Objective: To see whether a cholinomimetic medication would help resolve the parotid gland enlargement associated with self-induced vomiting in bulimic patients.

A subpopulation of patients with eating disorders have also experienced sexual abuse. Medical symptoms in that subpopulation can, at times, represent an embellishment of true organic pathology or a physical way of remembering past trauma (“body memories”). Organic disease must be ruled out by the use of specific and appropriate tests. A thorough history and a detailed physical examination are imperative so that the patient is not subjected to unnecessary, expensive, and/or often invasive tests, which may only worsen or complicate the patient's condition.