Overview

Bulimia nervosa, also called bulimia, is an eating disorder. Eating disorders are mental health conditions that can be potentially life-threatening. If you have an eating disorder, you may have an obsession with food and weight. This obsession can harm your physical and emotional well-being.

Bulimia nervosa can be defined as a pattern of eating characterized by:

  1. Consuming an unusually large amount of food in a short period of time (binge eating).
  2. Getting rid of the food (purging). Purging may involve making yourself throw up (vomiting) or taking laxatives. Laxatives are medications that speed up the movement of food through your body.

Other characteristics of bulimia nervosa may include:

  • Misuse of water pills (diuretics) or diet pills.
  • Eating very little or not at all (fasting).
  • Excessively exercising.
  • Hiding food to binge and purge later.

People with bulimia are usually at a normal, healthy weight. But they judge themselves harshly based on their view of their body shape and/or weight. They usually have self-esteem issues closely linked to their body image.

Who does bulimia nervosa affect?

Bulimia nervosa affects people assigned female at birth more often than people assigned male at birth. It typically develops during adolescence or early adulthood. But it can affect people of all ages. Between 1% and 2% of people will experience bulimia during any given year. Bulimia can occur in people of any sex, gender, age, race, ethnicity or body type.

What’s the difference between bulimia nervosa and anorexia nervosa?

People with bulimia nervosa usually have a normal weight. They engage in a cycle of binging and purging. People with anorexia nervosa are usually underweight. They engage in self-starvation, extreme diets and extreme exercise to lose weight. People with anorexia nervosa think they’re fat even though they’re very thin. They may get so thin they look sick.

What’s the difference between bulimia nervosa and binge eating disorder?

People with bulimia nervosa binge eat and then purge, or try to get rid of the food or weight. People with binge eating disorder binge but they don’t purge. Also, people with bulimia are usually at a weight that’s healthy for them. People with binge eating disorder typically have overweight/obesity.

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Symptoms

When to see a doctor

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Complications

Blood clots are a dangerous complication of atrial fibrillation (AFib). Blood clots can lead to stroke.
The risk of stroke from AFib increases as you grow older. Other health conditions also may increase the risk of a stroke due to AFib. These conditions include:
  • High blood pressure.
  • Diabetes.
  • Heart failure.
  • Some types of heart valve disease.
Blood thinners are commonly prescribed to prevent blood clots and strokes in people with atrial fibrillation.

Prevention

Healthy lifestyle choices can reduce the risk of heart disease and may prevent atrial fibrillation (AFib). Here are some basic heart-healthy tips:
  • Control high blood pressure, high cholesterol and diabetes.
  • Don't smoke or use tobacco.
  • Eat a diet that's low in salt and saturated fat.
  • Exercise at least 30 minutes a day on most days of the week unless your health care team says not to.
  • Get good sleep. Adults should aim for 7 to 9 hours daily.
  • Maintain a healthy weight.
  • Reduce and manage stress.


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