Bulimia nervosa


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Complications

By Mayo Clinic staff

Bulimia may cause numerous serious and even life-threatening complications. Possible complications include:

  • Dehydration, which can lead to major medical problems, such as kidney failure
  • Heart problems, such as an irregular heartbeat and heart failure
  • Severe tooth decay and gum disease
  • Absence of a period in females
  • Digestive problems, and possibly a dependence on laxatives to have bowel movements
  • Anxiety and depression
  • Drug and alcohol abuse
References
  1. Eating disorders. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed Jan. 17, 2012.
  2. Longo DL, et al. Harrison's Online. 18th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=4.. Accessed Jan. 17, 2012.
  3. Forman SF. Eating disorders: Epidemiology, pathogenesis and clinical features. http://www.uptodate.com/index. Accessed Jan 26, 2012.
  4. Ebert MH, et al. Current Diagnosis & Treatment: Psychiatry. 2nd ed. New York, N.Y.: The McGraw-Hill Companies; 2008. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=10. Accessed Jan. 17, 2012.
  5. Forman SF. Eating disorders: Treatment and outcome. http://www.uptodate.com/index. Accessed Jan. 26, 2012.
  6. Breuner CC. Complementary, holistic, and integrative medicine: Eating disorders. Pediatrics in Review. 2010;31:c75.
  7. Carei TR, et al. Randomized controlled clinical trial of yoga in the treatment of eating disorders. Journal of Adolescent Health. 2010;46:346.
  8. Binge eating disorder. National Institute of Diabetes and Digestive and Kidney Diseases. http://win.niddk.nih.gov/publications/binge.htm. Accessed Jan. 31, 2012.
  9. LeGrange D, et al. Calculation of expected body weight in adolescents with eating disorders. Pediatrics. 2012;129:1.
  10. Sim LA, et al. Identification and treatment of eating disorders in the primary care setting. Mayo Clinic Proceedings. 2010;85:746.
  11. Interpersonal psychotherapy for depressed adolescents (IPT-A). National Registry of Evidence-based Programs and Practices (NREPP) Substance Abuse and Mental Health Services (SAMHS). http://nrepp.samhsa.gov/ViewIntervention.aspx?id=198. Accessed Jan. 26, 2012.
  12. Loeb KL, et al. Transdiagnostic theory and application of family-based treatment for youth with eating disorders. Cognitive and Behavioral Practice. 2012;1:17
  13. Hall-Flavin DK (expert opinion). Mayo Clinic Rochester, Minn. Feb. 22, 2012.
  14. Sim LA (expert opinion). Mayo Clinic Rochester, Minn. Mar. 14, 2012.
DS00607 April 3, 2012

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