Sunday, November 24, 2013

Eating disorder?

I'm wondering if a childhood of pain and feeling poorly secondary to Crohn's can psychologically change the child to have an aversion to food.

My daughter's GI thinks that her Crohn's isn't in flare (normal labs and calprotectin, no pain, etc), but she has ongoing loss of appetite and frequently feels nauseated or "gushy" in the stomach if she eats.  Some days she won't eat at all because of this aversion to food.  She has definitely found a hypersensitivity to some textures (lumps in potatoes, graininess of some foods, etc).  Her GI is suggesting IBS, but without pain, constipation or diarrhea, I am doubtful of this diagnosis along with her Crohn's.  Pumpkin has a history of seizures and the IBS meds she is suggesting (amitryptiline, desipramine) can lower seizure threshold as well as potentially cause suicidal ideation, anorexia, nausea, etc.  Pumpkin did get suicidal on two seizure meds, and I am loathe to go back there.