The floors, mostly of mud covered with dung, are fouled with spittle, vomit, and urine, and, being seldom or never cleaned out, foster a gradual accumulation of poison, to which infected rats and the concealment of illness contribute.
Although most bulimics vomit or use laxatives to purge food from the body, some people with this eating disorder will alternate binge eating with fasting or periods of excessive exercise.
Some people vomit under such conditions of emotional stress as family arguments, academic tests, airplane travel, losing a job, and similar high-stress situations.
Whenever possible, it's a good idea to take your vet a stool or vomit sample, so they can see exactly what you're trying to describe and have the samples analyzed at the lab if needed.
The child may vomit as often as six to 12 times an hour over a period of one to five days, although cases have been reported in which the episode lasts for ten days.