During a physical exam for eating disorders, the health professional will:
- Check your weight and compares it with the expected weight for someone of the same height and age. Generally, a body mass index (BMI) that is equal to or less than 17.5 in adults is considered underweight.1
- Check your blood pressure, pulse, and temperature. Many people who have eating disorders have a sudden drop in blood pressure when they sit up from a lying position or stand up from a sitting position.
- Listen to your heart and lungs.
- Examine your belly for anything unusual.
- Check your hands and feet for swelling.
Other physical signs include:2
- Dry skin.
- Irregular heartbeats (arrhythmia).
- Thinning or dull hair on the head and unexpected fine hair growth on the body.
- Low blood pressure (especially when you stand up).
- Low heart rate.
- Low body temperature.
Because vomiting is often part of an eating disorder, the health professional may also check for:3
- Inflamed or diseased teeth and gums or erosion of tooth enamel.
- Swollen glands in the neck.
- Broken blood vessels in the eyes.
- Teeth marks on the back of the hands or calluses on the knuckles from self-induced vomiting.
- Loose skin.
- Sores in the mouth.
References
Citations
Steering Committee on Practice Guidelines, American Psychiatric Association (2006). Treating eating disorders: A quick reference guide. Available online: www.psych.org/psych_pract/treatg/quick_ref_guide/EDs_QRG.pdf.
Committee on Adolescence, American Academy of Pediatrics (2003). Policy statement: Identifying and treating eating disorders. Pediatrics, 111(1): 204–211.
Fairburn CG, Harrison PJ (2003). Eating disorders. Lancet, 361(9355): 407–416.
Credits
| Author | Jeannette Curtis |
| Editor | Susan Van Houten, RN, BSN, MBA |
| Associate Editor | Pat Truman, MATC |
| Primary Medical Reviewer | Kathleen Romito, MD - Family Medicine |
| Specialist Medical Reviewer | W. Stewart Agras, MD - Psychiatry |
| Last Updated | September 25, 2007 |



