Am I Experiencing Mild Anorexia? Eating Disorders

Do I have mild anorexia?

I am 158 cm tall and weigh 55 kg, which I consider slightly overweight.
I have been trying to lose weight for about three months and have lost 5 kg so far.
During these three months, I have been eating very little at each meal, keeping my daily caloric intake under 1300 calories.
At first, it was very difficult, and I forced myself to resist the urge to eat.
However, starting last week, I suddenly lost my appetite.
After eating one slice of toast for breakfast, just the thought of eating another slice makes me feel like I will gain weight, so I can't eat anymore.
For lunch, I only take a few bites of vegetables, and for dinner, I eat a guava the size of my fist.
I am worried that I might be developing anorexia.
Recently, I have been trying to force myself to eat a bit more, but whenever I do, I feel very bloated and nauseous.
I want to improve, but I always feel that if I eat even one more bite, I will gain weight.
I am hesitant about whether I should eat more or not.
Since my weight is normal, I am unsure if I have a mild form of anorexia.

Tòngkǔ de rén, 10~19 year old female. Ask Date: 2017/11/19

Dr. Liao Yaopan reply Family Medicine

It is advisable to seek assistance from a psychiatrist for evaluation, and also to be aware of any potential nutritional imbalances.
Please note that online consultations do not equate to in-person medical visits and cannot provide accurate diagnoses or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2017/11/19

More Info

It sounds like you are experiencing some concerning symptoms related to your eating habits and body image. Based on your description, it is possible that you are exhibiting signs of an eating disorder, specifically anorexia nervosa or a related condition. Anorexia is characterized by an intense fear of gaining weight, a distorted body image, and restrictive eating behaviors that can lead to significant weight loss and nutritional deficiencies.

Your height and weight indicate that you are within a normal weight range, but the fact that you are controlling your caloric intake to 1300 calories per day and experiencing distress around food suggests that you may be developing unhealthy eating patterns. The feelings of guilt or anxiety associated with eating more than you believe you should, as well as the physical symptoms of bloating and nausea when you do eat, are also concerning.

It's important to recognize that eating disorders can manifest in various ways and do not always align with societal definitions of "underweight." Many individuals with anorexia may still be at a normal weight but struggle with the psychological aspects of the disorder. The key indicators of anorexia include:
1. Restriction of Food Intake: You mentioned that you have been eating very little and controlling your caloric intake. This is a common behavior in individuals with anorexia.

2. Fear of Weight Gain: Your anxiety about eating more food and the belief that even a small amount will lead to weight gain is a hallmark of anorexia.

3. Distorted Body Image: Although you are at a normal weight, your perception of your body and the fear of being "fat" can indicate a distorted body image, which is often present in eating disorders.

4. Physical Symptoms: The feelings of fullness, nausea, and discomfort after eating are also signs that your body is reacting to the restrictive eating patterns.

To address your concerns, it is crucial to seek professional help. A healthcare provider, such as a doctor or a mental health professional specializing in eating disorders, can provide a comprehensive assessment and support. They can help you understand your relationship with food and body image and develop healthier eating habits.

In the meantime, here are some steps you can take to start improving your situation:
1. Keep a Food Diary: Document what you eat and how you feel before and after meals. This can help you identify patterns and triggers related to your eating habits.

2. Challenge Negative Thoughts: Work on recognizing and reframing negative thoughts about food and your body. Cognitive-behavioral therapy (CBT) is particularly effective for addressing these issues.

3. Gradual Exposure: If you find it difficult to eat certain foods, try gradually introducing them back into your diet in small amounts. This can help reduce anxiety over time.

4. Focus on Nutrition: Instead of strictly counting calories, aim to include a variety of nutrient-dense foods in your meals. This can help ensure that you are meeting your body's nutritional needs.

5. Seek Support: Talk to friends or family members about your feelings. Having a support system can make a significant difference in your recovery journey.

Remember, you are not alone in this, and there is help available. Taking the first step to seek support is crucial in overcoming these challenges and developing a healthier relationship with food and your body.

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