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By Mary Hartley, RD
Director of Nutrition

Do I have a purging disorder?
Asked by oliviamc on Jul 12, 2009 in Eating Disorders



I use laxatives every day (and take about double the recommended amount) to try to lose weight, and I exercise excessively (at least 3 hours every day, but often more). When I'm not exercising, I'm constantly thinking about exercise and have the urge to exercise always.  I used to vomit, but I dont do that anymore. I know I don't have bulimia, because I don't really 'binge'. I usually eat healthily and watch my calories. Is this an EDNOS-purging disorder? I'm only just in the healthy weight range after losing weight from being overweight.  Do I only need to see a doctor if I become underweight?


Answer

Even though you don't binge (now), you seem to meet other diagnostic criteria for bulimia.  They are:

  • Recurrent inappropriate compensatory behavior to prevent weight gain, such as: self-induced vomiting; misuse of laxatives, diuretics, or other medications; fasting; excessive exercise.
  • The binge eating and compensatory behaviors both occur, on average, at least twice a week for 3 months.
  • Self-evaluation is unduly influenced by body shape and weight.

It doesn’t matter whether it is EDNOS, a Purging Disorder, Non-Purging Type Bulimia, Exercise Bulimia, or anything else.  All eating disorders are potentially life threatening and represent a deep emotional conflict.  See your doctor or a mental health therapist as soon as possible to get help.



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