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

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my d called me from school saying she has diarrhea and nausea. I am skeptical of a true viral illness versus anxiety and ED symptoms. It was a gastrointestinal infection (laboratory proven) which may have been the trigger for her ARFID last year. 

Any tips on how to handle GI illnesses? I imagine it’ll be doubly hard to get her to eat if truly fighting off a bug.
So there is the hydration perspective, so keep her drinking, clear fluids good. Ie ginger ale, pedialyte or pedialyte popsicles. Dehydration in children can be life threatening. If she is able to eat, then try soft, liquidy foods, ie yogurt, soups, icecreams, soft sandwiches, try to keep up her daily caloric requirements. But if she is vomiting all the time, that may be hard. If you are skeptical about the viral illness, look at her poop to see if it really is diarrhea.. I know really gross, but then you will know or she won't let you see and then you know as well.

Could also try dry toast, crackers with jams, bananas, fruits etc..Fever control if needed may help too so that she can eat. I know when I am ill, fatty foods just make me more ill... so see how it goes and a virus should be gone in a few days. Yes I understand the worry about the virus causing a backwards slide... so see how she looks to you to see if she is really ill or not. 
Hope it goes well. 
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 mtkmbc4,

The combo of ED and the regular colds and tummy bugs we all get is indeed pretty miserable. When my son picked up any bugs I kept to our regular schedule of 3 meals and 3 snacks at the regular times. I think it is very important to set the expectation that regardless of the situation, eating is still obligatory. I didn't need to say much, my behaviour set that expectation.

I did move to more liquid foods and those days were definitely lower in calories. I served lots of juices (you can add some rapeseed oil to it and stir well), high calorie soups and stews. I served toast buttered when hot and again when cold and apple sauce with oil stirred in. He our course was reluctant to eat but I was quite matter of fact but sympathetic. My tone was warmer and the support notched up by, for example, sitting closer or bringing the food to the bed/couch. And I pushed to get back to food asap, within a day or two.

And it goes without saying that if you notice any symptoms that you think unusual or scary to get medical advice. We can call the doctor on call here and describe the history and symptoms and get their advice on whether an in-person visit is needed. Often, they know the bugs going around.

Hope she gets better soon and none of the rest of you get it too. Oh, on that note, everyone else in the family got the winter vomiting bug one year and I avoided it by washing my hands very frequently and wiping down the toilet, sink, taps and door handle anytime someone used the bathroom. Obviously be careful with this tactic if anyone in the house has OCD. 

Warm wishes,

2015 12yo son restricting but no body image issues, no fat phobia; lost weight IP! Oct 2015 home, stable but no progress. Medical hosp to kick start recovery Feb 2016. Slowly and cautiously gaining weight at home and seeing signs of our real kid.

May 2017 Hovering around WR. Mood great, mostly. Building up hour by hour at school after 18 months at home. Summer 2017 Happy, first trip away in years, food variety, begin socialising. Sept 2017, back to school FT first time in 2 years. [thumb] 2018 growing so fast hard to keep pace with weight
  • Swedish proverb: Love me when I least deserve it because that's when I need it most.
  • We are what we repeatedly do. Excellence Recovery, then, is not an act but a habit. Aristotle.
  • If the plan doesn't work, change the plan but never the goal.
  • We cannot control the wind but we can direct the sail.
We went to visit family (it was more than a year ago) and she told me she was nauseous and didn't want to eat, but I was sceptical. So I encourage her to eat, but several hours later she was throwing it all up, and couldn't keep anything down. In the end she needed anti - nausea tablets to keep anything down. Karma was swift and I got the bug as well :-(

Like the others have said, keep the fluids up and seek medical attentions if nothing stays in. 

Hope she is feeling better soon.
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
deenl wrote:
 When my son picked up any bugs I kept to our regular schedule of 3 meals and 3 snacks at the regular times.

Same.  Especially if the claim is just nausea and diarrhea (without actual vomiting).   Nausea is super common during refeeding, and diarrhea is never an excuse to avoid eating.   If ED senses that nausea and diarrhea result in reduction in nutrition ... quite predictable that you will hear in increase in complaints about nausea and diarrhea.

There are some good threads on feeding through illnesses that involve vomiting if that becomes and issue

Keep swimming. xx

"We are angels of hope, of healing, and of light. Darkness flees from us." -YP 
Even if it is hard, keep feeding although she is ill. Food has to go in. No excuses for that.
Keep feeding. There is light at the end of the tunnel.