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Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
please enter chat
Hi I'm Dr. Phil
Can I ask your first name?
nice to meet you
I'm very sorry about this
This is VERY concerning
you likely have kidney failure
you need to go to the hospital right away
why do you think that? what symptoms show that?
The urinary symptoms
and the overall symptoms indicate an electrolyte problem
common in people in people with bulimia
it means your potassium is off
is that important?
amongst other ones like sodium probably
yes potassium is critical to heart function
isnt the dark urine a sign of dehydration?
means the kidneys are shutting down too
why? if im dehydrated why does that mean my kidneys are shutting down too?
sorry for all the questions im trying to understand
little urination with dark urine and purging everything plus signs of electrolyte imbalance point to kidney failure
it is more of an overall picture
okay so shall i book a gp appointment?
go to A and E
because my family will ask why..im 19 but as far as they know im 'recovered'
its your life
you could die Rachel
what are the sign of electrolyte inbalance?
the sweating, shaking, dizziness, weakness are all signs
that is usually how people die with eating disorders
from electrolyte problems
i take thermogenics aswell could it be from that - the sweating?
possible but who knows
those are even harder on your heart
they are stimulants
make the heart pump harder
very dangerous combination you have going here Rachel
Im scared for you
what if its nothing? i think il be okay
get yourself to A and E and deal with your family later
maybe you will
maybe you won't
hard to say from my end
If you were my child, I would be very worried right now
what signs are the most worrying?
the weakness,dizziness and the dark urine
i dont know what to do
ive mentioned how i feel ill to my family, they just said hum yourll be ok
well maybe they need a wake up call
no one around me seems concerned so im convincing myself there must be nothing to be concerned about
eating disorders are a terminal disease
you either die or get better
the people around you know nothing about it
i dont want to die but i cant seem to let go
you need professional help
i see someone at the ED clinic but find it hard to open up
i have anxiety disorder too
so i just tell them im okay
you have to continue to work Rachel
well be open with them
so what are you saying you think is wrong exactly?
well I don't know why you have an eating disorder
they are usually deep rooted in trauma
however, right now you need medical help
i mean medically what do you think is wrong exactly
elecrolytes are off
okay so blood tests will confirm if they are or not?
im so cold!
okay thank you very much, sorry for all the questions i really appreciate all your help, i will be rating this excellent thank you again
you're welcome Rachel
I wish you great luck
I'm sorry you are in this situation
you rated bad service rachel
how do i change my rating
just switch it excellent :)
no worries :)
done so sorry about that!