psychiatric disorders
Bulimia Nervosa
Pathophysiology of Bulimia Nervosa
Serious fluid and electrolyte disturbances, especially Hypokalemia , occur occasionally. Extremely rarely, the stomach ruptures or the esophagus is torn during a binge or purge episode, leading to life-threatening complications. Because substantial weight loss does not occur, other serious physical complications that often occur with anorexia nervosa are not present. However, cardiomyopathy may result from long-term abuse of syrup ofipecacif used to induce vomiting. 