Table 1

Presenting signs and symptoms50

System	Signs and symptoms
General	▸ Marked or sudden weight loss, gain or fluctuation; ▸ Failure to gain expected weight in child/adolescent who is still growing and developing	▸ Hypothermia, cold intolerance ▸ Fatigue
Oral/dental and throat	▸ Oral trauma/lacerations ▸ Dental erosion or caries ▸ Perimolysis	▸ Parotid enlargement ▸ Recurrent sore throats
Gastrointestinal	▸ Epigastric discomfort and/or abdominal pain ▸ Early satiety and delayed gastric emptying ▸ Gastroesophageal reflux ▸ Hematemesis	▸ Haemorrhoids, rectal fissures and rectal prolapse ▸ Constipation ▸ Diarrhoea
Endocrine	▸ Irregular or missed menses ▸ Loss of libido	Infertility
Neuropsychiatric	▸ Memory loss/poor concentration ▸ Insomnia ▸ Depression, anxiety ▸ Obsessive compulsive behaviour	▸ Self-harm ▸ Suicidal ideation/attempt ▸ Seizures
Cardiorespiratory	▸ Chest pain ▸ Palpitations ▸ Hypotension ▸ Bradycardia	▸ Other cardiac arrhythmias ▸ Shortness of breath ▸ Oedema
Musculoskeletal	▸ Low bone mineral density ▸ Stress fractures	Fragility fractures
Dermatological	▸ Lanugo hair ▸ Hair loss ▸ Yellowish skin discolouration ▸ Calluses or scars on the dorsum of the hand (Russell's sign)	▸ Poor skin healing ▸ Evidence of self-harm (superficial ▸ l lacerations in various stages of healing)
Genitourinary and renal	Electrolyte disturbances	Urinary abnormalities (both retention and f frequency)

People at normal weight may also have an eating disorder. Do not rely on weight or BMI alone to diagnose or rule-out an eating disorder. Awareness of the broad array of signs and symptoms that may be present can facilitate early identification of patients struggling with an eating disorder. Reprinted with permission from Intermountain Healthcare.
BMI, body mass index.