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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