Eating Disorders Check List

Eating Disorder Checklist

If you have one or more of the following symptoms, you may be at risk of having an eating disorder. Please call 1-800-711-2062 for help.

Anorexia Nervosa

  • Dramatic weight loss that takes place in a short period of time
    • Has dry and thinning hair
    • Has fine hairs, known as lanugo, growing from other parts of the body
    • May wear loose, baggy, clothing to hide weight loss
    • Frequently complains of being cold due to severe decrease of body fat; may have a lower body temperature (hypothermia) as a result
  • An unhealthy obsession with calories and fat content of food
    • May be unusually interested in recipes and/or cooking; may cook elaborate dinners for others but not eat it themselves
    • May weigh and check calorie content of food frequently
  • Phobic of gaining weight or becoming overweight
    • Purges using laxatives, diet pills, ipecac syrup, or water pills; may engage in self-induced vomiting; may run to the bathroom after eating in order to vomit and quickly get rid of the food (a clogged toilet may be caused by frequent purging)
    • Scarred knuckles from fingers scraping up against teeth when inducing vomiting (this is known as "Russell’s Sign")
    • Dieting despite already being thin, or even dangerously underweight
    • Engaging in frequent, strenuous exercise
    • Perceiving self to be overweight despite being told repeatedly by others that they are thin
  • Ritualistically cuts food into very small pieces, refuses to eat around others, or throws away or hides or food
  • Becomes moody and depressed
  • Becomes dizzy frequently due to lack of nutrients

Bulimia

  • Chronic gastric reflux after eating
  • Frequent vomiting
    • Dehydration and low potassium
    • Inflammation of the esophagus
    • Lacerations to the lining of the throat and/or mouth caused by repetitive insertion of fingers or other objects
    • Swollen cheeks caused by enlarged salivary glands
    • Scarred knuckles from fingers scraping up against teeth (Russell’s Sign)
    • Severe tooth decay
    • Tooth enamel erosion, known as "perimolysis"
    • Frequent bathroom visits after eating
  • Electrolyte imbalance, which can lead to cardiac arrhythmia, cardiac arrest, and even death
  • Food stored in the stomach for extended periods of time (known as "gastroparesis")
  • Constipation
  • Constant weight fluctuations
  • Swollen fingers

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