Topic Overview
During a physical exam for
eating disorders, the doctor will:
- Check your weight and compare it with the
expected weight for someone of the same height and age. In general, a
body mass index (BMI) that is less than
18.5 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).
Because vomiting is often part of an eating disorder, the
doctor 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.
- Sores in the mouth.
References
Citations
- National Heart, Lung, and Blood Institute, National
Institutes of Health (2000). The Practical Guide: Identification, Evaluation, and Treatment of Overweight and Obesity in Adults (NIH Publication No. 00-4084). Available online:
http://www.nhlbi.nih.gov/guidelines/obesity/prctgd_c.pdf.
- American Academy of Pediatrics (2010). Clinical report: Identification and management of eating disorders in children and adolescents. Pediatrics, 126(6): 1240–1253.
- Fairburn CG, Harrison PJ (2003). Eating disorders.
Lancet, 361(9355): 407–416.
Credits
| By | Healthwise Staff |
|---|
| Primary Medical Reviewer | Adam Husney, MD - Family Medicine |
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| Specialist Medical Reviewer | W. Stewart Agras, MD, FRCPC - Psychiatry |
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| Last Revised | April 11, 2012 |
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Last Revised:
April 11, 2012
National Heart, Lung, and Blood Institute, National
Institutes of Health (2000). The Practical Guide: Identification, Evaluation, and Treatment of Overweight and Obesity in Adults (NIH Publication No. 00-4084). Available online:
http://www.nhlbi.nih.gov/guidelines/obesity/prctgd_c.pdf.
American Academy of Pediatrics (2010). Clinical report: Identification and management of eating disorders in children and adolescents. Pediatrics, 126(6): 1240–1253.
Fairburn CG, Harrison PJ (2003). Eating disorders.
Lancet, 361(9355): 407–416.