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The medical complications associated with purging
K Jean Forney1, Jennifer M Buchman-Schmitt1, Pamela K Keel1
1Department of Psychology, Florida State University, Tallahassee, Florida.
Purging behaviors like self-induced vomiting can cause severe medical issues across all body systems. Early screening by medical providers is crucial for detecting these complications and potential eating disorders.
Area of Science:
- Medical Complications
- Eating Disorders
- Purging Behaviors
Background:
- Purging behaviors, including self-induced vomiting, laxative abuse, and diuretic abuse, are common in various eating disorders.
- These behaviors can lead to significant medical complications affecting multiple organ systems.
Purpose of the Study:
- To review the major medical complications associated with purging behaviors.
- To identify medical conditions attributed to purging across different body systems.
Main Methods:
- A qualitative review of over 100 scholarly articles was conducted.
- The review focused on identifying medical complications linked to purging behaviors, acknowledging the limited evidence base.
Main Results:
- Medical complications were identified in the teeth, esophagus, gastrointestinal system, kidneys, skin, cardiovascular system, and musculoskeletal system.
- Self-induced vomiting was associated with the most extensive range of medical complications.
Conclusions:
- Purging behaviors can result in severe medical complications affecting all body systems.
- Healthcare providers should screen for purging behaviors and associated medical issues, even without a formal eating disorder diagnosis, to facilitate early detection and intervention.
- Comprehensive medical evaluations, including metabolic panels, blood counts, and physical exams, are recommended for individuals with purging behaviors.
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