The whole episode lasted about an hour, and I often felt very weak and dizzy afterwards. I did not abuse laxatives, enemas, or diuretics, although some others with bulimia do.
Your Privacy is protected. Pin It on Pinterest. It is possible for an individual diagnosed with bulimia nervosa to consume as much as 3, calories in little more than an hour, and as much as 20, calories in eight hours.
Dozens of donuts, boxes of cupcakes, multiple bags of chips, ten candy bars and multiple boxes of cookies are some common items that are consumed within this two-hour period.
It is common for individuals to binge eat when they are not physically full or eat these large amounts of food until they are uncomfortably full.
Individuals with bulimia nervosa usually binge alone and even in hiding out of fear and embarrassment someone may see them. Guilt, shame, depression, and feelings of disgust usually accompany the individual immediately after the binge episode. Purging episodes are classified as self-induced compensatory behaviors to prevent weight gain after a binge. The purging sub-type of bulimia nervosa is more common and the most common behavior in this subtype includes self-induced vomiting, laxative abuse, and diuretic abuse.
The non-purging subtype is less frequent of the two subtypes and is characterized by extreme exercise or fasting in order to compensate for the recent binge-eating episode.
Extreme exercise may include exercising for multiple hours at a time or exercising in extreme heat wearing multiple layers of clothing.
Diuretics, laxatives, and self-induced vomiting can cause severe electrolyte imbalances in the body creating many potential medical complications.
Diagnostic and Statistical Manual of Mental Disorders. Washington D. Initial evaluation, diagnosis, and treatment of anorexia nervosa and bulimia nervosa. Am Fam Physician. Excessive exercise in eating disorder patients and in healthy women. Aust N Z J Psychiatry. Understanding eating disorders: Anorexia nervosa, bulimia nervosa and obesity. Your Privacy Rights. To change or withdraw your consent choices for VerywellMind. At any time, you can update your settings through the "EU Privacy" link at the bottom of any page.
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Binge-Eating Episode. Forbidden Foods. Results of Cycle. Purging Episode Follows. Calm Period. Challenging Forbidden Foods. They may go from restaurant to restaurant, to avoid being seen eating too much in any one place. Or they may pretend to be shopping for a large dinner party, when actually they intend to eat all the food themselves. Because of the expense of consuming so much food, some resort to shoplifting.
During a binge, bulimics favor high carbohydrate foods, such as doughnuts, candy, ice cream, soft drinks, cookies, cereal, cake, popcorn, and bread, consuming many times the amount of calories they normally would consume in one day.
No matter what their normal eating habits, they tend to eat quickly and messily during a binge, stuffing the food in their mouths and gulping it down, sometimes without even tasting it.
Some say they get a feeling of euphoria during binges, similar to the "runner's high" that some people get from exercise. The self-induced vomiting that often follows eating binges can cause all sorts of physical problems, such as damage to the stomach and esophagus, chronic heartburn, burst blood vessels in the eyes, throat irritation, and erosion of tooth enamel from the acid in vomit.
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