We are so sorry to hear about yours and your daughters struggles. We want to strongly encourage that your daughter seek medical attention from her physician. You can also always call our confidential NEDA helpline for assistance locating additional resources and support. We are available at 800.937.2231 M-Th 11am-9pm ET and F 11am-5pm ET. You can also chat with us online M-Th 9am-9pm ET and F 9am-5pm ET.

• ·  The following are just some of the signs of a serious problem that demands immediate medical attention: 
• ·  accidentally or deliberately caused themselves a physical injury 
• ·  become suicidal 
• ·  confused thinking and is not making any sense 
• ·  delusions (false beliefs) or hallucinations (experiencing things that aren‟t there) 
• ·  disoriented; doesn‟t know what day it is, where they are or who they are 
• ·  vomiting several times a day or has uncontrollable vomiting or diarrhea 
• ·  experiencing dizziness or fainting spells 
• ·  too weak to walk or collapses 
• ·  painful muscle spasms 
• ·  complaining of chest pain or having trouble breathing 
• ·  blood in their bowel movements, urine or vomit 
• ·  a body mass index (BMI) of less than 16 
• ·  an irregular heartbeat, and fast heartbeat, or very low heart beat (less than 50 

beats per minute) 

• ·  cold or clammy skin indicating a low body temperature or has a body 

temperature of less than 35 degrees Celsius/95 degrees Fahrenheit 

• ·  experience dizziness, nausea, fever 
• ·  wounds/cuts heal slowly 
• ·  feel tingling in the hands or feet 
• ·  blurred vision 

Or for any other medical concerns.  Seek medical help soon on an outpatient basis if you:  

• ·  have significant heartburn and/or a burning sensation after eating 
• ·  have other gastrointestinal concerns 
• ·  have high blood pressure 
• ·  struggle with significant joint or muscle pain 
• ·  have difficulty sleeping (falling and/or remaining asleep) 
• ·  struggle with fatigue, sudden weight gain, and/or hair loss 
• ·  have frequent urination or unquenchable thirst 
• ·  have gained and lost significant weight repeatedly 
• ·  have gained significant weight in a short period of time 
• ·  struggle with chronic diarrhea or constipation 

I'm with the NEDA folks here. While it could be a symptom of eating disorders, it could be a medical issue as well.

I doubt that she's happy about this, so seeing a doctor would not be out of order.

No matter what the issue might be.