Eating disorder history and symptoms

HISTORY: Eating disorders are particularly common in young females and change in weight is the main concern often expressed by the patient or a family member. Apart from a detailed history, few questions that a physician should ask include:

• Do you think you are too thin? or too fat?
• What did you eat yesterday?
• Do you ever binge eat?
• Do you use any pills for losing weight?
• Do you ever eat in secret?
• Are you satisfied with your eating habits?
• Do you make yourself sick because you feel uncomfortably full?

SYMPTOMS: The main symptom is intentional weight loss causing malnutrition and cachexia. Other symptoms include:

• abdominal discomfort
• bloating or constipation
• cold intolerance
• menstrual irregularities
• daytime hyperactivity
• insomnia
• exercise habits
• use of alcohol or drugs
• personal history of sexual assault or childhood abuse
• family history of [[depression, alcohol use.