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Bulimia Nervosa

Eating disorder characterized by recurrent binge eating followed by inappropriate compensatory behavior (purging, fasting, excessive exercise).

Also: BN

Self-evaluation is unduly influenced by body shape and weight. Lifetime prevalence ~2% in women, ~0.5% in men. Medical complications include electrolyte disturbances, esophageal tears, dental erosion, and parotid gland enlargement (Russell's sign on hand). Cognitive-behavioral therapy and SSRIs are first-line treatments. RDNs lead the nutrition rehabilitation and structured-eating components.

How one textbook covers it

  • Krause and Mahan's Food and the Nutrition Care Process, 16th ed. — Chapter 22

    Self-evaluation is unduly influenced by body shape and weight. Lifetime prevalence ~2% in women, ~0.5% in men. Medical complications include electrolyte disturbances, esophageal tears, dental erosion, and parotid gland enlargement (Russell's sign on hand). Cognitive-behavioral therapy and SSRIs are first-line treatments. RDNs lead the nutrition rehabilitation and structured-eating components.

Related terms

Anorexia Nervosa, Binge Eating Disorder, Russell's Sign