Bulimia

The diagnosis of bulimia nervosa is made by observing:

1. Recurrent episodes of binge eating in amounts similar to those commonly eaten by the bovine species, i.e. that of an ox or bull. These amounts are much larger than those eaten by normal humans during a discrete amount of time. The patient exhibits a definite lack of control over the amounts eaten.

2. Binge eating is followed by compensatory purging behaviors, e.g., vomiting, excessive use of laxatives and diuretics or enemas. The above behaviors occur on an average of twice a week for three months. Self – evaluation is unduly influenced by body shape and weight. Finally, the disturbance does not occur during an episode of anorexia.

Bulimia nervosa is characterized by two types:

1. Purge type whereas the patient exhibits abnormal vomiting or misuse of other compensatory behaviors.

2. The non-purging type in which the patient exhibits other inappropriate compensatory behaviors, e.g. fasting or excessive exercise

For more information on one of the primary eating disorders, click on the condition:

Anorexia          Non-specific and Binge-eating Disorders

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