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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 56516
Experience:  GP in the United States
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hello i have an eating disorder, i restrict, fast, and also

Resolved Question:

hello i have an eating disorder, i restrict, fast, and also i can binge and purge but lately ive been purging EVERYTHING from a binge to an apple, ive been getting sharp pains in my spine, my chest can ache aswell as stomach pains, i havent had a bowel movement in over a week, my urine is very dark, im fainting, feeling dizzy, headaches, feeling sick, my muscles ache all the time, i have no energy to do much i also keep getting pins and needles for no reason, cold 99% of the time the rest of the time im sweating and shaking
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Phil, MD replied 3 years ago.
Dr. Phil, MD :

Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

Dr. Phil, MD :

please enter chat

Dr. Phil, MD :

Hi I'm Dr. Phil

Dr. Phil, MD :

Can I ask your first name?

Customer:

rachel

Dr. Phil, MD :

Hi Rachel

Dr. Phil, MD :

nice to meet you

Dr. Phil, MD :

I'm very sorry about this

Dr. Phil, MD :

This is VERY concerning

Dr. Phil, MD :

you likely have kidney failure

Dr. Phil, MD :

you need to go to the hospital right away

Customer:

why do you think that? what symptoms show that?

Dr. Phil, MD :

The urinary symptoms

Dr. Phil, MD :

and the overall symptoms indicate an electrolyte problem

Customer:

whats that?

Dr. Phil, MD :

common in people in people with bulimia

Dr. Phil, MD :

it means your potassium is off

Customer:

is that important?

Dr. Phil, MD :

amongst other ones like sodium probably

Dr. Phil, MD :

yes potassium is critical to heart function

Customer:

isnt the dark urine a sign of dehydration?

Dr. Phil, MD :

yes

Dr. Phil, MD :

means the kidneys are shutting down too

Customer:

why? if im dehydrated why does that mean my kidneys are shutting down too?

Customer:

sorry for all the questions im trying to understand

Dr. Phil, MD :

no problem

Dr. Phil, MD :

little urination with dark urine and purging everything plus signs of electrolyte imbalance point to kidney failure

Dr. Phil, MD :

it is more of an overall picture

Customer:

okay so shall i book a gp appointment?

Customer:

or?

Dr. Phil, MD :

go to A and E

Customer:

i cant

Dr. Phil, MD :

why

Customer:

because my family will ask why..im 19 but as far as they know im 'recovered'

Dr. Phil, MD :

its your life

Dr. Phil, MD :

you could die Rachel

Customer:

what are the sign of electrolyte inbalance?

Customer:

signs*

Dr. Phil, MD :

the sweating, shaking, dizziness, weakness are all signs

Dr. Phil, MD :

that is usually how people die with eating disorders

Dr. Phil, MD :

from electrolyte problems

Customer:

i take thermogenics aswell could it be from that - the sweating?

Dr. Phil, MD :

possible but who knows

Dr. Phil, MD :

those are even harder on your heart

Customer:

why?

Dr. Phil, MD :

they are stimulants

Dr. Phil, MD :

make the heart pump harder

Dr. Phil, MD :

very dangerous combination you have going here Rachel

Customer:

im scared

Dr. Phil, MD :

Im scared for you

Customer:

what if its nothing? i think il be okay

Dr. Phil, MD :

get yourself to A and E and deal with your family later

Dr. Phil, MD :

maybe you will

Dr. Phil, MD :

maybe you won't

Dr. Phil, MD :

hard to say from my end

Dr. Phil, MD :

If you were my child, I would be very worried right now

Customer:

what signs are the most worrying?

Dr. Phil, MD :

the weakness,dizziness and the dark urine

Dr. Phil, MD :

ok Rachel

Dr. Phil, MD :

?

Customer:

i dont know what to do

Dr. Phil, MD :

go to A and E

Customer:

ive mentioned how i feel ill to my family, they just said hum yourll be ok

Dr. Phil, MD :

well maybe they need a wake up call

Customer:

no one around me seems concerned so im convincing myself there must be nothing to be concerned about

Dr. Phil, MD :

eating disorders are a terminal disease

Dr. Phil, MD :

you either die or get better

Dr. Phil, MD :

the people around you know nothing about it

Customer:

i dont want to die but i cant seem to let go

Dr. Phil, MD :

you need professional help

Customer:

i see someone at the ED clinic but find it hard to open up

Customer:

i have anxiety disorder too

Customer:

so i just tell them im okay

Dr. Phil, MD :

you have to continue to work Rachel

Dr. Phil, MD :

well be open with them

Customer:

so what are you saying you think is wrong exactly?

Dr. Phil, MD :

well I don't know why you have an eating disorder

Dr. Phil, MD :

they are usually deep rooted in trauma

Dr. Phil, MD :

however, right now you need medical help

Customer:

i mean medically what do you think is wrong exactly

Dr. Phil, MD :

elecrolytes are off

Customer:

okay so blood tests will confirm if they are or not?

Customer:

im so cold!

Dr. Phil, MD :

yes

Customer:

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

Dr. Phil, MD :

you're welcome Rachel

Dr. Phil, MD :

I wish you great luck

Dr. Phil, MD :

I'm sorry you are in this situation

Customer:

thank you

Dr. Phil, MD :

:)

Dr. Phil, MD :

you rated bad service rachel

Customer:

aaah!

Customer:

how do i change my rating

Dr. Phil, MD :

just switch it excellent :)

Dr. Phil, MD :

no worries :)

Customer:

done so sorry about that!

Customer:

:)

Dr. Phil, MD and 3 other Medical Specialists are ready to help you
Expert:  Dr. Phil, MD replied 3 years ago.
I appreciate the excellent rating.

I would be happy to help you in the future. Just ask for feedback. Thank you. :) Dr. Phil in your question opening or bookmark this page http://www.justanswer.co.uk/medical/expert-irondoc/

I greatly appreciate a positive rating in the customer satisfaction survey that you will receive via email. It is important for me to get your feedback. Thank you. :)