Mental Health > Eating Disorders Forum > Symptoms of bulimia nervosa
Anorexia nervosa is one of several eating disorders. But what is anorexia exactly and who does it affect? Get anorexia basics and facts in this short intro....
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Q: Symptoms of bulimia nervosa
asked by: DoctorQuestion on October 24th, 2009
What Classifies as Bulimia?
My friend tells me that even if you make your self throw up a few times/ often, or if you skip meals alot, then you have Bulmia. Is that true?


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Dr. Goce Aleksovski , MD
replied on October 26th, 2009
Eating Disorders Answer A7621
Bulimia nervosa is an eating disorder characterized by recurrent binge eating, usually followed by defensive vomiting.
According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV TR) published by the American Psychiatric Association, the criteria for diagnosing a patient with bulimia are:

-Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
-Eating, in a fixed period of time, an amount of food that is definitely larger than most people would eat under similar circumstances. Mainly eating binge foods.
-A lack of control over eating during the episode: a feeling that one cannot stop eating or control what or how much one is eating.
-Recurrent inappropriate compensatory behavior to prevent weight gain, such as: self-induced vomiting; misuse of laxatives, diuretics, or other medications; fasting; excessive exercise.
-Triggers include periods of stress, traumatic events, and self-evaluation of body shape and weight.
-These symptoms may occur after every meal on a daily basis or once every few months.
-The disturbance does not occur exclusively during episodes of anorexia nervosa.
Vomiting is not necessary for bulimia to be present. There are purging tupe and non-purging type of bulimia. However, induced vomiting for even few times might be a sign of bulimia.




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