Bulimia Nervosa

INTRODUCTION:
  • A serious eating disorder marked by bingeing, followed by methods to avoid weight gain.
  • Bulimia Nervosa is a severe mental disorder
  • Anorexia nervosa can be differentiated from bulimia by Peculiars patterns of food handing
  • It affects people of all ages. Patients of bulimia are always in conflict between, the desire to eat more and to stay in shape. They cannot suppress their desire to eat more and feel guilty afterwards.
  • After excessive eating, panic emerges and they just want to reverse the side effects of overeating anyhow, which may involve self forced vomiting, eating ex-lax, running until they pass out.
  • Bulimia leads to reflux of emotions such as uncontrolled desire, guilt, shame, and anxiety.
ETIOLOGY:
  • Low self-esteem
  • Trauma
  • History of teenage abuse
  • Stressful environment 
  • Unhealthy relationships
  • Genetic
  • Psychological
  • Family
  • Society
  • Culture
SYMPTOMS & SIGNS:
  • The most harmful effect of this eating disorder is dehydration.
  • Forced vomiting causes the imbalance of electrolytes in the body by lowering the level of potassium in the body.
  • Low level of potassium may even lead to other diseases like, irregular heartbeat, kidney failure. 
  • Chronic low levels of potassium may even cause sudden death.
  • Physical signs and symptoms
  1. Frequent variation in weight 
  2. Gum diseases 
  3. Dehydration 
  4. Infertility 
  5. Burning sensation in the esophagus 
  6. Ulcers due to gas 
  7. Excessive vomiting 
  8. parotid enlargement 
  9. Indigestion due to binge eating
  • Binge eating signs and symptoms
  1. Eating in secrecy 
  2. Disappearance of food 
  3. No control over eating 
  4. Episodes of excessive or no eating at all
  • Purging signs and symptoms 
  1. Stench of vomit 
  2. Doing heavy exercise 
  3. Taking laxatives, diuretics or enemas after binge eating 
  4. Eluding to the bathroom

Exam Question
  • Repeated episodes of excessive eating followed by purging by use of laxatives is seen in Bulimia nervosa 
  • Anorexia nervosa can be differentiated from bulimia by Peculiars patterns of food handing 
  • The main differnce between anorexia nervosa and bulimia nervosa depends on weight
  • Bilateral parotid enlargement with repeated episodes of uncontrolled eating is seen in Bulimia nervosa

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