Bulimia Nervosa is defined as recurrent episodes of intense eating, followed by recurrent episodes of purging in order to prevent weight gain, such as:

Self-induced vomiting

Misuse of laxatives

Diuretics

Enemas

Fasting

Excessive exercise

Signs and Symptoms:

• Eating large amounts of food
• Secretive eating (food missing)
• Bathroom visits after eating
• Weight fluctuations (usually with 10-15 lb range)
• Swollen glands
• Broken blood vessels
• Mood swings
• Severe self-criticism
• Fatigue
• Muscle weakness
• Complains of sore throat
• Need for approval from others

Physical And Medical Complications:

• Fatigue and lack of energy
• Irregular menstruation
• Dizziness
• Headaches
• Dehydration
• Constipation and diarrhea
• Shortness of breath
• Irregular heartbeats
• Depression
• Tears of esophagus
• Hair loss
• Stomach pain and bloating
• Erosion of teeth enamel
• Chronic sore throat
• Kidney and liver damage
• Cathartic colon (caused from laxative abuse)
• Edema (swelling of hands and feet)
• Low blood pressure
• Chest pains
• Development of peptic ulcers and pancreatitis
• Gastric dilation and rupture
• Abrasions on back of hands and knuckles
• Anemia
• Cardiac arrest and death

Sources: Center For Eating Disorders, Mirror Mirror