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  (#1 (permalink)) Old
Garyl Offline
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Increased appetite - November 23rd 2019, 03:27 AM

This thread has been labeled as triggering, because it contains weight figures, by the original poster or by a Moderator. The contents of this thread might therefore not be suitable for certain sensitive users. Please take this into consideration before continuing to read.

For a while now I've noticed I've had an increased appetite. I'm not sure how long it's been going on. A couple of months ago I had a decreased appetite due to nausea from a medication I was taking but now I'm off that medication. Instead of going back to normal though my appetite seems to have swung in the complete opposite direction. I haven't really changed my eating habits but I eat more food at each meal. When I was in the hospital recently sometimes I'd eat part of the dinner the hospital provided and then order in food from outside. Now that I'm out of the hospital I don't do that, but I am still eating more than usual.

I am recovering from some pretty severe wounds at the moment and part of recovering from this type of wound includes eating more, especially more protein. So I've been giving myself and my increased appetite and excuse. However, when I went IN to the hospital they recorded my weight. In the last two months I have gained almost 20 pounds. That's a LOT of weight to me, and I am already considered medically obese. I'm now the heaviest I've ever been. I think I might be more disappointed in that (after all, I do have a history of an eating disorder) if it weren't for the fact I am legitimately so hungry!

Then today I got told by my physician that I actually need to be drinking Ensure or Boost in addition to eating more in general. Now I'm worried about THAT because those drinks contain a fair chunk of calories, and I'm already eating more calories than I used to. I want to follow her instructions but I am really scared of gaining even more weight.

Essentially, I don't want to police what I'm eating or deprive myself of food my body is telling me I need. I also don't want to be eating a ton and drinking Ensure and gain 20 more pounds.

Help! What do I do?


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Re: Increased appetite - November 23rd 2019, 02:56 PM

Hey there, I would always advise someone to become more active such as going on walks; but given your most recent injury, that is not an option. Medication definitely has an impact on how hungry we might or might not feel. In the past few months, have you begun a new medication that might have had an impact on your appetite? Also, I know from experience that acid reflux can sometimes create phantom hunger pangs; so the next question I have is are you also drinking anything that could create acid reflux? I know that is an unpleasant thought; but the 'hunger pangs' can cause us to eat even when we're not hungry.

While your doctors might have the best intent in mind, you have to be mindeful of what works for you. If increasing calorie intake does not work for you, and you're already worried about how obese you are... AND you are unable to move around due to your injury... then I would advise against it. Could you ask your doctors for alternatives that could help boost recovery?


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Re: Increased appetite - November 23rd 2019, 04:51 PM

Thanks for your reply! I have not changed medications in the last couple of months. Ever since I got off the antidepressant that made me sick in September my meds have not changed at all (minus some antibiotics and pain meds related to the injuries). So I don't think it's medication related. I also don't experience acid reflux that I know of. I mean, sometimes I get heartburn but it's very rare. I don't even remember the last time it happened.

I don't see the wound care clinic until next Tuesday and that day I don't see a doctor since I only see the doctor every other appointment. It'll be next Friday before I see one. So I'm not sure which doctor I should ask. Technically I suppose I could ask my PCP but I don't know. I haven't seen my PCP in a while and I know I am supposed to (it's in the discharge paperwork from the hospital that I should make a followup appointment with her) but she's hard to get to and I am not sure how she can help me when I have a wound VAC on. I mean she can't even examine the wound, so I'm not sure why they want me to follow up with her. I don't usually follow up with her after these types of injuries.


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Re: Increased appetite - November 23rd 2019, 10:22 PM

I would have thought they refer you to a burn wound specialist, even if it's not in the hospital itself. When it comes to meeting with them, I think the best question would be to ask when you can begin to use your wounded area more thoroughly. Unless they were the ones that suggested protein intake, I wouldn't ask them about it.

If anything, besides the burn team and anyone else you saw at the hospital, I would probably consult a nutritionist. Maybe that is something you can bring up to your PCP? But yeah, unfortunately, there can be at least a six month waiting period before you finally get your appointment; and that will be way too long a time to wait. If you are seeing your doctor in the next few weeks, I would ask them. But try to get an appointment with your PCP when you are able to on Monday.


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Re: Increased appetite - November 24th 2019, 04:53 PM

Thanks. I wish they'd have me working with the burn team. I trust them, although less so now because of some of the decisions they made regarding my last wound/some of the things that happened in my last hospital stay (like not telling me what the plan of care was until the very end of my admission). I think it may be a while before I can really use my foot more actively but you're right; I should ask. I just know I can't while it's attached to the wound VAC.

When I was in IOP at the last place (before my current IOP) I did speak to a nutritionist about burns since they have one on staff. However, my memory is really bad and I don't remember what she told me. Something about eating a lot of nuts, I think? I don't know. I might be switching back to that hospital system's IOP though because I don't like the one I am in currently very much. Otherwise I have no way of talking to a nutritionist (unless I do once I am back in the hospital). My insurance does not cover nutritionists unless you meet a specific criteria, which I do not (despite having an eating disorder...I think it's really stupid but it's good insurance so I don't complain).

I am still really hesitant to see my PCP. I just don't know if I have time, and I hate going out so far out of town. S usually takes me and she's so busy with work because it's the holiday season and her job gets super busy around the holidays.


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Re: Increased appetite - December 5th 2019, 06:11 AM

Hey there, I would always advise someone to become more active such as going on walks
   
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