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<blockquote data-quote="slsh" data-source="post: 506597" data-attributes="member: 8"><p>Steely - thank you and Matt are about same ht/wt - actually thank you is probably about 150. To me he looks extremely thin, but... I know he eats well, so I'm letting it be (plus he had complete physical in the fall and blood work was fine, and he's healthy). At one point he weighed about 230, but he was taking his medications (risperdal really fueled his appetite). </p><p></p><p>Given Matt's physical symptoms, I would go the GI route - between the rash, the sense of bloating and nausea/vomiting and food intolerances, this doesn't look psychological to my lay eyes. Could be gallbladder or Crohn's or gastritis or celiac sprue or who the heck knows what. Just as we all did back in the beginning with- our difficult children, I think you want to rule out physical before assuming it's all psychological. It could very well be that the *symptoms* are making him think he's fat, or talking about eating too much because of a very real discomfort or sense of something being off.</p><p></p><p>I would not go into great detail about his psychiatric history. I think there's a tendency for doctors to make a beeline for a psychiatric cause (I'm hugely cynical) without fully investigating honest to goodness physiologic/metabolic causes for symptoms. on the other hand - with liver abnormalities, I most definitely would detail every medication he's ever been on.</p><p></p><p>Just my 2 cents. Make sure the physical stuff is okay before jumping to a psychiatric cause.</p><p></p><p>Hugs.</p></blockquote><p></p>
[QUOTE="slsh, post: 506597, member: 8"] Steely - thank you and Matt are about same ht/wt - actually thank you is probably about 150. To me he looks extremely thin, but... I know he eats well, so I'm letting it be (plus he had complete physical in the fall and blood work was fine, and he's healthy). At one point he weighed about 230, but he was taking his medications (risperdal really fueled his appetite). Given Matt's physical symptoms, I would go the GI route - between the rash, the sense of bloating and nausea/vomiting and food intolerances, this doesn't look psychological to my lay eyes. Could be gallbladder or Crohn's or gastritis or celiac sprue or who the heck knows what. Just as we all did back in the beginning with- our difficult children, I think you want to rule out physical before assuming it's all psychological. It could very well be that the *symptoms* are making him think he's fat, or talking about eating too much because of a very real discomfort or sense of something being off. I would not go into great detail about his psychiatric history. I think there's a tendency for doctors to make a beeline for a psychiatric cause (I'm hugely cynical) without fully investigating honest to goodness physiologic/metabolic causes for symptoms. on the other hand - with liver abnormalities, I most definitely would detail every medication he's ever been on. Just my 2 cents. Make sure the physical stuff is okay before jumping to a psychiatric cause. Hugs. [/QUOTE]
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