Signs of Bulimia Nervosa
Signs of bulimia nervosa can be physical, psychological and behavioural. Here are some of the most common signs and symptoms.
Note: The presence of one or more of these symptoms does not necessarily indicate bulimia nervosa or any other eating disorder. Conversely, not all of these symptoms will necessarily be present in someone with bulimia nervosa.
Physical Symptoms of Bulimia Nervosa:
- Blisters on the back of the hand and fingers, caused by teeth rubbing during vomiting
- Dental cavities, erosion of tooth enamel and bleeding gums
- Irregular heartbeat
- Swollen glands in the face and neck
- Digestive problems, such as indigestion, constipation and diarrhoea
- Irregular menstrual cycle
- Sore throat
- Weakness, tiredness and fatigue
- Bloodshot eyes
- Stomach pains
- Fluid retention
- Dehydration
- Fluctuations in weight
- Erosion of tooth enamel from coming into contact with stomach acid when vomiting
- Abnormal menstrual cycle
- Changes in body chemistry
- Mineral and electrolyte imbalances
- Fertility problems
- Stomach ulcers
- Malnutrition
- Epileptic fits
- Damage to kidneys
- In severe cases the stomach can rupture, or a heart attack may occur leading to sudden death
Psychological Symptoms of Bulimia Nervosa:
- Depression
- Anxiety
- Mood swings and irritability
- Low self-esteem
- Feeling a loss of control
- Overly conscious about physical appearance and body weight
- Obsession with food, dieting and exercise
- Feelings of withdrawal
- Perfectionism
Behavioural Symptoms of Bulimia Nervosa:
- Binge eating, sometimes at strange times such as in the middle of the night
- Misuse of laxatives, diuretics, enemas or diet pills
- Fasting
- Excessive exercising
- Leaving the table straight after a meal to vomit
- Running water while in the bathroom to disguise the sound of vomiting
- Refusing to eat with other people
- Frequently spending time alone and wanting privacy
- Obsessing about body weight
- Withdrawal from social activities
