1. The acid reflux
that accompanies bulimia
exposes the larynx and vocal cord to damage similar to that seen on endoscopic examination in Gastro-Esophageal Reflux Disease (GERD) or Laryngo-Pharyngeal Reflux (LPR).
2. The delicate lining of the upper airway is normally bathed in alkaline saliva. Gastric enzymes are also present in the reflux; they also get reactivated whenever the pH levels fall in the throat and voice box with the next reflux or vomiting
3. If you are still an adolescent, voice change is also a part of this phase in life.
4. All these changes will lead to Chronic Laryngitis
. This can be confirmed on Video Laryngoscopy