FROM THE INFO GIVEN BY U, U SEEM TO BE HAVING SEVERE ANOREXIA. UR CALORIE INTAKE IS GROSSLY INADEQUATE AND U SEEM TO BE HAVING BODY IMAGE DISTORTION ALSO- U ARE PERCEIVING URSELF AS OVERWEIGHT EVEN WHEN U ARE NOT.
BECAUSE OF VERY INADEQUATE INTAKE, THE MUCOSAL LINING OF YOUR GASTROINTESTINAL SYSTEM CAN GET ATROPHIED, THE ENZYMES MUCH NEEDED FOR THE PROCESS OF DIGESTION ARE NOT SECRETED, HENCE THE DIARRHOEA AND INABILITY TO TOLERATE NORMAL HEALTHY FOOD
FAINTING AND DIZZINESS ARE BECAUSE OF
SEVERE MALNUTRITION DUE TO UR SELF-IMPOSED STARVATION.. HERE ARE MY SUGGESTIONS-
1.TRY LOWER DOSES OF THE DRUGS. IN PLACE OF CITALOPRAM, TRY
FLUOXETINE 20 MG /DAY FOR 1 WEEK AND LATER ON INCREASED TO 40 MG AFTER 1 WEEK.
2. KINDLY STOP
PROPRANOLOL AS IT CAN INC DIZZINESS AND CAUSE
HYPOTENSION.
3. COGNITIVE
BEHAVIORAL THERAPY (CBT) WILL HELP U. MEET A
PSYCHIATRIST WHO WILL TAKE U UP FOR CBT.
I ALSO RECOMMEND INPATIENT PSYCHIATRIC CARE. EAT SMALL MEALS AT 3-4 HOUR INTERVALS. INITIALLY U MAY REQUIRE NASOGASTRIC FEEDING
DR SMRITHI