence, then guilt and the need to self-punish, followed by punitive self-denial. A vicious cycle: denial, anger, indulgence, guilt. Psychotherapy can really help. ...Read more

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What are the tests for bulimia nervosa?

What are the tests for bulimia nervosa?

Clinical Diagnosis: There are no specific tests for bulimia. Ultimately, it requires the person stating or being observed to regularly overeat and then purge, typically with induced vomiting or laxitives. There are some "signs" especially associated with recurrent vomiting, including loss of enamel from stomach acid. However, weight often is normal, so it's behavior that is the key. ...Read more

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How do you know if u have bulimia?

How do you know if u have bulimia?

Do you binge/purge?: Bulimia symptoms include eating large amounts of food in a short time (bingeing) and then compensating by purging either by vomiting, using laxatives, over-exercising or restricting. People with bulimia also are preoccupied with their weight and feel a tremendous amount of shame for their behavior, which is often secretive. The good news is that there is help and you can recover from bulimia. ...Read more

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What causes bulimia in someone?

Unknown: Bulimia remains a mystery in terms of underlying causes. There almost certainly is a social aspect--goes back to roman times where vomiting was an expected part of feasts, and is more prevalent when social standards value extreme thinness. However, why it becomes a compulsive habit in some and not others remains unclear, as does the robust reduction in purging antidepressants can produce. ...Read more

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What happens if the psychologist suggested guided self-help as part of treatment does that mean my bulimia is not that bad?

What happens if the psychologist suggested guided self-help as part of treatment does that mean my bulimia is not that bad?

No self help : Groups are a good adjunctive therapy for eating disorders. All eating disorders are serious and potentially life threatening. ...Read more

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How should I treat bulimia?

Consult a specialist: In general the treatment of bulimia could consist of a combination of psychotropic medications and psycho therapy and possibly other medical interventions. That needs to be tailored to your specific situation/condition and needs. It is very important that you get a full evaluation by a psychiatrist/therapist who will guide you through the right treatment plan. ...Read more

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Is there a way I can get treated from bulimia?

Is there a way I can get treated from bulimia?

Eating Disorders: In general, eating disorders need thorough evaluation by a mental health counselor to determine the type, extent, and comorbidity issues, which will guide toward appropriate interventions. Therapy involves cognitive therapy, group therapy, dialectical behavior therapy, evaluation for possible medications for comorbid conditions, dietary consult, & referral to an eating program depending on severit. ...Read more

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Looking for bulimia treatment options. What is the proven effective way to treat it?

Looking for bulimia treatment options.  What is the proven effective way to treat it?

Therapy + Meds: Individual, group, and family and/or marital therapy are the mainstay of treatment. Support groups modeled on 12-step programs may also help. Antidepressants have also been shown to help some (regardless of whether person is clinically depressed), perhaps through minimizing obsessive-compulsive elements of bulimia. I have had some success using topamax (topiramate) to reduce binging. ...Read more

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What kind of treatment to get for bulimia?

What kind of treatment to get for bulimia?

See U PCP for exam: In addition, the patient need to be educated that he has a serious mental health condition, need to be seen by eating disorder specialist, medical doctor, therapist since therapy is the main treatment for bulimia especially if there are sexual abuse, depression and substance abuse. ...Read more

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What's the cure for being bilimic?

Psychotherapy, meds: The primary treatment for bulimia nervosa is psychotherapy (talk therapy). This may involve individual, family, or group psychotherapy. Often, optimal treatment involves multiple types of psychotherapy simultaneously. Medications such as Prozac (fluoxetine) are sometimes used as part of the treatment, but, ideally, the treatment should not be medication only. ...Read more

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What do I do to get rid of bulimia & reach a healthy lifestyle?

What do I do to get rid of bulimia & reach a healthy lifestyle?

Eating Disorders: In general, eating disorders need thorough evaluation by a mental health counselor to determine the type, extent, and comorbidity issues, which will guide toward appropriate interventions. Therapy involves cognitive therapy, group therapy, dialectical behavior therapy, evaluation for possible medications for comorbid conditions, dietary consult, & referral to an eating program depending on severit. ...Read more

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Are eating disorders (anorexia/bulimia) genetic?

Are eating disorders (anorexia/bulimia) genetic?

Anorexia: This is one theory as to predisposition but does not always apply. Psycho social factors are important in etiology. ...Read more

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Can you inherit bulimia if your mom had it when she was young?

Maybe: Bulimia is a condition included as a subset of eating disorders that can occur with ocd, depression, generalized anxiety disorder, phobic disorders, or poor self-image. Some of these conditions are heritable and the offspring may have similar symptoms. It is important to know your family history. ...Read more

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Do studies show bulimia as a significant risk factor for oral and esophageal cancers?

Do studies show bulimia as a significant risk factor for oral and esophageal cancers?

Maybe: There is increase risk for esophageal ulceration and that may lead to an increased risk for cancer, but no obvious link. ...Read more

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How can I prevent bulimia from taking over my life?

Bulimia: Seek professional help. Counseling thru cognitive behavior therapy is beneficial. ...Read more

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Do you think I should avoid socializing while I battle bulimia?

Do you think I should avoid socializing while I battle bulimia?

Not at all: People who purge may avoid social interaction in order to vomit, or take laxatives or diuretics. Also, conflict or upset in relationships may precede episodes of binging and purging. Socially isolating oneself is absolutely not the answer, though! Instead, working in therapy will be more helpful -- which involves connecting honestly with your doctors. Honesty w/trusted friends is important too. ...Read more

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What is bulimia?

What is bulimia?

Eating Disorder: Bulimia nervosa is an eating disorder involving periods of overeating followed by purging, sometimes through self-induced vomiting or using laxatives. ...Read more

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What is bulimia?

What is bulimia?

Bulimia: Bulimia is an illness which involves at least twice weekly consumption of large quantity of calories followed by compensatory behavior to "lose"/make up for those calories (purging/laxative/excessive exercise/restriction). As an eating disorder specialist, I believe it is primariy an anxiety disorder coped with by addictive body image/food behaviors initiated by feeling a lack of control in life. ...Read more

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What defines bulimia?

What defines bulimia?

See below: Bulimia nervosa presents with uncontrolled bingeing followed by purging or other behaviors to compensate for food intake. The loss of electrolytes can cause death. ...Read more

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How common is bulimia?

How common is bulimia?

2.3%: A 2009 nimh study found the lifetime prevalence of bulimia nervosa was 2.3%, with a peak age of incidence between 16-20 years. ...Read more

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How to recover bulimia?

Psychodynamic: Bulimia is sometimes the result of a vicious internal struggle between self-indulgence and self-destructiveness. The cycle goes as follows: punitive self-denial, then feelings of deprivation and anger, followed by self-indulgence, then guilt and the need to self-punish, followed by punitive self-denial. A vicious cycle: denial, anger, indulgence, guilt. Psychotherapy can really help. ...Read more

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How is bulimia detectable?

Signs of behavior: I think you are asking for evidence/signs of purging behaviors in patients. The person is very concerned about weight. Because of forced vomiting could be acrid smelling breath and tooth enamel eroded/brown due to stomach acid; knuckle calluses or worn away finger nails from forced gagging. Lots of empty laxative containers, visits to the bathroom or disappearances after eating, weight shifts. ...Read more

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What are bulimia symptoms?

What are bulimia symptoms?

Bulimia: In bulimia, the person regularly eats large amounts of food with the feeling s/he can't control food intake. There is also purging behavior through avenues like vomiting, diuretics, laxatives, etc. They are extremely worried about their body size and shape. Much more info through the national eating disorders association: http://tinyurl. Com/ospndlu. ...Read more