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

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bccka5
The moment I've been dreading has finally come to fruition. My 5 year old started throwing up today. I knew this day would eventually come so I'm hoping you all could give me some pointers. 

My 14 year old anorexic d is in 2 year recovery. She has only had her period for less than a year but stopped for the past 2 months (unbeknownst to me). The doctor wasn't alarmed (I was, but dr knows to play it cool in front of my d) and gave us a new goal weight range. We caught up with the weight by 2 lbs., and lo and behold she started her period this week.

My d's biggest anxiety is being around germs and puke.Luckily, the flu bug my little one has is pretty minor, but anytime she eats, she throws it up. In between, she wants to color and feels fine.

My oldest has isolated herself to her room. I noticed every time i asked her to come downstairs, she disappeared very quickly. She started experiencing sharp pain in her abdomen, which I know to be major anxiety. As I learned, she's afraid to even breathe the same air as her little sister which is why she's making herself scarce. 

I know a part of dealing with anxiety is facing the fear. We talked through her anxiety during dinner and discussed how she needed to use some skills to get her through (cue the little one running to puke in the toilet). After the drama, I distracted her by asking her to help clean out a desk drawer. Before you know it, she was tearing apart more and more drawers and organizing them with me. (Yes, I'm pretty happy that cleaning became a great distraction).

She was overwhelmed by all the junk forgot about the anxiety she was experiencing about the germs. Whew. We made it through this evening but I'm concerned about the upcoming days. 

She has a really high immune system and rarely gets sick (surprisingly). If she does get sick, it's usually very mild but I'm very concerned about a relapse considering she's just bordering on her ideal weight. I plan on packing in the calories the next few days just to help get her over the hump and to have some wiggle room. 

Fingers crossed she doesn't get sick, but does anyone have any suggestions on how to handle the anxiety we're going to be dealing with over the next few days? If she does get sick, I would also like some pointers on how to feed her and manage. I would imagine that smoothies would be the best approach?


Daughter diagnosed with anorexia at 12 in 2013 without having any image issues/concerns about calories or exercise. Hospitalized - 3 days. FBT at home along with outpatient therapy - 16 weeks. Recovered/weight restored - 4 years. Still gaining and growing but has no hunger signs yet.  
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Rayney
Aww bless ya, my dd caught my husbands bug yesterday (we are also into this just over a year from diagnosis) and whilst we don't have the same anxiety issues such as germs we were worried about this given it may cause a relapse or an excuse to starve again.  However despite she didn't eat yesterday after majorly being sick yesterday evening, this morning she has eaten a light breakfast, but surprisingly she wanted her usual !! I think it was due to her wanting to go out with her friends and I just didn't give her usual as it may be a bit heavy to try first, however I have been clear with her that if she is o.k that at lunch we are back to the usual menu.  We will see at lunch.  I don't know if others have found this but I have learnt during this process that the triggers and worries that seem logical i.e friendships and boyfriend fall outs and sickness bugs do not always affect my daughter but other things like a post on fbook will..................may just be us.  It seems like you are doing great with distractions etc, good luck.x
17 years old, well into recovery and taking full control of food herself and gaining weight, she's loving life at the minute, it does get better!!
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bccka5
My d made it through the anxiety issues this past weekend but lo and behold I got a call from school today. She felt nauseous all day and finally threw up late tonight at her last snack. She is already nervous about tomorrow and I'm not sure how to feed her during this time. If she can't keep anything down, do I still make her eat? I will obviously push the fluids but even that made her throw up. Is it important to get high calories in or just try for the basic brat diet until she manage food again? Any suggestions would be really appreciated.
Daughter diagnosed with anorexia at 12 in 2013 without having any image issues/concerns about calories or exercise. Hospitalized - 3 days. FBT at home along with outpatient therapy - 16 weeks. Recovered/weight restored - 4 years. Still gaining and growing but has no hunger signs yet.  
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atdt31_US
I have seen other threads where the veterans say they treat it like normal but get back on it as soon as she is over it. Here are few links, but if you search flu you will get several more.  Sorry you and your family are dealing with this sort of illness in the midst of the holiday and ED stress.

http://www.aroundthedinnertable.org/post/any-flu-tips-6702016?highlight=flu&pid=1281046883#gsc.tab=0

see psycho mom's post here for high cal/easy on tummy tips:   http://www.aroundthedinnertable.org/post/severe-stomach-flu-advice-needed-7018422?highlight=flu&pid=1283745423#gsc.tab=0
Mom of either pre-diagnosis or non-ed underweight 12 yoa (as of March 2018) kid here to learn how to achieve weight gain.  BMI steadily in the mid 12's for nearly her entire life.  Born 2006. UPDATE:  April 2018 diagnosed ARFID, based solely on weight being less than 75% of Ideal Body Weight.  Mildly picky, but mostly the problem is a volume/early satiety issue, along with abdominal discomfort and chronic constipation, all present since birth. FWIW ED-D is a fraternal twin and we have no other kids.
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Rayney
I set a limit as usual these can be 24 hour bugs so I said o.k from her being sick until the morning just water as she couldn't stomach anything, then in the morning I gave her a lighter breakfast and said, we will be back to normal by lunch. Setting this expectation helped my daughter and she then knew there was no use pushing it. We were back on it at lunch and so far so good.  I hope this helps, its just what you need for a child with ED a stomach bug!!x
17 years old, well into recovery and taking full control of food herself and gaining weight, she's loving life at the minute, it does get better!!
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bccka5
These are some great suggestions.  I didn't even think to do a search on here. Duh.

You're right, there are a lot of other posts that I can scan through. Now my non ED son is throwing up. Ugh!

Thank you!!
Daughter diagnosed with anorexia at 12 in 2013 without having any image issues/concerns about calories or exercise. Hospitalized - 3 days. FBT at home along with outpatient therapy - 16 weeks. Recovered/weight restored - 4 years. Still gaining and growing but has no hunger signs yet.  
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sk8r31
It's both terrible and terrifying when our kids battling ED get ill with the flu.  Knowing that this is bound to come up sooner or later in every kid's journey, the main thing is not to panic.

As mentioned earlier, many bugs just last 24 hours or so.  Keep up the liquids, broth, gatorade, oj...whatever is tolerated.  Then start to add back slowly with things like scrambled eggs, toast with butter etc.

The BRAT diet is commonly used for anyone recovering from a stomach bug...Bananas, Rice, Applesauce, Toast.  You should be able to get back on track quickly, once the vomiting is over.  Smoothies will be your friend as your kid starts to recover.

Our d battled through a few bouts of flu, getting wisdom teeth removed, and getting tonsils removed all over the past 3 years, and weathered it just fine.  Count on the possibility of some initial weight loss, depending on the length & severity of the illness...but you and your kid will be able to bounce back.

Hang in there!
It is good to not only hope to be successful, but to expect it and accept it--Maya Angelou
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