Bulimia is similar to anorexia nervosa in that individuals have a distorted self-image. However they will binge on food only to purge it shortly thereafter. It is not uncommon for a bulimic person to ingest several thousand calories of food in an hour or two. Usually the choice of food during this time includes snack chips, cookies, ice cream, pizza, candy, and other fast food. Self-induced vomiting and an engrossment in guilt shortly follow the eating binge. Bulimia is a self-perpetuating behavioral disorder, as the next food binge becomes a coping vehicle for guilt from the previous binge/purge episode. Physical signs of bulimia may include a discoloration of teeth from frequent vomiting and also cuts to fingers and knuckles from frequent induction of vomiting.
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