Bulimia Nervosa

Matthew J Kor, MD and Michelle Nelson, MD Reviewed 04/2024

BASICS

DESCRIPTION

An eating disorder which includes binge-eating and inappropriate compensatory behaviors. Symptoms include:

Episodes of binge-eating (approximately 2000 kcal), lack of self-control fo...

DIAGNOSIS

HISTORY

Patients unlikely to self-identify binge-eating or purging behaviors; corroborate with parent/relative
Unhappiness and/or preoccupation with weight and diet attempts
Pattern of binge-ea...

TREATMENT

Cognitive-behavioral therapy (CBT) and nutritional rehabilitation should be considered as first-line treatment (5,6). Combination treatment with CBT and medications are more effective than ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Binge-purge activity, including antecedents and consequences, level of exercise activity
Self-esteem, comfort with body and self, ruminations and...

REFERENCES

Udo T, Grilo CM. Psychiatric and medical correlates of DSM‐5 eating disorders in a nationally representative sample of adults in the United States. Int J Eat Disord. 2019;52(1):42–50. doi...

CODES

ICD10

F50.2 Bulimia nervosa

SNOMED

32721004 Bulimia nervosa, purging type
78004001 Bulimia nervosa
59645001 Bulimia nervosa, nonpurging type
231523004 Atypical bulimia nervosa
698698008 Bulimia nervosa...

CLINICAL PEARLS

Asking “Are you satisfied with your eating patterns?” and/or “Do you worry that you have lost control over how much you eat?” may help to screen for an eating problem.
Screening with SC...

Subscribe to Access Full Content

START 10-DAY FREE TRIAL

Subscribe Now

Forgot password?

Enter an Access Code

GET CME/CE