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