Table 1

Presenting signs and symptoms50

SystemSigns and symptoms
  • 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

  • Epigastric discomfort and/or abdominal pain

  • Early satiety and delayed gastric emptying

  • Gastroesophageal reflux

  • Hematemesis

  • Haemorrhoids, rectal fissures and rectal prolapse

  • Constipation

  • Diarrhoea

  • Irregular or missed menses

  • Loss of libido

  • Memory loss/poor concentration

  • Insomnia

  • Depression, anxiety

  • Obsessive compulsive behaviour

  • Self-harm

  • Suicidal ideation/attempt

  • Seizures

  • Chest pain

  • Palpitations

  • Hypotension

  • Bradycardia

  • Other cardiac arrhythmias

  • Shortness of breath

  • Oedema

  • Low bone mineral density

  • Stress fractures

Fragility fractures
  • 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 renalElectrolyte disturbancesUrinary 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.