Which of the following is another possible side effect associated with bulimia?

• A. Gum disease
• B. Severe digestive problems
• C. Headache
• D. Insomnia

Answer: (B)

Bulimia involves cycles of bingeing followed by purging or laxative use. Repeated vomiting and laxative abuse expose the digestive system to irritation and acid, which can lead to problems like esophagitis, gastritis, ulcers, and even pancreatitis, along with dehydration and electrolyte imbalances that disrupt digestion. These digestive-related risks are a direct and well-established consequence of the behaviors in bulimia, making severe digestive problems the most fitting choice. Headache or insomnia can occur for many reasons, and gum disease is not the most characteristic issue here, though dental erosion from acid exposure can happen separately.