Physical signs of bulimia may include puffiness in the cheeks or under the chin caused by swollen salivary glands, abnormal menstrual periods and excessive cavities and gum disease resulting from erosion of tooth enamel. The physical effects of bulimia can be serious. Damage to the esophagus, teeth, throat and digestive tract are common. Kidney failure and seizures are also possible. In later stages, ulcers and heart irregularities may develop.
Depression is also common with bulimia.
Bulimia Some individuals show symptoms of both anorexia and bulimia. They may be emaciated and use starvation as well as the binge-purge cycle to achieve weight loss. Depression is common with eating disorders. The depression may precede the eating disorder and contribute to its onset or may result from the eating disorder. Causes Eating disorders are caused by multiple factors.