[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"{\"resolve_links\":\"url\",\"resolve_relations\":[\"ContentNewsletter.form\",\"FeaturedContent.post\",\"ContentForm.form\",\"AssessmentForm.form\",\"content_three_column_v2_item.link\",\"QuizSection.quiz\",\"resources.authors\",\"resources.reviewed_by\",\"ContentStaff.staffs\",\"ContentRelatedResources.resources\"],\"version\":\"published\"}resources\u002Fbulimia-face-cheek-swelling":3},{"data":4,"headers":767},{"story":5,"cv":730,"rels":731,"links":759},{"name":6,"created_at":7,"published_at":8,"updated_at":9,"id":10,"uuid":11,"content":12,"slug":722,"full_slug":723,"sort_by_date":17,"position":724,"tag_list":725,"is_startpage":209,"parent_id":726,"meta_data":17,"group_id":727,"first_published_at":728,"release_id":17,"lang":701,"path":17,"alternates":729,"default_full_slug":17,"translated_slugs":17},"Why Purging With Bulimia Causes Cheek & Face Swelling","2026-02-05T18:32:00.462Z","2026-10-14T19:57:02.594Z","2026-10-14T19:57:02.616Z",141831047056165,"770e9e23-52bb-4aa5-8f3a-215a6a5a32ef",{"_uid":13,"body":14,"file":648,"type":650,"topic":651,"author":652,"authors":653,"sources":703,"summary":704,"audience":705,"component":706,"conditions":707,"meta_title":708,"reviewed_by":709,"spanish_file":710,"updated_date":179,"featured_image":712,"treatment_types":717,"meta_description":718,"listing_thumbnail":719,"special_populations":721,"clinically_reviewed_date":179},"25b03349-46bd-49d5-aa47-e4840dc3a269",{"type":15,"attrs":16,"content":18},"doc",{"backgroundColor":17},null,[19,27,41,49,54,90,95,100,112,117,140,155,162,167,210,215,220,243,248,255,260,339,344,415,420,457,459,464,469,504,515,522,527,613,629],{"type":20,"attrs":21,"content":23},"heading",{"level":22,"textAlign":17},4,[24],{"text":25,"type":26},"Bulimia face and cheek swelling","text",{"type":28,"attrs":29,"content":30},"paragraph",{"textAlign":17},[31,39],{"text":32,"type":26,"marks":33},"Bulimia nervosa",[34],{"type":35,"attrs":36},"link",{"href":37,"uuid":17,"anchor":17,"target":17,"linktype":38},"\u002Fnode\u002F15726","url",{"text":40,"type":26}," (referred to here as bulimia) is a common eating disorder. There are many physical symptoms and medical issues that can be related to this condition. Thankfully, almost all medical complications from bulimia are fully reversible with treatment. For this article we will focus on talking about bulimia-related face swelling, sometimes referred to as “chipmunk cheeks.”",{"type":28,"attrs":42,"content":43},{"textAlign":17},[44],{"text":45,"type":26,"marks":46},"Bulimia symptoms: A quick overview",[47],{"type":48},"bold",{"type":28,"attrs":50,"content":51},{"textAlign":17},[52],{"text":53,"type":26},"The symptoms of bulimia include:",{"type":55,"content":56},"bullet_list",[57,75],{"type":58,"content":59},"list_item",[60],{"type":28,"attrs":61,"content":62},{"textAlign":17},[63,69,71,73],{"text":64,"type":26,"marks":65},"Binge eating",[66],{"type":35,"attrs":67},{"href":68,"uuid":17,"anchor":17,"target":17,"linktype":38},"\u002Fnode\u002F1866",{"text":70,"type":26}," (consuming a large amount of food in a short time)",{"type":72},"hard_break",{"text":74,"type":26},"AND",{"type":58,"content":76},[77],{"type":28,"attrs":78,"content":79},{"textAlign":17},[80,82,88],{"text":81,"type":26},"Purging (engaging in a behavior to rid the body of food, such as making yourself vomit, taking ",{"text":83,"type":26,"marks":84},"laxatives",[85],{"type":35,"attrs":86},{"href":87,"uuid":17,"anchor":17,"target":17,"linktype":38},"\u002Fnode\u002F18455",{"text":89,"type":26}," or water pills or medication not prescribed to you)",{"type":28,"attrs":91,"content":92},{"textAlign":17},[93],{"text":94,"type":26},"To be diagnosed with bulimia, people engage in these behaviors at least once a week for three months and feel a lack of control during these episodes. The most common compensatory behavior for patients with eating disorders is self-induced vomiting, which is also known as purging.",{"type":20,"attrs":96,"content":97},{"level":22,"textAlign":17},[98],{"text":99,"type":26},"Causes of bulimia face swelling",{"type":28,"attrs":101,"content":102},{"textAlign":17},[103,105,110],{"text":104,"type":26},"The exact cause of face swelling in bulimia is unclear. However, several theories have been proposed including dysregulation of the autonomic nervous system",{"text":106,"type":26,"marks":107},"[2]",[108],{"type":109},"superscript",{"text":111,"type":26},".",{"type":28,"attrs":113,"content":114},{"textAlign":17},[115],{"text":116,"type":26},"Each person has three sets of salivary glands. The parotid glands are the largest of these glands and are located just in front of the ears. When people vomit frequently and then abruptly stop vomiting, the parotid glands can swell up to five times their normal size. That said,",{"type":55,"content":118},[119,126,133],{"type":58,"content":120},[121],{"type":28,"attrs":122,"content":123},{"textAlign":17},[124],{"text":125,"type":26},"The amount of swelling varies from person to person.",{"type":58,"content":127},[128],{"type":28,"attrs":129,"content":130},{"textAlign":17},[131],{"text":132,"type":26},"The swelling may be very noticeable and bothersome.",{"type":58,"content":134},[135],{"type":28,"attrs":136,"content":137},{"textAlign":17},[138],{"text":139,"type":26},"The swelling is usually painless and bilateral (on both sides of the face).",{"type":28,"attrs":141,"content":142},{"textAlign":17},[143,145,149,151],{"text":144,"type":26},"A small percentage of people with bulimia (10%) will experience painful face swelling",{"text":146,"type":26,"marks":147},"[1]",[148],{"type":109},{"text":150,"type":26},". The medical term for this is ",{"text":152,"type":26,"marks":153},"sialadenosis.",[154],{"type":48},{"type":28,"attrs":156,"content":157},{"textAlign":17},[158],{"text":159,"type":26,"marks":160},"Why do the cheeks swell after purging stops?",[161],{"type":48},{"type":28,"attrs":163,"content":164},{"textAlign":17},[165],{"text":166,"type":26},"The salivary glands typically do not start swelling until a few days after purging stops. It can be frustrating for people to experience this side effect after they stop purging. The good news is that the swelling does eventually go down.",{"type":168,"attrs":169},"blok",{"id":170,"body":171},"bbd307e1-a31d-415e-a887-2b044d64e8b4",[172],{"_uid":173,"ctas":174,"heading":191,"subtext":192,"component":200,"small_text":201,"heading_tag":202,"background_image":203,"heading_appearance":202},"i-0ade086f-df38-4ca1-adce-1cd35a5edf4a",[175],{"_uid":176,"link":177,"style":188,"title":189,"component":190},"i-90463292-12e1-4aa7-ab0d-8475f2de2e66",{"id":178,"url":179,"linktype":180,"fieldtype":181,"cached_url":182,"story":183},"320023e6-9c18-446e-9e0e-fdbabe197db7","","story","multilink","form\u002Fself-assessment-form",{"name":184,"id":185,"uuid":178,"slug":186,"url":182,"full_slug":182,"_stopResolving":187},"Self-Assessment",124708963142122,"self-assessment-form",true,"secondary yellow","Start With A Few Questions","cta_button","What level of care is \u003Cstrong>right for you\u003C\u002Fstrong>?",{"type":15,"attrs":193,"content":194},{"backgroundColor":17},[195],{"type":28,"attrs":196,"content":197},{"textAlign":17},[198],{"text":199,"type":26},"You don’t need to have the answers today. Share a little about what you're experiencing, and our admissions team will help you determine the right level of support.","ContentCtaV18","Takes about 15 minutes • No commitment required","h2",{"id":204,"alt":205,"name":179,"focus":179,"title":179,"source":179,"filename":206,"copyright":179,"fieldtype":207,"meta_data":208,"is_external_url":209},151898786059359,"Two people holding hands on the table.","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F2436x1011\u002Fc01ac96fa4\u002Fwhat-care-is-right.jpg","asset",{"alt":205,"title":179,"source":179,"copyright":179},false,{"type":20,"attrs":211,"content":212},{"level":22,"textAlign":17},[213],{"text":214,"type":26},"How to reduce cheek swelling with bulimia",{"type":28,"attrs":216,"content":217},{"textAlign":17},[218],{"text":219,"type":26},"Face swelling with bulimia almost always responds to treatment. Treatment remedies include:",{"type":55,"content":221},[222,229,236],{"type":58,"content":223},[224],{"type":28,"attrs":225,"content":226},{"textAlign":17},[227],{"text":228,"type":26},"Sucking on sour candy (lemonhead or other tart hard candy)",{"type":58,"content":230},[231],{"type":28,"attrs":232,"content":233},{"textAlign":17},[234],{"text":235,"type":26},"Applying a heating pad to the cheeks several times a day",{"type":58,"content":237},[238],{"type":28,"attrs":239,"content":240},{"textAlign":17},[241],{"text":242,"type":26},"Taking nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or acetaminophen",{"type":28,"attrs":244,"content":245},{"textAlign":17},[246],{"text":247,"type":26},"Over time, the salivary glands will shrink back to their normal size. In severe cases, this condition can be treated with the medication pilocarpine. It is extremely rare that a patient has chronic symptoms that do not respond to treatment. In those cases, surgery (parotidectomy) could be considered.",{"type":28,"attrs":249,"content":250},{"textAlign":17},[251],{"text":252,"type":26,"marks":253},"Other symptoms of bulimia to watch for",[254],{"type":48},{"type":28,"attrs":256,"content":257},{"textAlign":17},[258],{"text":259,"type":26},"Facial swelling is just one of many side effects that can occur when people purge through self-induced vomiting. 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There are many complications associated with bulimia throughout the entire body. 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This can be very hard to do without support. When it comes to professional treatment, a three-pronged approach can be very effective. This includes:",{"type":55,"content":470},[471,482,493],{"type":58,"content":472},[473],{"type":28,"attrs":474,"content":475},{"textAlign":17},[476],{"text":477,"type":26,"marks":478},"Evidence-based therapies for eating disorders",[479],{"type":35,"attrs":480},{"href":481,"uuid":17,"anchor":17,"target":17,"linktype":38},"\u002Fnode\u002F7781",{"type":58,"content":483},[484],{"type":28,"attrs":485,"content":486},{"textAlign":17},[487],{"text":488,"type":26,"marks":489},"Medical management from physicians experienced in eating disorders",[490],{"type":35,"attrs":491},{"href":492,"uuid":17,"anchor":17,"target":17,"linktype":38},"\u002Fnode\u002F7831",{"type":58,"content":494},[495],{"type":28,"attrs":496,"content":497},{"textAlign":17},[498],{"text":499,"type":26,"marks":500},"Nutritional counseling and support from registered dietitians",[501],{"type":35,"attrs":502},{"href":503,"uuid":17,"anchor":17,"target":17,"linktype":38},"\u002Fnode\u002F18050",{"type":28,"attrs":505,"content":506},{"textAlign":17},[507,513],{"text":508,"type":26,"marks":509},"Eating disorder support groups ",[510],{"type":35,"attrs":511},{"href":512,"uuid":17,"anchor":17,"target":17,"linktype":38},"\u002Fnode\u002F8556",{"text":514,"type":26},"and support from loved ones can also be very helpful.",{"type":28,"attrs":516,"content":517},{"textAlign":17},[518],{"text":519,"type":26,"marks":520},"Recovery is within reach",[521],{"type":48},{"type":28,"attrs":523,"content":524},{"textAlign":17},[525],{"text":526,"type":26},"Eating Recovery Center offers a full continuum of care that’s designed to connect you with the right support at the right time, starting with the assessment and continuing all the way through to aftercare support. 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Please reach out to us at",{"text":635,"type":26,"marks":636}," (866) 622-5914",[637],{"type":48},{"text":639,"type":26}," or ",{"text":641,"type":26,"marks":642},"fill out this form",[643],{"type":35,"attrs":644},{"href":645,"uuid":17,"anchor":17,"target":17,"linktype":38},"\u002Fform\u002Fself-assessment-form",{"text":647,"type":26}," if you have any questions about bulimia treatment or complications. And remember that eating disorder recovery is possible.",{"id":17,"alt":17,"name":179,"focus":17,"title":17,"source":17,"filename":179,"copyright":17,"fieldtype":207,"meta_data":649},{},"Blog","Signs and Symptoms","Britt Berg",[654],{"name":652,"created_at":655,"published_at":656,"updated_at":657,"id":658,"uuid":659,"content":660,"slug":694,"full_slug":695,"sort_by_date":17,"position":696,"tag_list":697,"is_startpage":209,"parent_id":698,"meta_data":17,"group_id":699,"first_published_at":700,"release_id":17,"lang":701,"path":17,"alternates":702,"default_full_slug":17,"translated_slugs":17,"_stopResolving":187},"2026-03-02T14:02:24.222Z","2026-04-23T20:14:49.661Z","2026-04-23T20:14:49.677Z",150612149161411,"3c6879dc-54c6-4e16-8794-5f733384d201",{"bio":661,"_uid":662,"body":663,"layout":664,"status":665,"facebook":666,"linkedin":667,"pronouns":179,"component":668,"instagram":669,"locations":670,"twitter_x":671,"categories":672,"meta_title":179,"bio_heading":179,"credentials":673,"designation":179,"specialties":674,"what_we_treat":675,"featured_image":676,"portrait_image":681,"specialization":179,"languages_spoken":683,"meta_description":684,"advanced_training":685,"areas_of_interest":686,"education_history":687,"listing_sort_order":179,"board_certifications":688,"schema_person_address":179,"schema_person_same_as":179,"show_in_all_locations":209,"schema_person_works_for":179,"clinical_information_text":689,"primary_clinical_location":692,"professional_associations":693},"\u003Cp>Britt Berg, M.S. holds a Master of Science degree in professional counseling from Georgia State University and a Bachelor of Arts degree in women's studies from Emory University. While pursuing these degrees, her research interests focused on eating disorders and body image. Britt has over 20 years of experience in the behavioral health field and is a former Nationally Certified Counselor and Licensed Associate Professional Counselor. Before she joined the team at Eating Recovery Center and Pathlight Mood & Anxiety Center (ERC Pathlight) in 2016, Britt was a therapist and managed psychology and psychiatry research projects for internationally renowned faculty at Emory and Georgia State. Britt is currently an SEO content strategist and writer for ERC Pathlight. A former yoga instructor, she has been practicing yoga and meditation daily for over 30 years.\u003C\u002Fp>","bc894bb2-e05f-442e-81fc-2a595f5fc9f8",[],"standard","Not in UKG",{"id":179,"url":179,"linktype":180,"fieldtype":181,"cached_url":179},{"id":179,"url":179,"linktype":180,"fieldtype":181,"cached_url":179},"staff",{"id":179,"url":179,"linktype":180,"fieldtype":181,"cached_url":179},[],{"id":179,"url":179,"linktype":180,"fieldtype":181,"cached_url":179},[],"MS",[],[],{"id":677,"alt":678,"name":179,"focus":179,"title":179,"source":179,"filename":679,"copyright":179,"fieldtype":207,"meta_data":680,"is_external_url":209},169105882198836,"Britt Berg, MS","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F2100x2110\u002F79156e427e\u002Fbritt-berg.jpg",{"alt":678,"title":179,"source":179,"copyright":179},{"id":677,"alt":678,"name":179,"focus":179,"title":179,"source":179,"filename":679,"copyright":179,"fieldtype":207,"meta_data":682,"is_external_url":209},{"alt":678,"title":179,"source":179,"copyright":179},[],"Britt Berg, M.S. has been a freelance healthcare writer for over 25 years and a digital marketing strategist for over 15 years. ",[],[],[],[],{"type":15,"content":690},[691],{"type":28},[],[],"britt-berg","profile\u002Fbritt-berg",-2160,[],148823052330811,"175275d5-bb53-4ad1-a7e5-7f7f7def3551","2026-03-02T14:02:24.264Z","default",[],"\u003Col>\u003Cli>Mehler, P.S., & Andersen, A.E. (2022). \u003Ca href=\"https:\u002F\u002Fwww.amazon.com\u002FEating-Disorders-Comprehensive-Medical-Complications-dp-1421443589\u002Fdp\u002F1421443589\u002Fref=dp_ob_title_bk\">Eating disorders: A comprehensive guide to medical care and complications (4th ed.)\u003C\u002Fa>. Johns Hopkins University Press.\u003C\u002Fli>\u003Cli>Nitsch, A., Dlugosz, H., Gibson, D., & Mehler, P. (2021). Medical complications of bulimia nervosa. Cleveland Clinic Journal of Medicine, 88(6), 333-343. doi: \u003Ca href=\"https:\u002F\u002Fwww.ccjm.org\u002Fcontent\u002F88\u002F6\u002F333\">https:\u002F\u002Fwww.ccjm.org\u002Fcontent\u002F88\u002F6\u002F333\u003C\u002Fa>.\u003C\u002Fli>\u003C\u002Fol>","“Bulimia face,” sometimes called “chipmunk cheeks,” is a common side effect in people with bulimia who purge through self-induced vomiting. Repeated vomiting can cause the parotid salivary glands to swell, leading to puffiness in the cheeks and jawline. While not usually painful, this swelling can be distressing and affect self-esteem. With proper eating disorder treatment—including medical care and nutrition support—facial swelling is reversible.",[],"resources",[],"Bulimia Face & Cheek Swelling: Why It Happens",[],{"id":17,"alt":17,"name":179,"focus":17,"title":17,"source":17,"filename":179,"copyright":17,"fieldtype":207,"meta_data":711},{},{"id":713,"alt":714,"name":179,"focus":179,"title":179,"source":179,"filename":715,"copyright":179,"fieldtype":207,"meta_data":716,"is_external_url":209},173369288187184,"Teenage girl talks with therapist about hers problems","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F900x450\u002F50f87d4895\u002Fteenage-girl-therapy.jpg",{"alt":714,"title":179,"source":179,"copyright":179},[],"Bulimia face and cheek swelling is sometimes referred to as “chipmunk cheeks.” Take a deep dive into why this occurs, and what to do about it, with eating disorder expert Dr. Jillian Moshay.",{"id":713,"alt":714,"name":179,"focus":179,"title":179,"source":179,"filename":715,"copyright":179,"fieldtype":207,"meta_data":720,"is_external_url":209},{"alt":714,"title":179,"source":179,"copyright":179},[],"bulimia-face-cheek-swelling","resources\u002Fbulimia-face-cheek-swelling",-6140,[],109705324666269,"6835f13f-4839-4bb9-846e-6999f10a0de4","2023-12-14T01:42:13.000Z",[],1792436625,[732],{"name":652,"created_at":655,"published_at":656,"updated_at":657,"id":658,"uuid":659,"content":733,"slug":694,"full_slug":695,"sort_by_date":17,"position":696,"tag_list":757,"is_startpage":209,"parent_id":698,"meta_data":17,"group_id":699,"first_published_at":700,"release_id":17,"lang":701,"path":17,"alternates":758,"default_full_slug":17,"translated_slugs":17},{"bio":661,"_uid":662,"body":734,"layout":664,"status":665,"facebook":735,"linkedin":736,"pronouns":179,"component":668,"instagram":737,"locations":738,"twitter_x":739,"categories":740,"meta_title":179,"bio_heading":179,"credentials":673,"designation":179,"specialties":741,"what_we_treat":742,"featured_image":743,"portrait_image":745,"specialization":179,"languages_spoken":747,"meta_description":684,"advanced_training":748,"areas_of_interest":749,"education_history":750,"listing_sort_order":179,"board_certifications":751,"schema_person_address":179,"schema_person_same_as":179,"show_in_all_locations":209,"schema_person_works_for":179,"clinical_information_text":752,"primary_clinical_location":755,"professional_associations":756},[],{"id":179,"url":179,"linktype":180,"fieldtype":181,"cached_url":179},{"id":179,"url":179,"linktype":180,"fieldtype":181,"cached_url":179},{"id":179,"url":179,"linktype":180,"fieldtype":181,"cached_url":179},[],{"id":179,"url":179,"linktype":180,"fieldtype":181,"cached_url":179},[],[],[],{"id":677,"alt":678,"name":179,"focus":179,"title":179,"source":179,"filename":679,"copyright":179,"fieldtype":207,"meta_data":744,"is_external_url":209},{"alt":678,"title":179,"source":179,"copyright":179},{"id":677,"alt":678,"name":179,"focus":179,"title":179,"source":179,"filename":679,"copyright":179,"fieldtype":207,"meta_data":746,"is_external_url":209},{"alt":678,"title":179,"source":179,"copyright":179},[],[],[],[],[],{"type":15,"content":753},[754],{"type":28},[],[],[],[],[760,761,762,763,764,765,766],{"name":184,"id":185,"uuid":178,"slug":186,"url":182,"full_slug":182},{"name":575,"id":576,"uuid":573,"slug":577,"url":578,"full_slug":578},{"name":609,"id":610,"uuid":607,"slug":611,"url":612,"full_slug":612},{"name":624,"id":625,"uuid":622,"slug":626,"url":627,"full_slug":627},{"name":592,"id":593,"uuid":590,"slug":594,"url":595,"full_slug":595},{"name":542,"id":543,"uuid":540,"slug":544,"url":544,"full_slug":544},{"name":558,"id":559,"uuid":556,"slug":560,"url":561,"full_slug":561},{"age":768,"cache-control":769,"connection":770,"content-encoding":771,"content-type":772,"date":773,"etag":774,"referrer-policy":775,"sb-be-version":776,"server":777,"strict-transport-security":778,"transfer-encoding":779,"vary":780,"via":781,"x-amz-cf-id":782,"x-amz-cf-pop":783,"x-cache":784,"x-content-type-options":785,"x-frame-options":786,"x-permitted-cross-domain-policies":787,"x-request-id":788,"x-runtime":789,"x-xss-protection":790},"2894","max-age=0, public, s-maxage=604800, stale-if-error=3600","keep-alive","gzip","application\u002Fjson; charset=utf-8","Tue, 20 Oct 2026 12:09:20 GMT","W\u002F\"1573347ae3cd12d6abf6975965908acc\"","strict-origin-when-cross-origin","5.993.0","nginx\u002F1.31.3","max-age=31536000","chunked","Origin,Accept-Encoding","1.1 c6cf91c1274050d33d12227585fc8efc.cloudfront.net (CloudFront)","CIh7AHsdGchJTvBX0QqKRkj8XM7OMKY6lbOwUWOBzCHFnO1hHALliA==","IAD55-P6","Hit from cloudfront","nosniff","SAMEORIGIN","none","5a8d3eb3-4411-4bbb-8d5d-717b2a3f8228","0.130131","0"]