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It’s worth checking out vs being sorry later. ESP if your parent Spidey sense is going off. Go go to eating issues group at Children’s or Inova.
Taking a loose definition of “eating disorder” a good book is how to nourish your child through an eating disorder- with helpful tips that can apply to all kids and nutrition This is a key age for development (brain and body). As some who’s on the other side - worth at least investigating with a real informed doctor (many pediatricians aren’t well trained beyond what’s typical ranges) who knows the latest and best research… and not anecdotal or “in read once” DCUM advice. |
Mine fell off his growth trajectories (weight first, then height) starting around age 13. He seemed to be eating normally at home, but over time got pickier and pickier. Finally asked ped & psychiatrist (whom he was seeing for anxiety) to check for eating disorders. Everyone said it seemed ok & not to worry, but he kept not eating much and not growing.. Fast forward 3 years: just before this past Thanksgiving, DS finally admitted to me that he’d been skipping lunch (no snacks either) for the past ~3 years and binge-purging up to 7x per day since last Sept. After bringing him in for a health check & explaining circumstances to pediatrician, his ped said - ‘your BMI is nice and low’! Wtf says this to a kid who has just been brought in for restricting to <1000cal/day? We are obviously changing peds; but relating this to let you know that there are a lot of licensed doctors out there who are utterly clueless about eating disorders. Have it checked out by someone with a background in EDs. Anorexia & bulimia are sneaky diseases. |
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OP, it is wise to get him to the pediatrician. I have a teen daughter who was dx’d with anorexia nervosa (restricting type) this past August. The red flag was at her routine checkup where her growth chart had changed patterns. When their own growth trajectory changes it is a warning sign. A few weeks later she admitted that she had been restricting (they are sneaky) and now she is in treatment for an ed at Children’s National.
She wasn’t often hungry because of her adhd meds and then liked the weight loss so also started restricting. She liked the sense of control it gave her. She is now on the long road to recovery. The myth is that boys don’t develop ed’s. It’s just not true. |
This is my just turned 12 year old too and my doctor is not worried. Just said “it’s coming.” He has body odor (has since 8ish) but no other signs of puberty. But OP’s kid needs to eat more. My kid likes smoothies with banana, strawberry, and almond butter. Chocolate milk is a good idea, too, OP. And more pizza, since he likes that. |
I’m sorry. Good for you for being on top of things. EDs are so very complex. |
This. I fell off the growth charts for height but never enough for weight to flag concerns. Did not have the typical stomach issues aside from minor constipation, but I had a history of foods I did not like because I associated them with feeling bad. Wasn't diagnosed until my 30s. We screened our kids as toddlers and my DS has it too. |
Thank you for this story. I am one of PPs with a son on ADHD meds that has fallen off his growth chart. I am trying to be very attuned to the possibility that an ED could develop in this situation. The good news for us, right now, is that he gained weight when we briefly stopped the ADHD meds, so I do think our primary issue right now is simply not being hungry and not liking being forced to eat when he's not hungry (which I totally understand, and would never do in the ordinary course, but he needs to nourish his body). Anyway, it can all be so complicated. He absolutely fell apart at school off the ADHD meds, so we are going back on and trying an appetite stimulant. With your experience in mind, I will keep a lookout for signs that an ED might be at play if our interventions have no effect. |
Seconding this recommendation. A lot of pediatricians associate it with GI issues but the "classic" presentation isn't always there, and you can have any combo of ~200 different symptoms (or none). Worth asking about bloodwork just to rule it out. |