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