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Signs & Symptoms of Bulimia
Braces and temporary restorations may not stay on the teeth because the acid
will dissolve the cement used to keep these materials in place.
Callouses near the first knuckle of the index finger due to pushing against
the upper teeth to induce vomiting.
Changing weight gain of 5-20 pounds per week.
Chronic gum chewing (7-8 packs/day) and the compulsive use of mouthwash.
Dizziness, thirst, and fainting due to dehydration.
Dry lips and skin around the mouth.
Dry mouth from decreased salivary flow and parotid gland dysfunction.
Enamel erosion of all teeth due to the chronic exposure to acid in vomit.
Excessive tooth brushing.
Heartburn and abdominal pain.
Ice chewing and nail biting.
Increase in occurrence of cavities
Increase in diet soda intake (10-12 cans/day).
Muscle cramps and weakness.
Silver fillings will appear raised due to erosion of the teeth.
Small, purplish-red lesions on the palate from objects used to induce
vomiting.
Swollen lymphnodes and parotid gland enlargement.
Teeth may be discolored or look dull from the acid.
Tooth sensitivity and sore throat.
Broken blood vessels in and around eyes due to the strain of repeated
vomiting.
Disorders With Similar Signs & Symptoms
Certain drugs and diseases may cause dry mouth and burning of the tongue.
Excessive grinding may cause teeth to wear away
Frequent and vigorous tooth brushing may cause recession of the gums.
Many other
agents, such as coffee and smoking may discolor the teeth.
Periodontal disease may cause bleeding of the gums.
Sucking on
lemons or other acidic foods may cause erosion (though, usually on just the
front teeth)
Severe infections, certain drugs, vitamin C deficiencies, and hot foods may
cause lesions on the palate or gums.
Ways Of Minimizing The Damage
Chew sugarless gum to increase salivary flow or use an artificial saliva.
Reduce sugar in
diet.
Remove plaque by brushing and flossing properly.
To prevent
further wearing of teeth, do not brush teeth after vomiting, rinse with
water instead.
Use a basic rinse, such as baking soda and water; immediately after vomiting
to neutralize the acid.
Use fluoride
either in toothpastes, rinses or gels to reduce sensitivity of teeth and
build resistance to decay from acid.
Complications
- 35-70% of
bulimics suffer from depression
-
Constipation with reliance on laxatives for bowel movements
-
Dehydration due to vomiting an/or laxative and diuretic abuse
- Increased
risk of heart attacks
- Loss of
taste
- May have
an irregular heartbeat
- May begin
to abuse alcohol or drugs
-
Spontaneous vomiting, preventing bulimics from eating in public
The Treatment Of Bulimia
Psychological treatment is a major component.
Generally, restorative procedures are discouraged until the patient is
psychologically ready and the eating disorder has been stabilized.
Patients who
suffer from eating disorders need professional counseling and the support of
family and friends. Until emotional health is addressed, dental health is
often a secondary concern.
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