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Bulimic

How many times do you have to puke yourself to be considered bulimic? Does anorexia or bulimia cause hair loss? And is there any possible way that any of this could cause my hands to shake?
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514715 tn?1338266258
MEDICAL PROFESSIONAL
Anorexia is known to cause hair loss.  Hands shaking may be due to purging.  To be considered bulimia there needs to be bingeing episodes and compensatory behaviors, such as, vomiting, excessive exercise, laxative abuse, etc.  
The following is the DSM IV TR criteria for Bulimia Nervosa, purging and nonpurging type:
Recurrent episodes of binge eating characterized by both:
        Eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances
        A sense of lack of control over eating during the episode, defined by a feeling that one cannot stop eating or control what or how much one is eating
    Recurrent inappropriate compensatory behavior to prevent weight gain
        Self-induced vomiting
        Misuse of laxatives, diuretics, enemas, or other medications
        Fasting
        Excessive exercise
The binge eating and inappropriate compensatory behavior both occur, on average, at least twice a week for 3 months.
    Self evaluation is unduly influenced by body shape and weight.
    The disturbance does not occur exclusively during episodes of anorexia nervosa.

Type

    Purging type: During the current episode of bulimia nervosa, the person has regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas.
    Nonpurging type: During the current episode of bulimia nervosa, the person has used inappropriate compensatory behavior but has not regularly engaged in self-induced vomiting or misused laxatives, diuretics, or enemas.
Best, Dr Patricia Pitts, PhD  The Bella Vita  Los Angeles, CA
Helpful - 0
4092407 tn?1349716434
Hello, I do not know if you are kidding or series but just don't harm your body. Do exercise and eat healthy!
Helpful - 0

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