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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Diarrhea When Diagnosed With Anorexia

I currently suffer with anorexia, I starve myself most days but when I do eat I m limited to 400 calories for the day. My ideal weight Id like to be is 5 stone. I currently weigh 9stone 2lbs and am 5ft 7inches. I am currently seeing a therapist which is helping me deal with my depression and anxiety. I m on citalopram 40mg, propanol 20mg and iron tablets for my anemia. I see my doctor weekly. Anyway my question is why am I getting diarrhoea everytime I eat something. I don t take laxatives or purge. My body seems to not be able to keep any food. My periods have stopped, I faint on a daily basis and have constant dizzy spells, I also get heart palpitations and chest pains. When I do eat foods I often binge on fatty things like chocolate but I m now getting diarrhoea when I eat the smallest or healthiest things like a piece of apple of whole grain pasta. Please help me :(
Mon, 21 Sep 2015
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Psychiatrist, Child 's  Response
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
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Ayurveda Specialist Dr. Rajesh Choda's  Response
You have to be treated for Madagni i.e. diminished 'Agni (fire of digestive system i.e. enzymes n secretions). This is fail proof concept of Ayurveda.

All the Doshas (Humours) should be balanced, all the elements ('Saptadhatus') need to be properly nourished.

With simple herbs and food protocols and following some do's and dont's, a lot of improvement can be achieved.

Soul, Senses and mind may be made happy (Prassanaatmendriya Manah) with little deep breathing and meditation. And it doesn't require you to break the mountain. Little determination to get the support of Ayurveda herbals and gradual withdrawal from toxic drugs will do the trick.

If interested, pl consult through direct question.

Hope it will start helping you soon.
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Suggest Treatment For Diarrhea When Diagnosed With Anorexia

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