A. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
1. Eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than what most individuals would eat in a similar period of time under similar circumstances.
2. A sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating).
B. Recurrent inappropriate compensatory behaviors in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, or other medications; fasting; or excessive exercise.
C. The binge eating and inappropriate compensatory behaviors both occur, on average, at least once a week for 3 months.
D. Self-evaluation is unduly influenced by body shape and weight.
E. The disturbance does not occur exclusively during episodes of anorexia<unk> .
1. Eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than what most individuals would eat in a similar period of time under similar circumstances.
2. A sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating).
Dental enamel loss
Scarring/erosions of dorsal fingers, hand from self-induced emesis
Salivary gland hypertrophy (painless, bilateral)
Arrhythmias secondary to hypokalemia, particularly with binge-purge subtype
Metabolic alkalosis
Dehydration, chronic contraction alkalosis
Hypokalemia, hypochloremia
GI complications
Odynophagia, dysphagia, hoarseness
Heartburn, GERD
Cathartic colon syndrome from chronic laxative abuse damaging intestinal nerve cells
Must avoid use of bupropion as it may lead to seizures in patients with eating disorders
Odynophagia, dysphagia, hoarseness
Heartburn, GERD
Cathartic colon syndrome from chronic laxative abuse damaging intestinal nerve cells
Bulimia nervosa
Anorexia nervosa, binge eating/purging type
Anorexia nervosa
Binge-eating disorder
Metabolic syndrome
Klein-Levin syndrome
Antibiomania
Major depressive disorder, with atypical features