Bulimia nervosa is an eating disorder where a person eats and then induces vomitingcausing a cycle of eating and vomiting. A large amount of food is consumed over a short time and then forced vomiting or laxative use is adopted to avoid any weight gain from the consumed foods. It is usually said that the person loses his control over eating and then feels guilty for having done so. This is an abnormal behavioral condition seen commonly among adolescent and young women. It is usually difficult to determine this condition as eating and purging is often done secretly.

Causes

The causes of this condition are not clear. It can be genetic or due to altered levels of the chemical serotonin in the brain. It may also be due to the environment and society.

Symptoms

Damaged teeth and gums
Bloating
Mouth and throat sores
Abnormal bowel movements
Fatigue
Dehydration
Irregular heartbeat
Dry skin
Menstrual problems

Emotional and behavioral symptoms-

Self induced vomiting
Excessive exercises
Uncontrolled eating
Constant dieting
Depression

Some of the medical complications resulting from bulimia are:-

Erosion of teeth enamel and gums
Dental cavities
Stomach ulcers
Sore salivary glands
Edema in intestines
Ruptures of the esophagus and stomach
Irregular bowel functions
Dehydration
Suicidal motive
Decrease in libido

Electrolyte imbalance

Seek Medical Care

People suffering from bulimia usually feel guilty after their meals. The initial consultation with the doctor will determine if there is any medical complication. They can then be referred to therapists who deal specifically with eating disorders. Some indications which require immediate treatment are as follows-

Severe abdominal pain or weakness
Blood vomiting could be a tear of the stomach of esophagus
Clinical depression

Care At Home

Bulimia can be treated at home with full recovery by physicians if diagnosed early. The condition worsens and becomes harder to change over time. The behavior patterns of the person have to be studied over a period. Enough support and encouragement and boost should be given during treatment. Counseling and behavioral therapy is given to attack the cause of the problem.

Group therapy is good for those who are affected with this disorder where they can share and discuss their problems and experiences. Individual therapy also works well when combined along with group or family therapy. Counseling is given with anti depressant medications. If there is a serious conditionhospitalization is required. It is also important to follow up after treatment and monitor the patient's post treatment behavior.

Bulimia is best treated if recognized early. With family support and encouragement it is definitely a curable disorder.