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

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My 14 yo daughter has been in treatment for her ED for 11 months, weight restored since September.  She still has a lot of fear foods but is consistent with eating.  Lately she is struggling with nausea at almost every lunch and dinner that is making it very difficult to eat.  She is avoiding more foods that she says make her nauseous, although she is maintaining her weight and not restricting altogether. She struggles with anxiety, so we also think her nausea is based partly in anxiety around eating certain foods, and avoiding them is making it worse.  Any ideas of how to help her through this?

Welcome and great job on WR. 
Some kids have nausea at the beginning as as the stomach stretches and gets used to the job of digesting, it can get better. Sometimes too the nausea is psychological and we need to just push through it and distract. If she ate those food before with no issues, I would tend toopersistent. I understand the anxiety and then she avoid so the best thing to do is to push those foods more. That way she will learn to tolerate them. If she maintaining her weight she may be losing when you look at a curve. She should be gaining a little bit over time. She is only 14 and should be gaining into her 20's. Many have noted that the WR goal set by the team was a lot less than the child should have been. My d's goal was 40percentile for age. I found at 55th percentile really is the best for her. 

Your D may need more weight and it may help. Either way it should not hurt. Do you feel she may needs meds for anxiety or would learning some breathing techniques to get through the nausea help? 

Do you have a team? What are their thoughts?

Please ask all the questions you have .We all wish to help.
With so many members, there are so  many voices of wisdom. 
I hope we can provide the information you seek that will lessen you load

When within yourself you find the road, the right road will open.  (Dejan Stojanovic)

Food+more food+time+love+good professional help+ATDT+no exercise+ state not just weight+/- the "right" medicine= healing---> recovery(--->life without ED)
Hi my D 17 had a lot of nausea too. She even would throw up involuntarily in front of me from her nausea. It was awful and I felt hopless but it seems to have passed. It did last a couple months though. 
I tried to not let it scare me - though it did- in front of her. I remained calm and reassuring  that it would pass and it finally seems to  BUT I was completely panicked inside. 

Couple tips- there are meds for it. My D AN doctor gave her vistaril that she took before each meal for a while. It helped enough to get through. Eventually as it started to pass she would forget to take the meds before meals which was a great sign. Also there are some prescription anti-nausea meds that are safe to try. If she has a doctor, you might want to ask. It really helped us push through. My D also has long standing pretty severe anxiety and I am 100% positive that was a huge role. Meds helped us. 
My d, too, was among the many who suffered from nausea during refeeding.  In general, I acknowledged her discomfort ("I'm really sorry this is so hard") and then changed the subject.  Distraction helped some.  It's so unfortunate that they have to go through this.

I'm a little confused by your statement that "She is avoiding more foods."  As she is only 14, I wonder if / why she has a choice in what she consumes.  If she is permitted to avoid foods, I'm afraid more and more foods will be added to that list.  xx

"We are angels of hope, of healing, and of light. Darkness flees from us." -YP