Young lady is persistent with H/O repeated episode of overeating followed by purging using laxatives she probably suffering from mcq given below:
Q. Young lady is persistent with H/O repeated episode of overeating followed by purging using laxatives she probably suffering from(a) Bulimia nervosa / |
| Do you Agree with Answer comment below |
🍽️ Bulimia Nervosa
✅ Answer: (a) Bulimia Nervosa
📖 What is Bulimia Nervosa?
Bulimia = Excessive hunger (Greek: bous = ox, limos = hunger)
Nervosa = Related to psychological causes
👉 Bulimia nervosa is an eating disorder characterized by:
- Repeated episodes of binge eating (eating a large amount of food in a short time)
- Followed by purging behaviors to prevent weight gain
Purging methods include:
- Self-induced vomiting
- Misuse of laxatives
- Misuse of diuretics
- Excessive exercise or fasting
🩺 Why is Option (a) Correct?
The key clue in the question is:
- ✔ Repeated overeating (binge eating)
- ✔ Purging using laxatives
👉 This combination is the hallmark of Bulimia Nervosa.
❌ Why Other Options Are Wrong?
(b) Schizophrenia
❌ A psychotic disorder characterized by hallucinations, delusions, and disorganized thinking—not binge eating and purging.
(c) Anorexia Nervosa
❌ Characterized mainly by severe restriction of food intake, intense fear of gaining weight, and significantly low body weight. Although some patients may binge and purge, the classic presentation is food restriction.
(d) Benign Eating Disorders
❌ This is not a recognized psychiatric diagnosis for recurrent binge eating with purging.
📝 Bulimia vs Anorexia
| Disorder | Main Feature |
|---|---|
| Bulimia Nervosa | Binge eating followed by purging |
| Anorexia Nervosa | Severe food restriction with significantly low body weight |
🍔 Bulimia = Binge + Purge
Bulimia → Binge eating → Bathroom (vomiting/laxatives)
📌 Exam Tip: Bulimia nervosa is commonly associated with normal body weight, whereas patients with anorexia nervosa are typically significantly underweight. Repeated vomiting or laxative abuse may lead to electrolyte imbalance, especially hypokalemia.
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