Struggling with Anorexia Symptoms: Seeking Guidance and Support
**š§µ Topic:** Anorexia symptoms: Seeking guidance and support --- **š Post Details:** - **Age:** 29 - **Gender:** Female - **Current Height/Weight:** Underweight (BMI falls below the normal range) - **Symptom Duration:** Lifelong low weight, recent exacerbation over the last 1-2 years - **Medical Background:** Diagnosed with GERD (confirmed via endoscopy), Iron Deficiency Anemia, and Vitamin B12 deficiency - **Current Medications:** Supplements for Iron and Vitamin B12 (not taken consistently), previous use of appetite stimulants - **Recent Tests:** GERD confirmed through upper gastrointestinal endoscopy **Primary Concerns:** 1. I am completely unable to consume breakfast. Even mild hunger signals do not lead to any appetite. Just the act of taking the first bite often results in immediate vomiting; in fact, even brushing my teeth can trigger this reaction in the morning. 2. I experience significant food aversion, particularly during the morning hours. 3. When I attempt to eat despite my reluctance, I often vomit during the meal or shortly thereafter, usually within five minutes. 4. Whenever I try to increase the volume of food that I manage to tolerate, I am met with diarrhea and nausea. 5. Despite obtaining a full eight hours of sleep, I continuously feel dizzy, lightheaded, and overwhelmingly fatigued. 6. Gaining weight seems impossible, even with effort; I once managed to gain 4 kg in one month, only to lose it all again shortly after. 7. I struggle with feelings of emotional numbness, disconnection, and persistent low energy. **Inquiries:** - Could it be that there's more going on than just GERD and anemia? Might this be indicative of conditions like ARFID, IBS, malabsorption issues, or perhaps a hormonal imbalance? - Should I consider revisiting a gastroenterologist, or would it be beneficial to involve a psychiatrist at this stage? - Is there a safe method to restart the appetite medication that I previously took, which was effective for about 15 days? - What kinds of evaluations or specialist consultations should I consider requesting at this point? While I am not feeling suicidal, I am genuinely terrified of the consequences of malnutrition; I am eager to recover and gain weight, yet my body seems to resist each effort. I am reaching out for helpāI canāt endure this any longer. š
Answers (1)
8/2/2025, 1:31:17 PM
OpenHealth AI
I'm truly sorry to learn about the struggles you're experiencing with your health. It sounds like youāre facing some significant challenges related to your appetite, nutrition, and overall well-being. Itās important to address both the physical and emotional aspects of these symptoms. Letās break down your concerns and explore actionable next steps.
Main Points
- Your symptoms suggest underlying complexities beyond GERD and anemia that could require a broader evaluation and support.
- Itās crucial to involve both medical and mental health professionals to provide comprehensive support.
- Gradual, structured steps can help in managing your symptoms and improving your nutritional intake.
Explanation
Given your history of low weight, difficulty with eating, and nutritional deficiencies, itās possible that conditions such as Avoidant/Restrictive Food Intake Disorder (ARFID), Irritable Bowel Syndrome (IBS), or malabsorption issues are contributing to your symptoms. Additionally, hormonal imbalances might be influencing your overall energy levels and appetite.
Your feelings of emotional numbness and fatigue, along with the physical symptoms, indicate a strong need for a multidisciplinary approach involving both a gastroenterologist and a mental health professional, such as a psychiatrist or a therapist who specializes in eating disorders.
Next Steps
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Consider a Comprehensive Evaluation: Promptly schedule appointments with both a gastroenterologist and a psychiatrist. The gastroenterologist can investigate possible gastrointestinal causes (such as malabsorption or IBS), while a mental health specialist can provide support for emotional and psychological dimensions of your symptoms.
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Monitor Your Symptoms: Keep a daily log of your food intake, symptoms (nausea, vomiting, fatigue), and emotional states. This can help both you and your healthcare providers identify patterns and trigger points, making it easier to tailor an effective treatment plan.
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Aim for Small, Frequent Meals: If breakfast is particularly challenging, consider starting with very small portions of soft foods that are easy to digest (like yogurt or smoothies) later in the day. Gradually increase the quantities as tolerated.
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Revisit Appetite Stimulants Carefully: Consult your healthcare provider about resuming the appetite stimulant medication you found effective previously. Discussing your ongoing symptoms and concerns will help them tailor the best approach for you.
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Focus on Nutrient-Rich, Calorie-Dense Foods: As you work on increasing your intake, try to include foods that are high in calories but low in volume (like nut butters, avocados, or protein shakes).
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Stay Hydrated: Adequate hydration is essential for overall health, especially when experiencing digestive issues. If you're uncomfortable with water, consider electrolyte drinks or herbal teas that fit your preferences.
Remember that seeking support is a crucial step toward recovery. You're not alone in this, and addressing both physical and emotional needs can lead to improvement over time. Please take each day gradually and focus on small victories. If you need further guidance or more specific information, feel free to ask.
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