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Anorexia nervosa is characterized by low body weight and body image distortion with an obsessive fear of gaining weight. Individuals with anorexia often control body weight by voluntary starvation, purging, vomiting, excessive exercise, or other weigh control measures, such as diet pills or diuretic drugs. It often primarily affects young adolescent... more

Bulimia Nervosa is a psychological condition in which the subject engages in recurrent binge eating followed by intentional purging. This purging is done in order to compensate for the excessive intake of the food and to prevent weight gain. Purging typically takes the form of vomiting; inappropriate use of laxatives... more

Binge Eating Disorder (BED) is currently listed under Eating Disorder Not Otherwise Specified in the DSM-IV-TR.  In binge eating disorder, the person does not regularly engage in compensatory behaviors, such as, vomiting, fasting or doing strenuous exercise after binge eating.  Another eating disorder category under Eating Disorder NOS meets all the criteria for Bulimia except that binge eating and compensatory behaviors are less than two times per week or for less than three months.   Often, people with Binge Eating Disorder are overweight or obese.. more

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Ask Dr. Pitts

Hi- I was bulimic for 8 years and I am 7 months recovered right now. I know that it is normal for your salivary glands to puff up while your in recovery, but is it normal for them to be swollen for 7 months straight? My glands are still swollen and I am soooo worried that they wont go back down. They have made little improvement but they are still very embarrassingly large. I did have a severe case of anorexia/bulimia (threw up 6x a day) so this might effect the length of time that it will take for my glands to shrink but I don't know. Will they go back to normal?

 


 


Posted on November 13, 2008 4:27 PM in General

Answer

Hi Jen,

Congratulations on having 7 months of recovery on your side!  Normally the swollen salivary glands that give the appearance of “chipmunk-like cheeks” go down when the binge purging behavior ceases.  In rare case like your own, the swelling may continue for months.  In my 27 years of treating eating disorders, I have seen a handful of individuals with your concern.  You need to see an ENT to diagnose your condition.  I have heard of such things as individuals being prescribed antibiotics, ridding the mucous trapped in the glands, low amounts of saliva needing to be addressed and blockage needing surgery.

Good luck,

Dr Patricia Pitts

 


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