25-year-old female suffering from Anorexia Nervosa!!

[Shamita]

Hello, my 25-year-old sister, married for 5 years, educated up to 10th standard, currently a homemaker, living with husband's family in Urban Bangalore; presented with complaints of gradual loss of weight, recurrent episodes of vomiting, from a period of 2 years, menstrual irregularities from 1 year and amenorrhea since 6 months, with a probable precipitating factor being husband's critical comment about her weight. Patient was reported to be dull and inactive most of the times since her marriage able to carry out her activities of daily living adequately. With symptoms of weight loss and amenorrhea, she was evaluated by a physician. A series of investigations were conducted in the background of suspected tuberculosis, anemia for evaluation and abdominal tumors. However, all the investigations were well within normal limits except low hemoglobin. She was further evaluated by a gastroenterologist; an intestinal biopsy was done to rule out malabsorption syndrome. Gynecological opinion was taken in the background of amenorrhea and infertility, and was advised endometrial biopsy. Endocrinologist was seen and investigations conducted were normal. Thus, no clear cut cause could be established to the loss of weight. The patient was referred to psychiatric consultation by her treating physician as she appeared less cheerful, dull, and inactive and decreased interest in sex. Doctor advised her on detailed evaluation that she is suffering from Anorexia Nervosa. How to treat this?

[Shikha]

@shamita Treatment for anorexia is generally done using a team approach, which includes doctors, mental health professionals and dietitians, all with experience in eating disorders. Ongoing therapy and nutrition education are highly important to continued recovery. Some clinics specialize in treating people with eating disorders. They may offer day programs or residential programs rather than full hospitalization. Specialized eating disorder programs may offer more-intensive treatment over longer periods of time. Because of the host of complications anorexia causes, you may need frequent monitoring of vital signs, hydration level and electrolytes, as well as related physical conditions. In severe cases, people with anorexia may initially require feeding through a tube that's placed in their nose and goes to the stomach (nasogastric tube). Care is usually coordinated by a primary care doctor or a mental health professional, with other professionals involved. One of the biggest challenges in treating anorexia is that people may not want treatment. Barriers to treatment may include: Thinking you don't need treatment
Fearing weight gain
Not seeing anorexia as an illness but rather a lifestyle choice
People with anorexia can recover. However, they're at increased risk of relapse during periods of high stress or during triggering situations. Ongoing therapy or periodic appointments during times of stress may help you stay healthy.