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Diseases » Bulimia nervosa » Symptoms
 

Symptoms of Bulimia nervosa

Symptoms of Bulimia nervosa

The list of signs and symptoms mentioned in various sources for Bulimia nervosa includes the 47 symptoms listed below:

Research symptoms & diagnosis of Bulimia nervosa:

Bulimia nervosa: Complications

Review medical complications possibly associated with Bulimia nervosa:

Bulimia nervosa Symptoms: Book Excerpts

Research More About Bulimia nervosa

Do I have Bulimia nervosa?

Bulimia nervosa: Medical Mistakes

Bulimia nervosa: Undiagnosed Conditions

Diseases that may be commonly undiagnosed in related medical areas:

Home Diagnostic Testing

Home medical tests related to Bulimia nervosa:

Wrongly Diagnosed with Bulimia nervosa?

The list of other diseases or medical conditions that may be on the differential diagnosis list of alternative diagnoses for Bulimia nervosa includes:

See the full list of 17 alternative diagnoses for Bulimia nervosa

Bulimia nervosa: Research Doctors & Specialists

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More about symptoms of Bulimia nervosa:

More information about symptoms of Bulimia nervosa and related conditions:

Other Possible Causes of these Symptoms

Click on any of the symptoms below to see a full list of other causes including diseases, medical conditions, toxins, drug interactions, or drug side effect causes of that symptom.

Medical Books Online about Bulimia nervosa

Medical Books Excerpts Excerpts of published medical book chapters related to Bulimia nervosa are available from published medical books for more detailed information about Bulimia nervosa.

Medical Books Excerpts
  • WEIGHT LOSS
  • "Algorithmic Diagnosis of Symptoms and Signs" (2003)
  • Weight Loss
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Bulimia
  • "The 5-Minute Pediatric Consult" (2008)

Copyright notice for book excerpts: Copyright © 2008 Lippincott Williams & Wilkins. All rights reserved.

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Patient Surveys for Bulimia nervosa

Symptoms of Bulimia nervosa: Online Medical Books

16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the symptoms of Bulimia nervosa.


Bulimia nervosa: Signs and symptoms
(Professional Guide to Diseases (Eighth Edition))

The history of a patient with bulimia nervosa is characterized by episodes of binge eating that may occur up to several times per day. The patient commonly reports a binge-eating episode during which she continues eating until abdominal pain, sleep, or the presence of another person interrupts it. The preferred food is usually sweet, soft, and high in calories and carbohydrate content.

The patient with bulimia may appear thin and emaciated. Typically, however, although her weight frequently fluctuates, it usually stays within normal limits — through the use of diuretics, laxatives, vomiting, and exercise. So, unlike the patient with anorexia, the patient with bulimia can usually hide her eating disorder.

Overt clues to this disorder include hyperactivity, peculiar eating habits or rituals, frequent weighing, and a distorted body image. (See Characteristics of patients with bulimia.)

The patient may complain of abdominal and epigastric pain caused by acute gastric dilation. She may also have amenorrhea. Repetitive vomiting may cause painless swelling of the salivary glands, hoarseness, throat irritation or lacerations, and dental erosion. The patient may also exhibit calluses on the knuckles or abrasions and scars on the dorsum of the hand, resulting from tooth injury during self-induced vomiting, although it’s common for the patient with bulimia to induce vomiting chemically such as with ipecac.

A patient with bulimia commonly is perceived by others as a “perfect” student, mother, or career woman; an adolescent may be distinguished for participation in competitive activities such as sports. However, the patient’s psychosocial history may reveal an exaggerated sense of guilt, symptoms of depression, childhood trauma (especially sexual abuse), parental obesity, or a history of unsatisfactory sexual relationships.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Bulimia nervosa: Signs and symptoms
(Handbook of Diseases)

The history of a patient with bulimia nervosa is marked by episodes of binge eating that may occur up to several times per day. The patient commonly reports a binge-eating episode during which she continues eating until abdominal pain, sleep, or the presence of another person interrupts it. The preferred food usually is sweet, soft, and high in calories and carbohydrate content.

The bulimic patient may appear thin and emaciated. Typically, however, although her weight frequently fluctuates, it usually stays within normal limits through the use of diuretics, laxatives, vomiting, and exercise. So, unlike the anorexic patient, the bulimic patient can usually hide her eating disorder.

Overt clues to this disorder include hyperactivity, peculiar eating habits or rituals, frequent weighing, and a distorted body image.

The patient may complain of abdominal and epigastric pain caused by acute gastric dilation. She may also have amenorrhea. Repetitive vomiting may cause painless swelling of the salivary glands, hoarseness, throat irritation or lacerations, and dental erosion. The patient may also exhibit calluses on the knuckles or abrasions and scars on the dorsum of the hand, resulting from tooth injury during self-induced vomiting.

Psychosocial factors

A bulimic patient commonly is perceived by others as a “perfect” student, mother, or career woman; an adolescent may be distinguished for participation in competitive activities such as sports. However, the patient’s psychosocial history may reveal an exaggerated sense of guilt, symptoms of depression, childhood trauma (especially sexual abuse), parental obesity, or a history of unsatisfactory sexual relationships.

» READ BOOK EXCERPT ONLINE »

Source: Handbook of Diseases, 2003

Article Excerpts About Symptoms of Bulimia nervosa:

Bulimia Nervosa: NWHIC (Excerpt)

The binge-purge cycle may be accompanied by self-deprecating thoughts, depression, and an awareness that the eating is abnormal and out of control. Bulimia may be present when a person frequently shows some of the following warning sings.

  • Evidence of binge-eating, including disappearance of large amounts of food in short periods of time or the existence of wrappers and containers indicating the consumption of large amounts of food.

  • Evidence of purging behaviors, including frequent trips to the bathroom after meals, signs and/or smells of vomiting, presence of wrappers or packages of laxatives or diuretics.

  • Excessive, rigid exercise regimen-the feeling to "burn off" calories taken in despite weather, fatigue, illness, or injury.

  • Unusual swelling of the cheeks or jaw area

  • Calluses on the back of the hands and knuckles from self-induced vomiting.

  • Discoloration or staining of the teeth.

  • Creation of complex lifestyle schedules or rituals to make time for binge-and-purge sessions.

  • Withdrawal from usual friends and activities.

  • In general, behaviors and attitudes indicating that weight loss, dieting, and control of food are becoming primary concerns.

(Source: excerpt from Bulimia Nervosa: NWHIC)

Fact Sheet Eating Disorders: NWHIC (Excerpt)

As with anorexia nervosa, those with bulimia are overly concerned with food, body weight, and shape. Because many individuals with bulimia 'binge and purge' in secret and maintain normal or above normal body weight, they can often hide the disorder from others for years. Binges can range from once or twice a week to several times a day and can be triggered by a variety of emotions such as depression, boredom, or anger. The illness may be constant or occasional, with periods of remission alternating with recurrences of binge eating. (Source: excerpt from Fact Sheet Eating Disorders: NWHIC)

Fact Sheet Eating Disorders: NWHIC (Excerpt)

A person with Bulimia may…

  • Become very secretive about food, spend a lot of time thinking about and planning the next binge
  • Take repeated trips to the bathroom, particularly after eating
  • Steal food or hoard it in strange places
  • Engage in compulsive exercising If an individual is displaying any of these characteristics, they should be taken to a physician, nutritionist, or other professional with expertise in diagnosing eating disorders.
(Source: excerpt from Fact Sheet Eating Disorders: NWHIC)

Eating Disorders Facts About Eating Disorders and the Search for Solutions: NIMH (Excerpt)

Symptoms of bulimia nervosa include:

  • Recurrent episodes of binge eating, characterized by eating an excessive amount of food within a discrete period of time and by a sense of lack of control over eating during the episode

  • Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as self-induced vomiting or misuse of laxatives, diuretics, enemas, or other medications (purging); fasting; or excessive exercise

  • The binge eating and inappropriate compensatory behaviors both occur, on average, at least twice a week for 3 months

  • Self-evaluation is unduly influenced by body shape and weight

Because purging or other compensatory behavior follows the binge-eating episodes, people with bulimia usually weigh within the normal range for their age and height. However, like individuals with anorexia, they may fear gaining weight, desire to lose weight, and feel intensely dissatisfied with their bodies. People with bulimia often perform the behaviors in secrecy, feeling disgusted and ashamed when they binge, yet relieved once they purge. (Source: excerpt from Eating Disorders Facts About Eating Disorders and the Search for Solutions: NIMH)

Bulimia nervosa as a Cause of Symptoms or Medical Conditions

When considering symptoms of Bulimia nervosa, it is also important to consider Bulimia nervosa as a possible cause of other medical conditions. The Disease Database lists the following medical conditions that Bulimia nervosa may cause:

- (Source - Diseases Database)

Bulimia nervosa as a symptom:

For a more detailed analysis of Bulimia nervosa as a symptom, including causes, drug side effect causes, and drug interaction causes, please see our Symptom Center information for Bulimia nervosa.

Medical articles and books on symptoms:

These general reference articles may be of interest in relation to medical signs and symptoms of disease in general:

Full list of premium articles on symptoms and diagnosis

About signs and symptoms of Bulimia nervosa:

The symptom information on this page attempts to provide a list of some possible signs and symptoms of Bulimia nervosa. This signs and symptoms information for Bulimia nervosa has been gathered from various sources, may not be fully accurate, and may not be the full list of Bulimia nervosa signs or Bulimia nervosa symptoms. Furthermore, signs and symptoms of Bulimia nervosa may vary on an individual basis for each patient. Only your doctor can provide adequate diagnosis of any signs or symptoms and whether they are indeed Bulimia nervosa symptoms.


 » Next page: Diagnostic Tests for Bulimia nervosa

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