Children with bulimia (bu·lim·ia) nervosa tend to eat large amounts of food at once (called “binge eating”) and then do something to avoid gaining weight, such as make themselves vomit. At Children's Health℠, we help them develop healthy habits around food and self-image by addressing the personal, medical and social issues that drive their bulimia behavior.
Overview
What is bulimia nervosa in children?
Bulimia is an eating disorder. Eating disorders are conditions where people have abnormal and unhealthy eating habits because they want to have a certain body type or appearance. Differences in a child’s brain affect their thoughts, urges and behaviors about food.
Bulimia leads people to have frequent episodes of binge eating followed by “purging” or attempting to stop gaining weight. Children often “purge” by making themselves vomit. They may also take laxatives to promote a bowel movement or do excessive amounts of exercise.
People of all different backgrounds, ethnicities, religions and cultures can experience bulimia.
Risk factors
Bulimia is most common among teen girls and young women, but it affects boys and men too.
Signs and Symptoms
What are the signs and symptoms of bulimia nervosa in children?
Bulimia can be hard to recognize, because children with bulimia are usually average weight for their age. But they often have particular habits and behaviors. They may also have health problems as a result of frequently binging on food and vomiting or using laxatives to empty their stomach.
Behavioral signs of bulimia:
Spending long amounts of time in the restroom with the water running (to cover the sound of vomiting), especially right after meals
Constant talk or concern about food and weight
Stealing, hiding or hoarding food
Consuming very large amounts of food
Anxiety about eating in public
Not wanting to join family meals
Using pills such as laxatives and diuretics
Constant exercise
Depression or isolation
Medical or physical signs of bulimia:
Over time, bulimic behavior damages a child’s body. Talk to your doctor right away if your child’s weight changes dramatically (either gaining or losing weight), if your child’s face or glands swell, or if you notice hair loss, tremors or extreme thirst or cold.
Other signs include:
Tooth and gum decay
Ongoing red, inflamed or sore throat
Swollen salivary glands in the neck and jaw
Burst blood vessels in the face
Calluses on the fingers or knuckles that were used to induce vomiting
Abdominal pain and intestinal problems
Dizziness and weakness
Heart attack
Diagnosis
How is bulimia nervosa in children diagnosed?
Only medical professionals can properly diagnose bulimia. They do this by gathering information about your child’s health and behavior through interviews, tests and exams.
These may include:
A physical exam, to note problems such as dry mouth or changes to the cheeks
A dental exam, to see whether the teeth and gums show damage from stomach acid
Blood tests to look for low levels of minerals like potassium and sodium, which the body loses from frequent vomiting and use of laxatives and diuretics
Causes
What are the causes of bulimia nervosa in children?
Children do not choose to be bulimic. And they don’t become bulimic because of your parenting choices.
A child is bulimic because of the way their brain reacts to urges and messages about food, health and body image. Many factors play a role in making this happen. These include genetics, stress and social and cultural pressures to have a particular weight or appearance.
Treatment
How is bulimia nervosa in children treated?
Most children we treat for bulimia come into the clinic for regular therapy and check-ups. Some children benefit from staying in the hospital until the eating disorder is under control. This is usually because they also have other health problems, such as malnutrition or depression.
We create a treatment plan based on each child’s individual needs.
Treatment may include:
A combination of individual, group and family therapy
Nutritional counseling with a dietitian, who can help you and your child develop plans for healthy eating
Medical treatment of complications from bulimia, such as low potassium or heart problems
Dental care for damaged teeth and gums
Use of medications such as antidepressants to help reduce your child’s binging and purging behavior
Doctors and Providers
Our team specializes in treating eating disorders in children and teens, including boys and children under age 12. We work with you and other family members as one team, dedicated to giving your child the care they need.
