Bulimia is most common among adolescents or young adults, usually female. People with bulimia typically consume large quantities of easily ingested high-calorie foods, usually in secrecy. Binge eating is usually followed by self-induced vomiting and accompanied by feelings of guilt or depression. Complications resulting from prolonged bulimia include gastric dilatation, pancreatitis, dental decay, pharyngitis, esophagitis, pulmonary (lung) aspiration, and electrolyte abnormalities. Constipation and hemorrhoids are also common in bulimics. Although death from bulimia is rare, the long-term outcome in severe bulimia can be worse than the outcome in anorexia nervosa, which suggests that the psychiatric disorder that causes bulimia is usually more severe.
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