Eating Disorders Symptoms Purging as an Eating Disorder Behavior By Amy Morin, LCSW Amy Morin, LCSW Facebook LinkedIn Twitter Amy Morin, LCSW, is the Editor-in-Chief of Verywell Mind. She's also a psychotherapist, the author of the bestselling book "13 Things Mentally Strong People Don't Do," and the host of The Verywell Mind Podcast. Learn about our editorial process Updated on March 22, 2020 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Steven Gans, MD Medically reviewed by Steven Gans, MD Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Print Ghislain & Marie David de Lossy / The Image Bank / Getty Images Purging behaviors are usually seen in teens who are suffering from bulimia, an eating disorder with a pattern of overeating, also called binge-eating, followed by ridding the body of the food just eaten. However, purging can be present in teens who eat normal amounts of food, or those with anorexia nervosa. If you suspect your teen has an eating disorder, it's important to seek professional help right away as the consequences can be very serious. Purging by Vomiting The most common type of purging is self-induced vomiting. Various objects and methods that trigger the gag reflex are used to purge. Purging behavior is commonly done in secret. Feelings of guilt or shame are often experienced after purging. A teen who purges may go to the restroom immediately after eating so she can vomit. Vomiting is an attempt to get rid of the foods that may cause her to gain weight. Other Forms Other purging methods include the misuse of laxatives, enemas, caffeine or diuretics to move food and liquids quickly through the body. Some methods tried by teens are ineffective or only partially effective in terms of removing calories and have potentially dangerous side-effects. Troubled teens involved in purging may search online for tips to make purging easier such as how to do it, what foods are most easily regurgitated and ways to cover up this behavior. Side Effects The physical and emotional side effects of repeated purging include: DehydrationElectrolyte imbalancesLow blood pressureKidney damage (rare)DepressionFeeling powerlessFatigueDepletion of mineralsAbdominal painErosion of the teethDamage to the esophagus Is Your Teen at Risk? If your teen is frequently isolating themselves soon after eating, or unable or unwilling to eat socially, there is cause for alarm. Further, research shows self-injurious behavior or a suicide attempt is linked to purging behavior. If your child is having suicidal thoughts, contact the National Suicide Prevention Lifeline at 988 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911. For more mental health resources, see our National Helpline Database. A 2013 study explains that in the absence of binge eating, behaviors such as self-induced vomiting or misusing laxatives and other medications "to influence weight or shape" are characteristics of purging. Some triggers for purging behavior also found in study results includes personality shifts such as increased negative affect, or extreme changes in negative emotions or lowered self-esteem before a purging episode followed by an increase in positive affect following purging. Talk to your teen about body image, weight concerns, and other triggers that may be associated with purging. By keeping an open dialogue you may be able to gauge when changes occur and take steps to prevent this harmful behavior. And although teen girls are more likely to engage in purging, boys aren't immune to eating disorders. So don't assume a teenage boy wouldn't force himself to vomit or use laxatives to lose weight. When to Seek Professional Help If you think your teen may be purging, talk to the doctor right away. A doctor will likely want to examine your teen's physical health and may make a referral to a mental health professional. Mental health treatment can help your teen develop a healthier body image and engage in healthier habits. It's likely your teen may not want to get help, especially at first. If your teen refuses counseling, talk to a counselor yourself. 7 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Horie T, Harashima S, Yoneda R, et al. A series of patients with purging type anorexia nervosa who do "tube vomiting". BioPsychoSocial Med. 2016;10:32. doi:10.1186/s13030-016-0083-3 Forney KJ, Buchman-Schmitt JM, Keel PK, Frank GK. The medical complications associated with purging. Int J Eat Disord. 2016;49(3):249-259. doi:10.1002/eat.22504 Blythin SP, Nicholson HL, Macintyre VG, Dickson JM, Fox JR, Taylor PJ. Experiences of shame and guilt in anorexia and bulimia nervosa: A systematic review. Psychol Psychother. 2020;93(1):134-159. doi:10.1111/papt.12198 Smith KE, Crowther JH, Lavender JM. A review of purging disorder through meta-analysis. J Abnorm Psychol. 2017;126(5):565-592. doi:10.1037/abn0000243 Kostro K, Lerman JB, Attia E. The current status of suicide and self-injury in eating disorders: a narrative review. J Eat Disord. 2014;2:19. doi:10.1186/s40337-014-0019-x Mond JM. Classification of bulimic-type eating disorders: from DSM-IV to DSM-5. J Eat Disord. 2013;1:33. doi:10.1186/2050-2974-1-33 Haedt-Matt AA, Keel PK. Affect regulation and purging: An ecological momentary assessment study in purging disorder. J Abnorm Psychol. 2015;124(2):399-411. doi:10.1037/a0038815 By Amy Morin, LCSW Amy Morin, LCSW, is the Editor-in-Chief of Verywell Mind. She's also a licensed clinical social worker, psychotherapist, and international bestselling author. Her books, including "13 Things Mentally Strong People Don't Do," have been translated into more than 40 languages. Her TEDx talk, "The Secret of Becoming Mentally Strong," is one of the most viewed talks of all time. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for Eating Disorders Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.