Bulimics can develop ulcers and ruptured stomachs and esophagi, as well as damaged bowels, liver and kidneys. The causes of eating disorders are complex. Emotional makeup and family relationships both play a part. According to the National Institutes of Mental Health , those most vulnerable often share feelings of helplessness and low self-esteem. For them, bulimia and anorexia become a way to handle stress and anxiety.
Food becomes the one thing they feel they can control.
Previous intense dieting behavior is also an important risk factor. They have the fantasy that if they get down to a two-digit number they can change who they are and then they won't feel the pain in their lives. Adapted from SELF , February 1999. All rights reserved. Please read our Privacy Policy .