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307.51 Bulimia Nervosa - Associated physical examination findings and general medical conditions

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Recurrent vomiting eventually leads to a significant and permanent loss of dental enamel, especially from lingual surfaces of the front teeth. These teeth may become chipped and appear ragged and "moth-eaten." There may also be an increased frequency of dental cavities. In some individuals, the salivary glands, particularly the parotid glands, may become notably enlarged. Individuals who induce vomiting by manually stimulating the gag reflex may develop calluses or scars on the dorsal surface of the hand from repeated trauma from the teeth. Serious cardiac and skeletal myopathies have been reported among individuals who regularly use syrup of ipecac to induce vomiting.

Menstrual irregularity or amenorrhea sometimes occurs among females with Bulimia Nervosa; whether such disturbances are related to weight fluctuations, to nutritional deficiencies, or to emotional stress is uncertain. Individuals who chronically abuse laxatives may become dependent on their use to stimulate bowel movements. The fluid and electrolyte disturbances resulting from the purging behavior are sometimes sufficiently severe to constitute medically serious problems. Rare but potentially fatal complications include esophageal tears, gastric rupture, and cardiac arrhythmias. Compared with individuals with Bulimia Nervosa, Nonpurging Type, those with the Purging Type are much more likely to have physical problems such as fluid and electrolyte disturbances.

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JoannaPoppink I just gave to @votedotorg. Join me in supporting their efforts to make voting more accessible and to #GOTV. https://t.co/ZAF6Z55mUk
11hreplyretweetfavorite
JoannaPoppink Healing Your Hungry Heart: Recovering from Your Eating Disorder by Joanna Pop... https://t.co/G3PIyFUanu via @amazon
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JoannaPoppink @rebleber chocolate chips cookies, of course! :) Go for it!
JoannaPoppink Fabulous! I love her! Grocery store employee shares tips on safe shopping during the COVID-19 pandemic https://t.co/8HFIRLalpd
JoannaPoppink Share Title: https://t.co/QbFYa0SJbW via @twitter-user This is an important time to pay attention to your dreams. #DreamTendingWorkshop

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