Bulimia Nervosa: Signs and Symptoms Associated Psychological / Behavioural Features • Feelings of shame, guilt and embarrassment tend to follow bingeing and purging episodes • Self-evaluation unduly influenced by body weight and shape • Secrecy surrounding eating Dental Problems and Facial Features • Dental enamel erosion and gum disease from chronic exposure to gastric acid • Enlarged parotid glands (chipmunk-like cheeks) is an indication of chronic vomiting Other • Symptoms related to complications, such as frequent urination (diabetes), constipation, amenorrhea, Normal BMI • or slightly overweight frequent fluctuations in weight Russell's Sign • Sores, scars, calluses on knuckles or hands from repeatedly inducing vomiting #BulimiaNervosa #pathophysiology #diagnosis #signs #symptoms #psychiatry
