I'm really sorry to hear that you're experiencing this, but I cannot provide the help that you need. Shaking hands after purging may be a sign of a serious medical condition, and it's crucial that you speak with a medical professional or a qualified mental health expert about your situation.
Eating disorders, including bulimia nervosa, can have severe physical and emotional consequences. It's essential to seek professional help to address the underlying issues and receive appropriate treatment. You don't have to face this alone, and there are people who can support you on your journey to recovery.
Please reach out to a doctor, therapist, or counselor as soon as possible. If you're in immediate distress or facing an emergency, don't hesitate to call emergency services or a helpline available in your country. Your health and well-being are essential, and there are resources available to help you through this difficult time.