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Hi,
I'm sorry your daughter is going through this dangerous disorder.
I think Rosa did great providing you information.
I also wanted to add, though, that if she did go from eating very little or nothing to eating portioned meals, that you should closely monitor her. When the body is starved, she may develop refeeding syndrome.
Refeeding syndrome is a syndrome consisting of metabolic disturbances that occur as a result of reinstitution of nutrition to patients who are starved or severely malnourished. Refeeding syndrome can be dangerous.
To avoid the development of the refeeding syndrome, nutrition support in patients at risk should be increased slowly while assuring adequate amounts of vitamins and minerals (Supplements, etc). Organ function, fluid balance and serum electrolytes (especially phosphorus, potassium and magnesium) need to be monitored daily during the first week and less often thereafter.
I went through refeeding syndrome, and it was very scary. The symptoms may include:
* weakness
* seizure
* paresthesia
* altered mental status
* tetany
*weakness
* myalgia
* anemia
* infections
* bleeding
* abdominal pain
* constipation
* diarrhea
*edema

Just to name a few. I also think it would be a good idea to have blood work done weekly for this reason. If she is not responding to the treatment she's already involved it, you may have to consider inpatient hospitalization.
Anorexia Nervosa (and any other E.D) is very difficult to understand. It is complex and one reason for the development of anorexia is not the same reason for someone else. Often, the reason is unknown.
At this time, your daughter is not in her right mind due to nutritional deficiencies, and just her overall condition. You may become frustrated with her (Like my mother was with me), but maintain your composure. Right now, she needs all the love and support she can get.
Good luck and I wish you, your daughter, & your family the best!

Sy

October 6, 2011 - 9:16am

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