Bulimia Nervosa or Bulimia

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By: Francis Appiah, Doctor of Naturopathic Medicine (N.D. Candidate), with expertise in Medical Journalism, Medical Laboratory Science, Integrative/Complementary Health, CAM and Healthcare Management

Bulimia nervosa, also known as simply bulimia, is an eating disorder characterized by binge eating followed by purging. Binge eating refers to eating a large amount of food in a short amount of time. Purging refers to the attempts to get rid of the food consumed. This may be done by vomiting or taking laxatives. Other efforts to lose weight may include the use of diuretics, stimulants, water fasting, or excessive exercise. 

Most people with bulimia are at a normal weight. The forcing of vomiting may result in thickened skin on the knuckles and breakdown of the teeth. Bulimia is frequently associated with other mental disorders such as depression, anxiety, and problems with drugs or alcohol. There is also a higher risk of suicide and self-harm.       

It typically involves rapid and out-of-control eating, which may stop when the person is interrupted by another person or the stomach hurts from over-extension, followed by self-induced vomiting or other forms of purging. This cycle may be repeated several times a week or, in more serious cases, several times a day and may directly cause: Chronic gastric reflux after eating, secondary to vomiting, Dehydration and hypokalemia due to renal potassium loss in the presence of alkalosis and frequent vomiting, electrolyte imbalance, which can lead to abnormal heart rhythms, cardiac arrest, and even death, esophagitis, or inflammation of the esophagus, Gastroparesis, or delayed gastric emptying, constipation or diarrhea, tachycardia or palpitations, hypotension, peptic ulcers etc. 

Bulimia is more common among those who have a close relative with the condition. The cause of Bulimia is mostly genetics and other risk factors for the disease include psychological stress, cultural pressure to attain a certain body type, poor self-esteem, and obesity. Living in a culture that promotes dieting and having parents that worry about weight are also risks. 

Diagnosis is based on a person's medical history; however, this is difficult, as people are usually secretive about their binge eating and purging habits.      Treatment may include psychopharmacological and psychosocial treatments such as Psychotherapy and antidepressants medication. 

Other alternative therapy that may be helpful in the treatment of Bulimia also includes hypnotherapy ,acupuncture, massage, yoga, cognitive orientation therapy, meditation, nutritional planning  and mind body medicine.                                                                                                            

About the Author

Francis Appiah, N.D. Candidate

Nyarkotey University College of Holistic Medicine and Technology, Tema Community 7

Francis Appiah is a Doctor of Naturopathic Medicine candidate with expertise in medical laboratory technology, medical journalism, complementary/integrative medicine, and CAM healthcare management. He leverages this diverse background to deliver holistic care. With over eight years of experience in Ghana's healthcare sector, Francis excels in clinical diagnosis, integrative medicine, patient-centered care, analytical and diagnostic skills, problem-solving, and healthcare management.

His mission is to establish Franapp Holistic Medical Centre, providing comprehensive conventional and natural medicine services to all Ghanaians and bridging the gap between traditional and holistic healthcare for optimal wellness.

Disclaimer

The information provided in this article is for educational and general informational purposes only, focusing on bulimia nervosa, its symptoms, diagnosis, treatment, and management.

This article does not:

Provide personalized medical or psychological advice or diagnose mental health conditions.

Replace guidance from qualified mental health professionals, psychologists, or psychiatrists.

Endorse specific products or services.

Consult a qualified mental health professional before seeking medical attention or making significant changes to your lifestyle, especially if you have underlying mental health conditions or concerns.

If you or someone you know is struggling with bulimia or other mental health issues, please seek immediate help.