Medical complications and medical management of bulimia

J. E. Mitchell, H. C. Seim, E. Colon, Claire Pomeroy

Research output: Contribution to journalArticle

82 Citations (Scopus)

Abstract

The syndrome of bulimia is a common disorder and can be associated with serious psychological and physical morbidity. Unfortunately, many patients are reluctant to discuss their symptoms with their physicians and few clues can be found on physical examination to aid in the diagnosis. Possible physical signs include ulceration or scarring of the dorsum of the hand, salivary gland hypertrophy, and dental enamel erosion. In laboratory testing it is fairly common for patients with active bulinemia to have fluid and electrolyte abnormalities, particularly hypokalemic alkalosis, and some also have elevated serum amylase levels. Rare complications include myopathies from misuse of ipecac, ruptured esophagus and pneumomediastinuum associated with vomiting, and subtle abnormalities in neuroendocrine regulatory systems. Medical management including monitoring of fluid and electrolyte balance is essential during treatment.

Original languageEnglish (US)
Pages (from-to)71-77
Number of pages7
JournalAnnals of Internal Medicine
Volume107
Issue number1
StatePublished - 1987
Externally publishedYes

Fingerprint

Bulimia
Water-Electrolyte Balance
Tooth Erosion
Ipecac
Alkalosis
Neurosecretory Systems
Muscular Diseases
Amylases
Dental Enamel
Salivary Glands
Hypertrophy
Electrolytes
Esophagus
Physical Examination
Vomiting
Cicatrix
Hand
Psychology
Morbidity
Physicians

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Mitchell, J. E., Seim, H. C., Colon, E., & Pomeroy, C. (1987). Medical complications and medical management of bulimia. Annals of Internal Medicine, 107(1), 71-77.

Medical complications and medical management of bulimia. / Mitchell, J. E.; Seim, H. C.; Colon, E.; Pomeroy, Claire.

In: Annals of Internal Medicine, Vol. 107, No. 1, 1987, p. 71-77.

Research output: Contribution to journalArticle

Mitchell, JE, Seim, HC, Colon, E & Pomeroy, C 1987, 'Medical complications and medical management of bulimia', Annals of Internal Medicine, vol. 107, no. 1, pp. 71-77.
Mitchell JE, Seim HC, Colon E, Pomeroy C. Medical complications and medical management of bulimia. Annals of Internal Medicine. 1987;107(1):71-77.
Mitchell, J. E. ; Seim, H. C. ; Colon, E. ; Pomeroy, Claire. / Medical complications and medical management of bulimia. In: Annals of Internal Medicine. 1987 ; Vol. 107, No. 1. pp. 71-77.
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