Dear Sir or Maddam. I have a situation i understand you can not help me with dental issues but it is just to explain to you how i got where im at now. As we speak i am unable to eat anything by mouth. I have a Dr willing to prescribe some home health care for me for some physical therapy and iv nutrician because of a possible eating disorder that i have developed due to everything that has been gpoing on in the past few months. I have servere Agroaphobia, social anxiety, PTSD, and panic attacks so as we speak i am notable to leave my home. my kids are with my mom because right now physically im not able to take care of them. Dfacs has a home parenting aid that comes out on a weekly basis, and i have been working with a CBT on-line councelor for a little over 2 months now. I have lost alot of weight gone from 289lbs to 215lbs since the end of June because I am unable to eat, I dont really have an appetite. I can small food think oh yummy and not eat. I am very weak because I have lost so much weight. I have some mobile atrophy going on, i am unable to climb the stairs or even remotely able to get out of bed because of how much weight i have lost it causes shortness of breathe if if i sit up or try to walk. Parts of my belly are numb because of how immobilzed i am, I am needing some in-home physical therapy and iv nutrician to get my strength back up. I can not do a peg feeding tube because of my attacks or i would so i have been told doing iv nutrician would be the best way to get it back up to where i can feel better in order to go back on my medications, stil work with the CBT therapist and the parent aid, and the dentist that is going to be working with me on a new guard for my TMJ. My nurse practionier is willing to do PPN (in-home iv nutrician threw the home health,) but she does not know enough about the dosages to write the script to have it done. She asked me to contact the Atlanta center for eating disorders to see if there is a nutricionist that can possibly help us in writing the orders and helping us with this. I do not want to be hospitalized because my agrophobia is to servere and I am willing to go back on the meds and continue to work with the therapist that i currently have. We have talked with several People an this is in the best interest right now. The in-home care told us that they can come out and administer the Iv nutrician and monitor it and help me with physical therapy to get back on my feet so that i can get some strength and be able to care for my kids again. Here is my story below
Hello thanks for asking from Chat Doctor I have read your detailed explanation of symptoms and can understand your problem. Your main issues are related to mandibular joint (TMJ), dental issues and anxiety. As dental problems coupled with anxiety have resulted in reduced feeding so first I would advise you to get yourself reevaluated to find out any abnormality in dental and TMJ. The problems of agoraphobia, anxiety, PTSD, panic disorder have probably resurfaced because of dental issues. This is the reason for eating disorder. I would advise you to consult a psychiatrist for detailed treatment. Medicines like SSRIs especially Escitalopram, Fluoxetine can help to reduce your problems related to anxiety and will help to control eating disorder. For severe eating disorder you may need feeding tube but as you have normal appetite so as per my opinion there would not be any need for feeding tube. Thanks