Table 3.

Medical Complications of Bulimia Nervosa

Gastrointestinal

Dental erosion

Parotid gland swelling

Esophageal rupture

Gastroesophageal reflux due to chronic relaxation of the sphincter

Acute gastric dilatation

Post-binge pancreatitis

Constipation due to laxative abuse

Cathartic colon

Pulmonary/mediastinal

Aspiration pneumonitis

Pneumomediastinum with weight loss or precipitated by vomiting

Pneumothorax or rib fractures

Cardiac

Arrhythmias

Diet pill toxicity: palpitations, hypertension

Emitene cardiomyopathy

Mitral valve prolapse

Endocrine

Irregular menses

Hypoglycemia

Mineralocorticoid excess

Metabolic

Electrolyte imbalances

Dehydration

Nephropathy