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Bulimia Nervosa

Amanda D. Dobbins, MD and Dana Vlachos, DO Reviewed 06/2022
 


BASICS

DESCRIPTION

An eating disorder which includes binge eating and inappropriate compensatory behaviors. 
  • Binge eating is characterized by eating, in a discrete period of time (usually within 2-hour ...

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 (5,6,7)[A]. 

GENERAL MEASURES

  • Multidisciplinary team

    • Primary care physician, beha...

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

1
van Eeden A, van Hoeken D, Hoek HW, et al. Incidence, prevalence and mortality of anorexia nervosa and bulimia nervosa. Curr Opin Psychiatry.  2021;Online Ahead of Print. doi:10.1097/YCO.0...

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.

  • Consider multidis...

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