Anorexia Nervosa

Last updated September 2009
Edited by: Guy Slowik, FRCS

What Medical Problems Can Anorexia Nervosa Cause?

Many physical changes can occur with anorexia nervosa. A large number of these may be attributed to weight loss. Others are complications related to purging.

Changes in body metabolism associated with weight loss leads to a lowering of:

  • Heart rate

  • Blood pressure

  • Breathing rate

  • Body temperature (which may result in feeling cold)

Other physical symptoms include:

  • Thinning or drying of the hair

  • "Lanugo" hair (a fine hair that develops on the face, back, or arms and legs)

  • Dry skin

  • Restlessness and reduced sleep

  • Yellowish color on the palms of the hands and soles of the feet

  • Lack of or infrequent menstrual periods

Self-induced vomiting and laxative abuse are associated with physical complications such as:

  • Swollen salivary glands (evident by swelling on the sides of the face)

  • Erosion of tooth enamel, increase in dental cavities

  • Fatigue

  • Body fluid loss

  • Bloating, swelling of the feet and ankles

  • Soreness or tears in the lining of the mouth or throat

  • Constipation, stomach cramps

  • Numbness and tingling in the limbs

  • Dizziness, weakness, fainting

Anorexia nervosa can lead to serious symptoms, such as heart problems, seizures, and kidney damage. Death may even occur as a result.

Osteoporosis (the loss of bone mass) is common in anorexia nervosa. It can lead to a variety of problems, including a tendency toward stress fractures and other bone abnormalities.

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