Symptoms of Bulimia Nervosa: Bulimia Signs Everyone Should Know - Symptoms of Bulimia Nervosa
Symptoms of Bulimia Nervosa
If an eating disorder has already taken hold, the symptoms of bulimia can initially be subtle but can be picked up on by family and friends who recognize the signs of bulimia. Because bulimia typically stems from a psychological disorder or dissatisfaction, that can often be the first sign. Bulimics often put unrealistic pressures on themselves to be perfect in aspects of their lives outside of their looks. This pressure comes from a desire to control the bulimic's life, just as they control their food intake and weight.
Psychological symptoms of bulimia include:
- An unrealistic view of the bulimic's body, including possible body dysmorphic disorder
- An overwhelming desire to be perfect and upset at any perception of imperfection
- Anxiety or depression
Physical Signs and Symptoms of Bulimia
Unlike anorexia, where a dramatic drop in weight is an obvious sign of the eating disorder, signs of bulimia can be easier to miss. Often bulimia symptoms are seen as "normal" from the outside because those around the bulimic don't immediately see their severity. (read: Effects of Bulimia) Even once symptoms of bulimia are noticed, the bulimic typically denies having an eating disorder making it difficult to even address the problem. Anyone with multiple signs of bulimia should be screened for an eating disorder. (Take bulimia test.)
Different Signs of Bulimia for Different Types
While all types of bulimia involve the intake of calories and the suppression of the intake of calories, this can manifest in different ways. The two types of bulimia are purging and non-purging bulimia, chiefly differentiated by the way the bulimic rids themselves of calories.
- Purging bulimia - Regular self-induced vomiting or the misuse of laxatives, diuretics or enemas to compensate for binges (overeating)
- Non-purging bulimia - Other methods are used to rid calories and prevent weight gain, such as fasting or overexercising
In should be noted that while most bulimics purge after an excessive intake of calories (binge eating), some bulimics purge after even small amounts of food intake.
General physical symptoms of bulimia include:
- Fluctuations in body weight
- Loss of subcutaneous fat
- Low blood pressure
- Feeling cold
- Erosion of teeth, cavities
- Abdominal pain
- Swallowing or esophagus problems
- Bruises, calluses, scarring and abrasions on the hands
- Broken blood vessels in the eyes (from the strain of vomiting)
- Pouch-like appearance to the corners of the mouth due to swollen salivary glands
- Rashes and pimples
- Dry mouth
Behavioral Signs
In addition to the above physical bulimia symptoms, there are behavioral signs of bulimia too. These symptoms are the commonly seen behaviors in bulimics. Behavioral symptoms of bulimia include:
- Constant complaints of being ugly or fat
- Not wanting to eat in front of others
- Becoming vegetarian, vegan or restricting types of food eaten for other reasons
- Smoking, as it is believed to prevent weight gain
- Impulsive behaviors such as self-cutting or sexual promiscuity
- Going to the bathroom during or right after meals
- Diabetics may withhold insulin
- Secretive eating
next: Bulimia Test: Am I Bulimic?
~ all bulimia nervosa articles
~ all articles on eating disorders
reviewed by:
Harry Croft, MD (Psychiatrist)
Medical Director, HealthyPlace.com
Created on January 16, 2012 Last Updated on January 17, 2012
In Bulimia
Who's Online

