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Bulimia is episodic secretive binge eating followed by self induced vomiting, fasting or the use of laxatives. It comprises of two types- purging and the non- purging types. The purging type is the most life threatening behaviour because of the danger of hypokalemia. It commonly occurs in young females and is associated with other psychoneurotic disorders, fluctuating body weight and irregular periods. It must be differentiated from personality disorders, obsessive compulsive disorder, anxiety disorder and substance abuse. Early detection and intervention are essential to redue the risk of chronicity.
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