From the Research
To treat throat pain from bulimia, it is essential to address the underlying condition with professional treatment, including cognitive-behavioral therapy (CBT) and fluoxetine 60 mg/d, as these have been shown to be effective in reducing symptoms of bulimia nervosa 1. In the meantime, soothing remedies like gargling with warm salt water (1/2 teaspoon salt in 8 ounces of water) several times daily and drinking cool liquids or sucking on ice chips can help reduce inflammation. Over-the-counter options include:
- Throat lozenges containing benzocaine or menthol
- Liquid antacids like Maalox or Mylanta to coat and protect the irritated throat tissue For more severe pain, try liquid pain relievers such as acetaminophen (Tylenol) or ibuprofen (Advil) according to package directions. It is crucial to avoid acidic foods, alcohol, and spicy items that can worsen irritation. The throat pain occurs because stomach acid damages the esophagus and throat during purging episodes, potentially leading to more serious complications like esophageal tears or chronic voice changes. While these measures help manage symptoms, they don't address the underlying condition, and professional treatment for bulimia from healthcare providers, including mental health specialists, is essential to address both the physical symptoms and psychological aspects of the eating disorder 1, 2. Additionally, medications such as selective serotonin reuptake inhibitors (SSRIs) have been shown to be effective in reducing symptoms of bulimia nervosa, with fluoxetine being the most commonly used 3, 4. However, the most recent and highest quality study recommends CBT and fluoxetine 60 mg/d as the first-line treatment for adults with bulimia nervosa 1.