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Signs a Dentist or Doctor May Notice
"I was at the dentist at least 6 times over the worse years and he said nothing. Finally I asked him point blank and he said he saw no signs of tooth damage." Sometimes dentists can't even tell by the condition of teeth or they may be unaware of what the effects of bulimia nervosa look like.

  • Sore, bleeding gums and mouth
  • Tooth enamel erosion from vomiting
  • Dry, red, cracked lips, especially at the corners
  • Swollen cheeks and jaws
  • Swollen saliva glands
  • Callused or discolored skin at finger joints from forced vomiting
  • Metabolic acidosis or alkalosis
  • High cholesterol


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Bulimia nervosa is an eating disorder in which a person engages in binge eating (eating a lot of food in a short time) followed by some type of behavior to prevent weight gain from the food that was eaten. This behavior can take two forms: self-induced vomiting, misuse of enemas, laxatives, diet pills (called purging) and excessive exercise, fasting, or diabetic omission of insulin (called non-purging). Some people with bulimia nervosa may also starve themselves for periods of time before binge eating again. Bulimia nervosa has important mental, emotional, and physical aspects that require consideration during treatment.

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