Bulimia is characterized by a pattern of binging and purging, either through vomiting, taking laxatives, taking water pills, eating very little, or through excessive exercise. Bulimia can have a biological and psychological base, stemming from depression, anxiety, and a variety of other things. Ironically, individuals suffering from Bulimia may be of average weight to overweight. The pattern of binging and purging is not necessarily conducive to weight loss. Typical emotional signs of bulimia are mood swings, depression, OCD and anxiety. Behavioral signs include frequent trips to the bathroom during and after meals. Visual signs of bulimia are: swollen cheeks, bad breath, and teeth that appear clear. Internally, bulimics are seriously damaging their throat and esophagus. Bulimia left untreated can kill. Treatment is strongly recommended.