Laxative wrappers swelling around the jaw and cheeks

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Laxative wrappers Swelling around the jaw and cheeks Excessive dental decay, blood shot eyes, sores on hand Characteristics of a Binge Usually in secrecy Rapid consumption Continues until painfully full Can be triggered by emotions Feels out of control Temporary increase in mood/ numbing out Followed by depressed mood Usually high calorie foods Binge-Purge Cycle Stressful Event Avoidance of feelings, focus on planning binge Binge (numb and dissociated), know purge is coming Purge, after there is a brief calm moment Intense Shame and Guilt Avoid feelings Binge and purge again Characteristics of BN Preceded by dieting Contagious nature Often normal weight Often hidden Distorted perceptions of hunger and satiety
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Medical Complications Heart problems Irritation/tearing of lining of throat, esophagus, stomach Peptic ulcers, pancreatitis Seizures Erosion of tooth enamel, obstruction of salivary glands Anemia Dysmenorrhea Gastric rupture Changes in metabolism Prevalence 1.0-3.0% of females have had BN at
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