Swollen cheeks
Can put at high risk for GERD, pancreatitis, and even rarely gastric rupture
Fainting spells and dizziness
Dentist can be first to discover
Abrasions often found on knuckles
Shame related to eating patterns
Frequent bathroom trips after eating
Restriction of food intake (dieting, fasting, adopting rigid meal or eating rituals) resulting in significant weight loss
Increased body and facial hair (lanugo)
Belief that one is overweight or “fat” despite extreme thinness
Lipid abnormalities are often seen, elevated cholesterol, and liver enzymes, as well as a fatty liver
Delayed menarche (first menstrual period), amenorrhea (loss of menstruation), or irregular menstruation
Heart problems resulting from electrolyte imbalances
Cold intolerance (always being cold)
At increased risk for rupture of the esophagus
Gastrointestinal problems and severe dehydration common problems
Increased risk of developing other conditions, such as cardiovascular disease and type 2 diabetes
Cannot stop eating and episodes are not followed by any compensatory behaviors
At risk for bone loss, osteoporosis
Muscle weakness or wasting
Overweight or obese
Often of a normal weight
Intense fear of gaining weight or becoming fat, body dissatisfaction
Hiding food or food wrappers and eating in secret
Episodes of yo-yo dieting
