Spigset O
Tidsskr Nor Laegeforen. 1990 Apr 30;110(11):1349-53.
Bulimia is an eating disorder characterized by binge eating followed by purging, i.e. self-induced vomiting, abuse of cathartic or diuretic drugs, increased activity or periods of restrictive dieting. Studies show that persons with bulimia are prone to a number of medical complications as a result of binge-eating, vomiting and drug abuse. Vomiting is the most harmful in terms of medical risk, and also the most common source of complications. Both vomiting and purging lead to loss of body fluids and electrolytes, often resulting in hypokalemia. Vomiting also leads to sore throats and dental problems such as destruction of enamel. Gastric dilatation is the only complication directly associated with binge-eating. Harmless symptoms, such as abdominal pain, diarrhoea, constipation and neuromuscular symptoms are common. This article discusses the pathophysiology behind the complications and their treatment.
暴食症是一种饮食失调症，其特征是暴饮暴食后进行催吐，即自我诱导呕吐、滥用泻药或利尿剂药物、增加运动量或进行阶段性节食。研究表明，暴食症患者由于暴饮暴食、呕吐和药物滥用，容易出现多种医学并发症。就医疗风险而言，呕吐是最有害的，也是最常见的并发症来源。呕吐和催吐都会导致体液和电解质流失，常常导致低钾血症。呕吐还会导致喉咙疼痛和牙齿问题，如牙釉质破坏。胃扩张是唯一与暴饮暴食直接相关的并发症。腹痛、腹泻、便秘和神经肌肉症状等无害症状很常见。本文讨论了这些并发症背后的病理生理学及其治疗方法。
