F.E.A.S.T's Around The Dinner Table forum

Welcome to F.E.A.S.T's Around The Dinner Table forum. This is a free service provided for parents of those suffering from eating disorders. It is moderated by kind, experienced, parent caregivers trained to guide you in how to use the forum and how to find resources to help you support your family member. This forum is for parents of patients with all eating disorder diagnoses, all ages, around the world.

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seekinglife
First post in a while...wish I could say good things but my D isn’t doing good. She is now 21 and reached out for treatment herself which we’re proud of but is declining.

D is purging everything she eats and experiences binging and purging sometimes multiple times a day. She doesn’t eat besides those instances. In the last week D has lost 3 lbs, putting her at a BMI of 15.4. D hardly leaves bed and has little interest in anything, either sleeping, smoking or on her phone. D wants to get better but feels trapped.

Onto the topic, her labs this week were all normal range-even her potassium at 3.5! She is on a waiting list for treatment and I’m scared this will effect how they view the severity of D’s anorexia. Is it possible to have normal labs when honestly my D looks and feels like death?

praying she gets admitted soon

seekinglife
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tina72
It is sad but it is possible. The d of a friend was purging for a long time and had normal labs too. Mine was nearly dying when she went IP but had normal labs...this is part of the disease. And the reason why so many patients do not get help because the doctors must be able to see what their state really is and not only rely on the labs. AN patients can die on a normal weight range and with normal labs.
Keep feeding. There is light at the end of the tunnel.
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Mamaroo
Sorry you have to struggle so much to get her into treatment. Like Tina said, you can get normal lab results even if you are very ill. I would suggest to go back to the dr and ask that to check her heart, either with an ECG or by checking her heart rate and blood pressure lying down and then standing up (orthostatic blood pressure). My d was finally admitted to IP due to her heart (her heart beat was in the 50s bmp). If your d feels dizzy or faints, take her to the emergency department. Sending you lots of hugs 🤗🤗🤗

 
D became obsessed with exercise at age 9 and started eating 'healthy' at age 9.5. Restricting couple of months later. IP for 2 weeks at age 10. Slowly refed for months on Ensures alone, followed by swap over with food at a snails pace. WR after a year at age 11 in March 2017. View my recipes on my YouTube channel: https://www.youtube.com/channel/UCKLW6A6sDO3ZDq8npNm8_ww
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tina72
I would recommend you buy a blood pressure machine to do orthostatic blood pressure regularly and check her pulse also. My d had a pulse below 40 when she was admitted and severe heart problems that were not seen in the labs.
If you need to take her to emergency take the AED medical guildelines with you as there might be doctors there that do not know anything about EDs.
Keep feeding. There is light at the end of the tunnel.
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Foodsupport_AUS
Normal labs are actually very common even with very sick patients. They really just indicate something that may need to be immediately remedied. That potassium may be in the normal range, but it is at the very lower limit of normal. If not planned I would ask for an early repeat since she is purging daily. It may not be normal for long. I hope she gets a place soon. I agree that a very low threshold for requesting urgent admission, emergency is needed. 
D diagnosed restrictive AN June 2010 age 13.5. Weight restored July 2012. Relapse and now clawing our way back. Treatment: multiple hospitalisations and individual and family therapy.
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