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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 receding
of the gumline 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...
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