Your doctor takes a medical history and does a physical exam. He or she will ask about your eating patterns, looking for such behavior as repeated episodes of binge eating followed by purging, binging and fasting, secret eating and binging, and exercising too much to prevent weight gain.

If you have bulimia, you must recognize that you are suffering from a dangerous disorder. Treatment involves getting your eating habits back to normal. Your doctor may suggest that you meet with a dietician to create a healthy eating plan. You may also benefit from mental health family or family counseling. Mental health therapy, either individual or group therapy, is very important. You may also need medicine to help treat depression or anxiety.