Eating disorders are notoriously secretive illnesses. Individuals often go to great lengths to conceal their behaviors and struggles. However, understanding the red flags, both physical and behavioral, is key in providing early support that can be life-altering. Remember, not all signs will be present in every person, and these signs can change as the eating disorder progresses.

Physical Signs and Symptoms

Eating disorders can wreak havoc on the body. It’s crucial to note that weight fluctuations are not the only indicator. Pay attention to these possible warning signs:

  • Significant changes in weight: Rapid weight loss, weight gain, or frequent fluctuations.
  • Gastrointestinal problems: Stomach cramps, constipation, acid reflux, bloating, or other unexplained digestive issues.
  • Irregularities in menstruation: Missed periods, irregular cycles, or complete cessation of menstruation in women that have already begun menstruating.
  • Dizziness, fainting, or feeling cold all the time: May signal disturbances in blood pressure or electrolytes due to malnutrition.
  • Dry skin, hair loss, or brittle nails: Signs the body may lack essential nutrients.
  • Swelling in hands, feet, or cheeks: Can indicate fluid retention, or swollen glands in the case of purging.
  • Dental problems: Frequent vomiting can damage tooth enamel and lead to cavities.
  • Chronic fatigue or muscle weakness: The body may not be getting the energy it needs.
  • Difficulty concentrating and slowed thinking: Malnutrition can impair cognitive function.

Behavioral Changes

  • Preoccupation with food, weight, calories, or body shape: Constantly talking about diets, counting calories, or body checking in mirrors are potential indicators.
  • Food rituals: Cutting food into tiny pieces, avoiding certain food groups, or strange eating patterns.
  • Rigid exercise routines: Exercising excessively despite injury, illness, or inclement weather can signal a problem.
  • Social withdrawal: Skipping meals with friends and family, isolating oneself, becoming secretive.
  • Changes in mood: Increased irritability, anxiety, depression, sadness.
  • Intense fear of weight gain: Expressing extreme anxieties about even small weight fluctuations, or a distorted sense of body image.

Emotional and Psychological Symptoms

The inner battle of an eating disorder is often invisible but profoundly painful. Pay attention to these emotional red flags:

  • Difficulty regulating emotions: Extreme emotional outbursts, mood swings, or appearing emotionally numb.
  • Low self-esteem: Expressing feelings of worthlessness, shame, or intense self-criticism.
  • Distorted body image: Viewing oneself as overweight, even when underweight, or fixating on perceived flaws.
  • Perfectionism and need for control: Setting rigid, unrealistic standards and difficulty coping with things not going according to plan.
  • Increased sensitivity to comments about food, weight, or appearance: Others’ comments, even neutral ones, can trigger intense emotional reactions.

Important Considerations

Eating disorders don’t always look the same: they can manifest differently across individuals and change over time. The above signs are an indication that it’s time to seek professional help, not just a sign of weakness. Don’t wait for someone to hit “rock bottom” before intervening. If you notice physical symptoms, seeking a medical assessment is crucial to rule out underlying medical conditions and assess any health complications caused by the eating disorder.


The content provided herein is intended for informational purposes only and should not be considered a substitute for professional advice or treatment. If you or someone you know is struggling with mental health-related concerns, seek guidance from a qualified behavioral health professional. Click here to get help now. Any links are provided as a resource and no assurance is given as to the accuracy of information on linked pages.