Although most bulimics have a normal weight, they feel a lack of control over their eating behavior. After binging, they may induce vomiting or use laxatives or diuretics because they are fearful of becoming overweight. They often feel that their lives are controlled by conflicts about eating. The doctor does a physical exam and medical history. People with this problem must recognize that they are suffering from a dangerous disorder.
Treatment involves regulation of new eating habits.
The doctor may recommend psychotherapy and family counseling and may prescribe antidepressant medication. The risk of relapse exists for years after treatment ends. Without treatment, a person with bulimia may become depressed and suicidal. Eat well-balanced, nutritious meals. Schedule meals regularly, but not too rigidly.