Bulimia (boo-LEE-me-uh) nervosa, commonly called bulimia, is a serious, potentially life-threatening eating disorder. People with bulimia may secretly binge — eating large amounts of food — and then purge, trying to get rid of the extra calories in an unhealthy way. For example, someone with bulimia may force vomiting or engage in excessive exercise. Sometimes people purge after eating only a small snack or a normal-size meal.
Bulimia can be categorized in two ways:
- Purging bulimia. You regularly self-induce vomiting or misuse laxatives, diuretics or enemas after bingeing
- Nonpurging bulimia. You use other methods to rid yourself of calories and prevent weight gain, such as fasting, strict dieting or excessive exercise
However, these behaviors often overlap, and the attempt to rid yourself of extra calories is usually referred to as purging, no matter what the method.
If you have bulimia, you’re probably preoccupied with your weight and body shape. You may judge yourself severely and harshly for self-perceived flaws. Because it’s related to self-image and not just about food, bulimia can be hard to overcome. But effective treatment can help you feel better about yourself, adopt healthier eating patterns and reverse serious complications.