Medical Complications of Bulimia Nervosa

1. Vomiting
a. Dental problems

• dental erosion
  
• temperature sensitivity
  
• rounded dental contours
  
• raised amalgams
  

b. Parotid/submandibular gland enlargement 
c.  Oral/perioral trauma
d. Pharyngeal/esophageal inflammation
e. Esophageal/gastric tears
f. Aspiration
g. Fluid and electrolyte imbalances 
h. Russell's sign 

Substances Frequently Abused by Patients with Eating Disorders

• Alcohol
  
• Benzodiazepines – other minor tranquilizers
• Thyroid Medications
• Steroids
• Cocaine, meth, Ritalin, Adderal, nicotine, caffeine
• Insulin
• Internet products

Consequences of Diet Pill Abuse

• They elevate blood pressure in normals, can cause depression or tachycardia.
• Neurological problems
• Cerebrovascular hemorrhage, 
• Seizures,  and renal failure

Consequences of Laxative Abuse

• Fluid and electrolyte imbalances
• Hypokalemia and acidosis
• Nonspecific gastrointestinal complaints
• abdominal cramps/pain
• constipation/diarrhea
• nausea/vomiting
• Cathartic colon - Watery stool 
• Steatorrhea -  The presence of excessive fat in the feces
• Protein-losing gastroenteropathy - 
• Pancreatic dysfunction - has two functions, digestive and hormonal
• Osteomalacia  - softening, weakening, and demineralization of the bones in adults due to a vitamin d deficiency.
• Hypomagnesemia - Low magnesium in body
• Melanosis coli - Brown or black discoloration of the lining of the colon, associated with chronic constipation and the use of certain laxatives (senna and cascara) Caused by chronic use of laxatives.
• "Fixed drug eruptions" - Phenolphthalein 

Consequences of Diuretic Abuse

• Fluid and electrolyte imbalances 
• Nausea, palpitations,
• Polyuria - excessive urination
• Constipation, hypokelemia,
• Cardiac conduction defects
• Nethropathy and abdominal pain