Teens and adults with bulimia may also exhibit the following behaviors:
Feeling out of control while eating
Secrecy or hiding food
Alternating between overeating and fasting
Fluctuations in weight may or may not occur
Water retention or swollen cheeks
Dental issues -- recession in gums and teeth
Eating unusually large quantities of food-
in shorter period of time than typical
Going to the bathroom after meals
Use of diet pills, laxatives
Impaired self-image
Anxiety and social isolation
Hyper-focused on Body image
Depression, lethargy
Excessive exercise, especially after eating
Calluses on knuckles