Conclusion
- It is crucial to rule out organic causes of GI symptoms in patients with suspected eating disorder, and also to consider that such patients may not disclose symptoms.
- The implications of a delayed diagnosis of IBD or incorrect diagnosis of eating disorder are severe physically and psychologically.
- Early symptom recognition and appropriate baseline investigations may lead to prompt diagnosis and initiation of management, reducing morbidity and potentially serious sequelae.
- Although not currently recommended in the National Institute for Health and Care Excellence guidelines for recognition of eating disorder,2 all teenagers with suspected eating disorder should have FBC, ESR, CRP, liver function tests, TTG and faecal calprotectin performed to avoid future missed cases of organic disease.
- Normal laboratory results do not rule out organic disease; where a high index of suspicion is present, further investigation should always be undertaken.
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