Signs of Eating Disorders


Anorexia nervosa (AN) is divided into two subtypes restrictive,which doesn't enage in purging behavior and purging type which does. Bulimia nervosa is divided into two subtypes purging and the less common; non purging. There is a tendency for diagnostic "crossover" in which symptoms change over time between the restricting and binge eating/purging anorexia nervosa subtypes and bulimia nervosa.

weight loss an obvious, rapid, dramatic weight loss
Russell's sign scarring of the knuckles from placing fingers down throat to induce vomiting.
lanugo soft fine hair grows on face and body 
obsession with calories, fat content
preoccupation with food, recipes, cooking, may cook elaborate dinners for others but not eat themselves
dieting despite being thin
rituals cuts food into tiny pieces, refuses to eat around others, hides food
purging uses laxatives, diet pills, ipecac syrup, water pills
may engage in self induced vomiting, may run to bathroom after eating,to vomit.
exercise may engage in frequent strenuous exercise
perception perceives themselves to be overweight despite being told by others they are too thin
cold becomes intolerant to the cold, frequently complains of being cold due to loss of insulating body fat, body temperature lowers in effort to conserve calories.
depression may frequently be in a sad lethargic state
solitude may avoid friends and family, become withdrawn and secretive
clothing may wear baggy, loose fitting clothes to cover weight loss
cheeks may become swollen due to enlargement of the salivary glands caused by excessive vomiting


Binge Eating

Both bulimics and those with binge eating disorder (BED) engage in binge eating. Those with BED do not engage in any compensatory behavior e.g. they do not purge or use laxatives.

rapid eats at a rapid pace, much faster than normal
amount eats a large amount of food at one sitting
powerless feels powerless to stop eating
saiety never feeling satisfied after eating
embarrasment over amount of food being eaten
secret eats normally around others but binges in secret
hunger eats even when not hungry
depression frequently in depressed mood
hoarding hoards food and hides empty food containers


Diabulimia; not currently a recognized medical condition, is the deliberate manipulation of insulin by individuals with Type 1 diabetes in an effort to control their weight.[85]Insulin is an anobolic hormonethat is involved in the metabolism of carbohydrates and lipids (fats). It helps the body maintain muscle mass, it also encourages fat retention.

The effects of witholding insulin can lead to severe complications such as diabetic ketoacidosis. The long term effects can lead to the acceleration of diabetes related complications such as diabetic vasculopathy which may lead to limb amputation


Female Athlete Triad

Female Athlete Triad is a syndrome in which eating disorders/disordered eating behavior, amenorrhoea/oligomenorrhoea and decreased bone mineral density (osteoporosis and osteoenia) are present.


Rumination Syndrome

Rumination Syndrome, is an under-diagnosed eating disorder, characterized by the regurgitation of small amounts of food which is then either re-chewed, reswallowed or discarded.