Other checks may need to include bone density scans
assessing for osteoporosis and spontaneous or low impact
fractures, particularly if pain is a presenting complaint.
When symptoms of self-induced vomiting are present, the
risk of dental complications is high even after a relatively
short history of vomiting [110] and dental reviews are
recommended. Common gastrointestinal disturbances include
gastric pain, prolonged gastric emptying and constipation
[108], all of which can perpetuate the desire to
continue restricting.