For individuals with Bulimia Nervosa, they may turn to binge eating followed by purging through vomiting, laxatives or excessive exercise as a way to cope with intense emotions that feel unmanageable. Like anorexia, bulimia is influenced by a combination of biological factors, psychological patterns, and societal pressures, often making it difficult to break free from the cycle of bingeing and purging.
Refeeding syndrome in Bulimia: For individuals who engage in purging behaviors, reintroducing nutrition during recovery must be carefully monitored. After a period of restriction and purging, the body may struggle to process nutrients properly, which increases the risk of refeeding syndrome. This makes it vital to work closely with a Registered Dietitian who specializes in eating disorders to restore nutrients safely and avoid severe complications.
Other Medical Risks include:
Electrolyte Imbalances: Repeated purging can cause dangerous fluctuations in potassium, sodium, and magnesium levels, leading to cardiac arrhythmias and heart failure.
Gastrointestinal Damage: Chronic vomiting leads to teeth erosion, esophageal tears, and long-term digestive issues. Excessive laxative use can also cause chronic constipation and intestinal damage.
Kidney Damage: Overuse of diuretics and purging can place strain on the kidneys, causing kidney failure in extreme cases.
Hormonal Disruptions: Bulimia can interfere with hormonal balance, causing menstrual irregularities and long-term health issues.
As with anorexia, improper nutritional support can exacerbate health issues. A Registered Dietitian will monitor your progress to ensure recovery is minimizing risks and is sustainable.