Symptoms
- food intake leading to a weight that is clearly too low
 - Intense fear of weight gain, obsession with weight
 - Obsessed over body image
 - Inability to understand the severity of the situation
 
- Dramatic weight loss
 - Preoccupation with weight, food, calories, fat grams, and dieting
 - Frequent comments about feeling “fat” or overweight despite weight loss
 - Denial of hunger
 - Consistent excuses to avoid mealtimes or situations involving food
 
Health Consequences
- Abnormally slow heart rate and low blood pressure
 - Reduction of bone density (osteoporosis), which results in dry, brittle bones
 - Muscle loss and weakness
 - Dehydration
 - Fainting, fatigue
 
Bulimia Nervosa: a serious, potentially life-threatening eating disorder characterized by a cycle of bingeing and compensatory behaviors such as self-induced vomiting designed to undo or compensate for the effects of binge eating
Symptoms
- Frequent episodes of consuming very large amount of food followed by behaviors to prevent weight gain, such as self-induced vomiting
 - A feeling of being out of control during the binge-eating episodes
 - Self-esteem overly related to body image
 
Warning Signs
- Evidence of binge eating, including disappearance of large amounts of food in short periods of time or finding wrappers and containers indicating the consumption of large amounts of food.
 - Evidence of purging behaviors, including frequent trips to the bathroom after meals
 - Discoloration or staining of the teeth.
 
Health Consequences
- Electrolyte imbalances that can lead to irregular heartbeats and possibly heart failure and death
 - Inflammation and possible rupture of the esophagus from frequent vomiting
 - Tooth decay and staining from stomach acids released during frequent vomiting
 
Binge-Eating Disorder: an eating disorder characterized by recurrent episodes of eating large quantities of food (often very quickly and to the point of discomfort)
Symptoms
- A sense of lack of control over eating during the episode
 - Eating much more rapidly than normal
 - Eating until feeling uncomfortably full
 - Eating large amounts of food when not feeling physically hungry
 
Behavioral Characteristics
- Evidence of binge eating, including the disappearance of large amounts of food in short periods of time
 - Secretive food behaviors, including eating secretly (e.g., eating alone or in the car, hiding wrappers) and stealing, hiding, or hoarding food.
 
Mental/Emotional Characteristics
- Experiencing feelings of anger, anxiety, worthlessness, or shame preceding binges
 - Depression, social isolation, moodiness, and irritability may be present
 - Feeling disgust when one looks at themself
 
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