ABSTRACT

Eating disorders (EDs) are complex biopsychosocial conditions characterized by severe disturbances in eating behavior, resulting in psychosocial impairment and reduced quality of life. EDs are associated with serious medical complications, such as electrolyte abnormalities, malnutrition, arrythmia, and hypoglycemia. Gastrointestinal (GI) symptoms frequently co-occur with EDs and complicate the identification of an ED. The chronicity of GI symptoms can also increase the risk of disordered eating behaviors (DEBs), which can impact digestive functioning and treatment outcomes. The overlap of GI problems with EDs and DEBs have been reviewed in the literature. Treatment will depend on medical and psychiatric severity and warrants further evaluation by a physician and psychologist. Patients that do not need intensive treatment are likely to benefit from an integrative approach that includes collaboration with a registered dietitian and psychologist for improved GI symptom management and to reduce the risk of progressively worsening DEBs.