This is the first systematic study of the clinical features of ORS.
An internet-based survey was used to sample from the general population (N = 253).
Symptoms were moderately severe and focused mainly on stool, garbage, and ammonia.
More severe ORS was moderately associated with female gender, poorer insight, and impairment
Results highlight ORS' severity, clinical significance, and psychosocial impact, and underscore the importance of additional research.