This will cause the patient to be continuously cold. In addition, the patient may develop a very slow and irregular heart rate, her blood pressure may be down, and she can look extremely emaciated if the illness proceeds. People suffering from this disease will do whatever is necessary to avoid gaining weight. They will monitor the amount of calories they take in, exercise excessively or even take diuretics or thyroid pills to stimulate the metabolism. The clinical definition of bulimia is a recurrent pattern of episodes of binge eating.
Patients develop swelling around the carotid glands.
They may have self-induced scratches on the back of their hands because of the chronic vomiting. They may have a history of electrolyte abnormalities because they are vomiting so often or they may use laxatives. The body's ability to maintain a certain electrolyte balance is altered. Therefore, they may have episodes of fainting or irregular heart rhythms. It's very common for these patients to end up in the emergency room because of some electrolyte abnormality.