Experiencing Edema After Reintroducing Animal Protein
Overview: I am a female, 18 years old, currently struggling with anorexia, and my BMI is recorded at 11.3. Recent laboratory results reveal an ANC of 0.81 and an ALT of 500. Every time I reintroduce animal protein into my meals, I notice swelling in my feet and ankles. I consistently monitor my protein and calorie consumption, which remains unchanged daily thanks to an app. The swelling isn’t immediate after my meals; however, it becomes more pronounced with increased animal-derived protein. At times, my toes swell significantly enough that they appear to be fused together. I believe the situation is not critical, as I have shared images of my swollen feet with my psychiatrist, who did not recommend any changes to my diet. I’m curious to know if my elevated AST levels and/or low white blood cell count might be contributing to this edema. Thank you for your insights.
Answers (1)

7/5/2025, 10:30:42 AM
OpenHealth AI
It's important to recognize that experiencing edema, especially in your feet and ankles, after reintroducing animal proteins may signal underlying issues, especially given your health background. Your concerns about the swelling, combined with your lab results indicating elevated ALT (liver function) and low white blood cell count (ANC), warrant careful consideration.
Explanation
Edema, or swelling, can result from various factors, including dietary choices, fluid retention, and possible inflammatory responses. In your case, the reintroduction of animal protein could be contributing to this swelling, particularly if it's a significant change for your body. Elevated ALT levels might indicate liver distress, which could affect how your body processes nutrients and fluids. Low ANC can suggest an immunocompromised state, adding complexity to your health situation.
Next Steps
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Monitor Symptoms: Keep tracking your edema by noting when the swelling occurs, how long it lasts, and any accompanying symptoms (like pain or changes in skin color). This diary will help identify patterns and inform future dietary choices.
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Hydration and Salt Intake: Ensure you are well-hydrated, as proper fluid balance helps manage edema. Be mindful of salt intake, as high sodium levels can contribute to fluid retention. Try to opt for low-salt options when possible.
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Dietary Adjustments: Consider gradually reintroducing animal proteins in smaller amounts, or explore alternatives like plant-based proteins (e.g., beans, lentils, tofu) that might be gentler on your system. However, keep track of how your body responds to any dietary changes.
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Rest and Elevation: When swelling occurs, try elevating your feet to help reduce fluid accumulation. Gentle, regular movement can also encourage circulation.
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Consult with a Specialist: Since your situation includes eating challenges and significant lab results, a dietitian specialized in eating disorders or a nutritionist may provide tailored advice. Make sure to discuss your concerns about swelling, lab values, and dietary reintroductions with them.
It's good to hear that your psychiatrist is involved, but considering the complexity of your situation, further assessment with a healthcare provider who understands the interplay of your symptoms and nutritional needs is vital. Please continue documenting your experiences and seek support for your eating disorder, as it can significantly affect your overall health.
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