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Eating disorder in which the individual consumes excessive amounts of food, accompanied by episodes of loss of impulse control. In order to avoid gaining weight, they may use inappropriate behaviours such as vomiting, laxatives or diuretics. It is more common in teenagers and young adults. It often co-exists with anorexia nervosa.
Genetic, psychological and social factors have been described, although there is no clear cause.
Diagnosis is made through a guided interview. A blood test helps to determine nutritional status.
Treatment is based on group therapy, psychotherapy, cognitive behavioural therapy and antidepressant and/or antipsychotic medication.
- Sara F Forman, MD.& Eating disorders: Overview of epidemiology, clinical features, and diagnosis. UpToDate. Jul 27, 2016.
- James E Mitchell, MD. Christie Zunker, PhD, CPH, CHES. Bulimia nervosa and binge eating disorder in adults: Medical complications and their management. UpToDate. Jul 27, 2016
- Mehler PS, Birmingham LC, Crow SJ, Jahraus JP. Medical complications of eating disorders. In: The Treatment of Eating Disorders: A Clinical Handbook, Grilo CM, Mitchell JE (Eds), The Guilford Press, New York 2010. p.66.
- Reus V. Trastornos mentales. Harrison. Principios de Medicina Interna. Volumen 2. 19º Edición: 2720.
- Brown CA, Mehler PS. Medical complications of self-induced vomiting. Eat Disord 2013; 21:287.
Dr. Sara Vitoria
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