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

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Just looking for some guidance. D is in recovery from AN. Discharged after 7 months IP in Mar 14 and WR for 12 months. She is still eating a very fixed 2600 cal per day meal plan and we have not drifted from this for 9 months.

As a further step in her recovery she ate with the family over the past couple of days, yes everything was weighed and measured but she had the same as everyone else. Huge achievement and she was very proud.

Last night I made her a smoothie ( as she was light on calories for the day!!). She drank it and said she felt sick. She does this a lot to try and get out Iof eating anything but has not even sick for about 7 years so I usually just plough on and keep feeding.

3 hours later we were awoken by a very distressed D who had been very sick , took her by surprise so it was everywhere :-(

She was sick a couple more times but all within 20 mins, no stomach pain just nausea. We cleaned her up and popped her back to bed with a glass of water to sip.

This morning she is wobbly but sipping water fine, (if prompted, she doesn't normally drink water unless made to) normally I would start to introduce things like dry toast, rice etc slowly but I am aware that this will be well beliow her 2600 cal target and she will know it. ED will too.

I don't want to cause her to vomit again but I also don't want get to get comfortable with feeling empty again.

I don't think it's a bug or something she has eaten I think it wad probably a result of being exhausted, 2 exciting days with family and eating lots of different foods.

What do I do, treat her like a normal child who has vomited , or treat her like a child with AN and feed regardless.?

Anyone had any experience with this? Is there a right answer even?

"Dont judge a book by its cover"
I say hooray for her being able to be with everyone and eat the same food. This is a great victory.

I think I would be careful what message I gave her regarding vomiting. You know ED will twist it if it can. I think I might tell her she had a virus - and use this to show her how to manage her ED when she gets sick. She will need to know that for her future. I'm thinking if you tell her it's because of the new food and excitement her ED may torture her for this and make it harder to build upon this success.

I'd treat her like a kid who got sick and happens to have an ED. Tell her she needs to rest, take a warm shower, feed her toast, rice, bananas, apple sauce and add to it when you think you can. Soon you will have her back eating but may need to add additional food to get her back to her pre-"virus" weight. It's scary I know. Both of you have worked so long and hard to be to WR don't let her loose more than 5lbs. My son has been sick a few times since ED but none worse than this past week. He had the full fledged flu and was a mess for 3 days. Ssince we have discussed illness management he knows the few days after he feels better are critical to keep his ED in remission.

I hope she feels better soon and learns a bit about managing her ED....
Son diagnosed @ 12.5 yrs old with Severe RAN 2/11. Co-morbids - anxiety, Active restriction for 3 months. He stopped eating completely 2x. He needed immediate, aggressive treatment from a provider who specialized in eating disorders, adolescents and males. We got that at Kartini Clinic. WR since 5/11. 2017 getting ready to graduate slipping lost 8lbs. Fighting our way back.
Liquid like Gatorade, goner ale and sprite can be more soothing to stomach and have some calories
Agree with ttp; everyone gets sick from time to time, and for our ED kids, it is kind of scary.  
Being calm, starting off lightly with the BRAT diet (bananas, rice, applesauce, toast) and working up to full nutrition/caloric intake as soon as possible.

As it happens, my d is just recovering from a tonsillectomy.  Totally scared me, as we knew she would lose some weight initially.

Fortunately, she is far enough along in recovery to be a full partner in this, and we had some help from the dietician that she checks in with once/month.

In her case, she had to have very soft foods, mostly liquids, and no dairy for a few days.  We used coconut milk/ice cream to very good advantage (much higher caloric count than regular milk/ice cream), Carnation Instant Breakfast, honey, juices....we shopped beforehand together, and got the full fat version of everything we could find.  

My point is, that we all have to help our kids weather illness or surgery sometime, and it's good to be prepared.  Some weight loss will be inevitable, but should be able to be made up fairly quickly.

All the best, as you manage this little 'blip'.
It is good to not only hope to be successful, but to expect it and accept it--Maya Angelou