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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy To Bring Normal Eating Habits

I think I might be in some trouble. I m a twenty year old woman, 5 9 and 136 lb, though about two months ago I was actually 161 lb. I ve lost so much weight so quickly because of the re-emergence of my past bad eating habits. I ve begun fasting, which usually ends in a food binge after a few days, then purging by vomiting or fasting again. On a day where I m not doing any of those things I just keep to 1000 calories a day. I ve known for quite a while that I probably have an eating disorder, though I ve never seen a doctor about it; a friend of mine with Bulimia told me her doctor did not believe she was a serious case. Maybe I m not a serious case either; but I certainly know I probably will be if I let things spin out of control again. About two years ago I weighed 110 lb due to the same eating habits, and even had to end my first uni course due to the stress and pressure getting too overwhelming on top of the food issues. Recently, why I m writing this actually, is that in the last month or so I ve been getting bad chest pains that I ve never felt before; they seem to start up after vomiting or if I ve drank a lot of coffee, so now I m scared my heart is in trouble as well as the rest of me. Will I be eligible for help if I see my family doctor about this, as I m not sure whether the problem is something only therapists would be qualified to deal with. My constant struggle with eating normally and rollercoaster weight changes are making me very, very unhappy with my life and I m not sure how much of this I can cope with.
Wed, 13 May 2015
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Psychologist 's  Response
Thanks for writing.I would suggest you to maintain a journal of all food intake in a day along with activity.Don't do fasting or purging by vomiting,just try to make few rules to eat properly.Eat a small meal in every two hours.The quantity of food not more than two handful of yours.Avoid unwanted indirect fat e.g.cake,biscuits etc.Celebrate fruit/vegetable day once in a week.
Dont worry about chest pain if it occured only once. Most important try to be happy and have patience.
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Suggest Remedy To Bring Normal Eating Habits

Thanks for writing.I would suggest you to maintain a journal of all food intake in a day along with activity.Don t do fasting or purging by vomiting,just try to make few rules to eat properly.Eat a small meal in every two hours.The quantity of food not more than two handful of yours.Avoid unwanted indirect fat e.g.cake,biscuits etc.Celebrate fruit/vegetable day once in a week. Dont worry about chest pain if it occured only once. Most important try to be happy and have patience.