Bulimia Nervosa
Bulimia Nervosa
General and supportive measures
ICD-10 code: F50.2
DESCRIPTION
This disorder is characterised by recurrent episodes of binge eating in which the individual eats large amounts of food in a short period with a sense of lack of control over the eating. Compensatory behaviours then follow, e.g. self-induced vomiting or laxative usage. These behaviours occur at least once a week for three months. The individual’s self-evaluation is influenced by body shape and weight and their BMI may be within the normal to overweight range.
GENERAL AND SUPPORTIVE MEASURES
- A thorough physical examination.
- Blood investigations including: FBC, U&E, CMP, TSH.
- Cardiac investigation: ECG.
- Suicide risk assessment.
- Supportive measures for medical complications.
REFERRAL
- Refer to a paediatrician for severe medical complications.
- Refer to a psychiatrist for psychiatric management.
Standard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Paediatrics, 2023 Edition
Chapter 14: Child & Adolescent Psychiatry, 14.8 Feeding And Eating Disorders, 14.8.4 Bulimia Nervosa