Patients with bulimia eat large amounts of food but then induce vomiting and take enemas to purge the food and lower their weight. Their condition is a little milder than that of the patient with anorexia; those with bulimia aren't as thin as those with anorexia and don't tend to lose their menstrual periods.
Patients with bulimia also may do excessive amounts of exercise to burn up all the calories they're consuming. They're more likely than anorexic patients to become obese as adults. Also, they don't seem to respond to psychological therapy as well as those patients either.
Some signs of bulimia include
1 Tooth decay from the stomach acids that enter the mouth when the patient induces vomiting
1 Scarring of the hands from putting them in the mouth and rubbing against the teeth to induce vomiting
1 Eating large amounts of food without weight gain
1 Dehydration with light-headedness or fainting from the loss of fluids from inducing vomiting or diarrhea
Otherwise, the signs of bulimia are similar to those of anorexia. The child with T1DM and bulimia has poor control of the blood glucose as a result of the irregularity of food intake.
Treatment of bulimia requires psychotherapy as well as drugs such as anti-depressants to manage the depression that's often present in the patient.
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