- Finding evidence of laxative, diuretic or diet pill use.
- Complaints on a regular basis of “stomach flu” or that certain foods “don’t sit right.”
- Complaints of heartburn-type symptoms, chronic sore throat, hoarseness, difficulty in swallowing.
- Puffy face or swollen cheeks.
- Frequent trips to the bathroom immediately after meals.
- Evidence of large quantities of food being consumed with no weight gain.
- Redness or calluses on the back of hands.
- Redness around the mouth from exposure to stomach acid.
- Small red blood spots around the eyes, or bloodshot eyes (resulting from the pressure of self-inducing vomiting).
- Dental exam reveals a large number of cavities with previously history of good dental reports.
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