Medical history (history of illness) is an important component in the diagnosis of anorexia nervosa (anorexia).
Family history
- Are there any mental illnesses (e.g., eating disorder, depression) in your family that are common?
Social history
- What is your profession?
- Is there any evidence of psychosocial stress or strain due to your family situation?
- How can you characterize the personality of the person(s) involved? (Question to family members)
Current medical history/systemic history (somatic and psychological complaints).
- How can your eating behavior be described?
- Do you sometimes deliberately skip meals?
- Do you eat in secret?
- Do you ever throw up when you feel uncomfortably full?
- How satisfied are you with your eating habits?
- Do you suffer from binge eating episodes? If so, how often do these occur?
- Does your weight affect your self-esteem?
- Do you worry about your figure?
- Have you noticed water retention in the tissues?
- Have you noticed any dental damage?
- Do you suffer from heart palpitations?
- Do you notice libido disturbances, sleep disturbances?
- How do you perceive your own body?
- Are you satisfied with the way you look?
- Do you suffer from psychological changes such as autoaggressive behavior, depressiveness or social isolation?
- Have you recently thought about suicide?*
Vegetative anamnesis incl. nutritional anamnesis.
- Please tell us your body weight (in kg) and height (in cm).
- How has your weight developed in the last time?
- How often do you weigh yourself?
- Have you noticed any changes in bowel movements and/or urination?
- Do you exercise regularly? How often and with what intensity per day?
- Do you have regular menstrual periods?
Self history including medication history.
- Pre-existing conditions (mental disorders)
- Operations
- Allergies
- Medication history (drug dependence?)
Medications that may be the cause of a loss of appetite.
- Anthelmintics (diethylcarbamazine).
- Antidepressants
- Selective serotonin reuptake inhibitors (SSRIs) – fluoxetine
- Antiepileptic drugs (topiramate).
- Antibiotics
- Cotrimoxazole
- Macrolides (spiramycin)
- Folic acid antagonist (methotrexate).
- Fusion inhibitors (enfuvirtide).
- Immunosuppressants (azathioprine, ciclosporin (cyclosporin A), mercaptopurine).
- Immunotherapeutics (mitoxantrone).
- Levodopa (L-dopa)
- Muscle relaxants (baclofen)
- Neurokinin antagonists (aprepitant, fosaprepitant).
- Non-opioid analgesics (flupirtine).
- Nonbenzodiazepines (zaleplon, zolpidem, zopiclone, zaleplon).
- Uricosurics (probenecid, benzbromarone).
* If this question has been answered with “Yes”, an immediate visit to the doctor is required! (Data without guarantee)