A young girl hospitalised with anorexia nervosa is on treatment, Even after taking adequate food according to the recommended diet plan for last 1 week, there is no gain in weight, what is the next step in management:
(A) Increase fluid intake (B) Observe patient for 2 hours after meal (C) Increase the do se of anxiolytics (D) Increase the caloric intake from 1500 kcal to 2000 kcal per day
(B) Ans. B. Observe patient for 2 hours after mealIn this condition because the food is often regurgitated after meals, the staff may be able to control vomiting by making the bathroom inaccessible for at least 2 hours after meals or by having an attendant in the bathroom to prevent the oppounity for vomiting.The hospital staff should give the patients about 500 calories over the amount required to maintain their present weight (usually 1500 to 2000 calories a day).