Bulimia Nervosa

Bulimia Nervosa is characterized by binges occurring at least weekly and is typically followed by what are called “compensatory behaviors” to prevent weight gain. This can include fasting, vomiting, laxative misuse or compulsive exercise.

Behavioral Warning Signs of Bulimia Nervosa

• Frequent trips to the bathroom after meals
• Heartburn or gastroesophageal reflux
• Laxative, diet pill, or diuretic misuse
• Cardiac complications
• Reproductive complications
• Pulmonary Complications

Contributing Factors

Bulimia Nervosa can have multiple causes including biological, psychological and sociocultural factors. 

Biological factors can include genetics and family history of an eating disorder. Environmental factors refer to social environments such as sports that focus heavily on weight (ie: dancing, wrestling, gymnastics), working in a field or being a member of a group that is highly reliant on appearance and image. Environmental factors also include social media messaging and images promoting the idea of the thin beauty ideal. Psychological factors are co-existing illnesses and personality traits such as depression, anxiety and obsessive-compulsive disorder.

Medical Complications of Bulimia Nervosa

• Metabolic and electrolyte disturbances
• Esophageal erosions and ulcers
• Dental erosions and complications including tooth hypersensitivity, tooth loss, gum disease, dry mouth
• Indigestion