Disease Information for Bulimia and purging/eating disorder: Definition

Epidemiology -Onset in adolescence or early adulthood - Affects women much more than men by ratio of 10-20:1; Bloating or abdominal fullness sensation; Gastroesophageal Reflux disease; Abdominal pain; Pharyngitis; Severe Constipation (withdrawal from Laxatives); Signs: Disordered eating and distorted body image; Patients are most often of normal weight; Contrast with under-weight in Anorexia Nervosa; Poor impulse control; Physical signs of bulimia: Callused knuckles; Dental Erosions; Salivary Gland hypertrophy; Mallory-Weiss ; Recurrent Binge Eating; Eating more than most people eat per time period ; Perceived lack of control during eating episode ; Compensatory behaviors to prevent weight gain; Purging; Self-induced Vomiting ; Medication misuse: Diet pills; Laxatives or enemas; Diuretics; Other inappropriate weight loss control; Fasting; Excessive Exercise; Binging and weight loss twice weekly over 3 months; Overconcern with body shape and weight ; Episodes not limited to Anorexia Nervosa episodes; Subtypes: Purging Type; Regular, ongoing purging behaviors; Non-purging type; Associated Conditions ;Female Athlete Triad, Oligomenorrhea (50% of cases); No associated bone loss (contrast with anorexia); Weight bearing Exercise protective of bone in Bulimia ; Psychiatric illness; Personality Disorder (confers worse prognosis)

Self deprecation and low self esteem ; Major Depression with suicidal ruminations; Chemistry panel: Hypochloremic Metabolic Alkalosis; Hypokalemia; Serum Amylase increased ;Diagnostics: Electrocardiogram [hypokalemia, hypomagnesemia]; Same as in anorexia--------[Family Practice Notebook_COM 2005]-------

(Edit)