Capillaries in the cheek soften rupture due to frequent vomiting. Ulcers form in the esophagus and stomach, which can eventually lead to a complete rupture of the organ. The perpetual contact with stomach acid can lead to esophageal cancer. Often, in the rush to remove the food from their bodies, bulimics will scratch and tear the back of the throat, causing minor or major bleeding. The exposure to stomach acids causes a decalcification of the teeth, which will eventually (if continued) lead to the re-ceding of the gum-line and the actual falling out of teeth.
Bulimics also tend to lose the use of their gag reflexes after a certain point, but will usually have developed reflex vomiting by that point in the course of the disease. Female bulimics can develop amenorrhea, the loss of the menstrual cycle, which can lead to forms of ovarian and uterine cancer, as well as infertility. The body often does not receive enough nutrients and electrolyte imbalances occur and disrupt the bodily functions on an ionic level. After a few months of the continual cycle, the individual's hair and skin will become dry, and the hair may start to fall out. Their nails will become brittle and break easily. They suffer from nausea, fatigue, dizziness, and often have more injuries than a non-bulimic individual (such as stress fractures). The stress of the forcing of food out from the stomach puts strain on the