Forget about weight, we all need to eat my friend. I know what it's like it's very difficult with bad depression to eat anything. Try start small and take something easy like tins of soup, ice cream, just something simple.

You seem very self critical, I know it's hard not to be when your feeling low, your a good person and by not eating you are not showing any love to yourself. Please try to eat I've been there I know it's easier said than done.

I had the same thing when I was very depressed. Work on ending the depression and you will fell like eating. What are you depressed about?

Hi OCDeity, you have an eating disorder. Are you anorexic? You need to eat at least 55grams of protein a day for your brain function, and need to consume at least 1800 calories a day for your kidneys and heart to work. You also need to consume your daily protein requirement in order for your body to produce antibodies to fight off infections. By starving yourself, you have no energy to function as your body starts to catabolise the proteins in your muscles to feed your brain.

You need to go into hospital for treatment of an eating disorder as well as seeking psychological and psychiatric support. In hospital, the doctors will introduce nutrition slowly because a rapid increase of calories will cause a refeeding syndrome which triggers an electrolyte imbalance that may lead to neurologic, pulmonary, cardiac, neuromuscular, and hematologic complications.

Our friends on the forum, please encourage OcDeity to get medical treatment immediately. OCDeity, you are jeopardising your life. I do not support your indulgence in your depression when you are endangering your own life. For God's sake, check yourself in a hospital before it is too late.

OCDiety, by any chance are you on a new medication or medication adjustment? Certain meds can suppress your appetite. We all go through periods of not eating much. I think it’s the body’s way of cleansing. It would be good for you to see your primary care doctor to make sure you are healthy- and don’t have diabetes or other illness such as thyroid issues which could can cause loss of appetite. I hope you find out what the problem is. But get checked out for your safety, ok?

Do you drink coffee or ice tea? Because that can get rid of your appetite. You can not survive on 400 calories a day. You don't want to make yourself very sick from not eating. Covid virus is going around and you will be too weak to fight it off. I haven't always felt like eating, but I force myself to eat well each day, knowing that I don't want to make myself sick and it puts a strain on your organs, etc. Just not worth it... you gotta eat!

Try to at least get a serving of protein in per day. How about nuts? Peanuts, almonds, cashews, walnuts, pistachios..... any of these would be a good way to start.

Do you like fruits at all? Cereal? Even oatmeal cookies have some nutrition.

Please don't make a bad situation worse by not eating. I hope your therapy appointment helps you. You say the therapy is financially worrisome, but it will cost way more if your organs shut down from not eating.

Stay healthy! Especially now... with the Covid virus going around.... you need to keep up your strength and health. Best wishes.

I do not believe that I have an eating disorder. I have MDD (Major Depressive Disorder). I have been to see the doctor about this current issue, including Urgent Care because I also had major intestinal trouble to begin with. They ran dozens of tests before they said that it was okay to take Imodium.

This is not a choice I am making. I eat everything that my body will accept without it coming back up (on its own, not me trying to make it).

The doctors are unconcerned about my appetite right now.

I am not “indulging” in my depression. I am doing everything I know to get back on track.

Glad you have consulted with the doctors. They are your best resource and I hope they are still engaged with you.

OCDeity, when I was sick from an acute illness a while back, and could not eat solid foods because my throat was swollen, the only thing I ate was macaroni in chicken soup as it was the only thing that went through my narrowed throat. To get enough proteins to stay alive, you can buy liquid protein supplement from the local pharmacies. Try liquid protein first (at least 55grams protein/daily to stay alive) since it can also substitute as a meal replacement whilst you are unwell. In the mean time, can you access a dietician who can calculate your nutritional needs and work out how to get food through orally. Otherwise, there are 3 invasive ways to give you nutrition: 1) through a nasogastric tube via your nose into your stomach; 2) through a PEG tube directly into your stomach, 3) parenteral nutrition through your veins. If you can swallow, even if it is liquid feed, it is better than going through the invasive routes.

If you take Imodium long term, this would cause intestinal atony, when there is no peristalsis in the intestinal tract. If this is the case, then any food you consumed will not be expelled, and the accumulated food waste will cause impaction in your bowel. If the impaction is extensive, this waste bolus may cause your bowel to burst. In the event that you have intestinal atony, you must see the doctor straight away so that they can give you an opioid antagonist to make the intestinal muscles working again.

You need to see a gastroenterologist who can investigate why all your ingested food has gone back up. Do you have an obstruction in the intestinal tract to cause regurgitation of food? If so, you would need an urgent bowel resection to remove the blockage. Do you have an impairment in intestinal absorption of nutrients? If so, the dietician would need to resort to the other 3 invasive route to deliver nutrients to your body.

Your doctors should be concerned about your daily caloric consumption. If your doctors are not concerned that you are consuming 400 calories daily, you should report them to the Medical Board so that the Board could revoke their licences to practise. You have mentioned above how you are too weak due to a lack of energy, that is because you don't consume enough proteins to keep your body alive. If you keep consuming 400 calories daily, you will collapse into a coma, and by that time, it would be too late to save your life.

Andtomeda8- Thanks for the info on the liquid protein. The only thing I could find was the powder that contained so much sugar that there was no way I could handle it.

I did get x-rays at urgent care (second visit) to check for an obstruction. I think the doctors are not concerned about the lack of appetite because the blood work is okay (apart from keytones).

I have only taken Imodium twice, so that part is under control.

I will definitely look into the liquid protein.

There is Ensure Plus liquid protein, Sustagen Liquid Protein for diabetics (sugarfree I assume). Perhaps you can talk to a dietician; they will find way to replenish nutrition otherwise caloric starvation will put you in dire straits. The fact that your ketones level is elevated is because your body is burning fats for energy as there is no proteins coming from the diet. High ketone levels may indicate diabetic ketoacidosis, which may lead to a coma or death. Do you have ketones in the urine or just the blood? Can you ring to speak to a community dietician (teleconference) and explain your situation. I am quite worried about you. Please get some medical help. Marie