Beneath their confident, successful exterior, bulimics often feel over-dependent on the approval of others. They may have low self-esteem and difficulty expressing anger. Many bulimics are depressed. Some have other compulsive disorders. Signs of Bulimia Bulimia can be difficult to recognize.
Many bulimics have normal weight.
And they are aware that their eating disorder is abnormal and usually hide it. But bulimia takes a toll on the body and mind. Bulimics are frequently depressed, especially after an eating binge. Induced vomiting can cause enlarged glands in the neck. Less obviously, vomiting upsets the body's electrolyte balance, which can result in urinary tract infections, kidney failure and heart irregularities.