9. mai 2016

Edema and pain when gaining weight.

The following is found on Youreatopia.com:

You can't really avoid edema in recovery because it occurs not because you're re-feeding and resting, but because your body is now getting enough energy to deal with the damage from all the relapses and slips.
The primary reason for the swelling is intracellular and intercellular water retention to bring nutrients to damaged areas throughout the body to build new cells and to bring phagocytes to those areas as well to chomp up all the damaged old cells and send their carcasses out through the kidneys and urine.
The pain you feel is designed to be there to force you to rest because the body is needing to use the energy to deal with building new cells and getting rid of damaged ones.

In my own empirical evidence (not evidence-based medicine), those who are challenged with the most severe level of edema in recovery tend to be those who have suffered from extreme exercise as a way of expressing food avoidance. This will likely be because the damage to the structures of the body when you exercise and don't provide adequate energy means the body needs to provide more nutrients and clear out more damaged cells than not. That's what the edema is primarily about: whisking away the damage and providing energy for anabolism (creation of new tissue and cells).
Gwyneth on youreatopia

http://www.youreatopia.com/blog/2012/5/22/edema-the-bane-and-blessing-of-the-recovery-process.html
The water retention is there for a few reasons:
1) To bring nutrients into damaged areas for cell building and to bring in phagocytes that chomp up damaged cells and send the waste material through the kidneys and out of your body as urine.
2) To encourage enough inflammation and accompanying pain to force you to rest -- thereby allowing the body to avoid further damage while it's doing the rebuilding.
Now, if the swelling is worsening, then it needs some investigation. The general rule in recovery is if it's bad/stable and or slooowwwwly trending to be better, then it can be left alone.
When things are noticeably worsening, then the first thing to look at is what might have changed in your behaviors recently that could be the cause(s). Have you had a few days of unavoidable activity? Did you overdo it one day with "just running a few errands" or "doing a bit of cleaning"? Are you thinking quite a bit about food throughout the day and not responding to those thoughts by eating immediately -- maybe you've been eating more in the recent past but a few days of additional stress at home or at work and you've slid just a bit?
Gwyneth

It is very common for a severe level of edema to show up in the body when the person has suffered from anorexia athletica. You don't want to be taking any diuretics or trying to rid yourself of the edema (much as you probably really want to) because it is there as part of the healing process.
Gwyneth

Someone suggests eating enough protein and using compression socks can help.

http://www.youreatopia.com/blog/2013/5/25/why-is-there-so-much-pain.html

Some of you may notice you start getting colds, whereas in the worst of your restriction you did not. In addition to some of the analgesia that is occurring due to an inability to perceive pain (because the CNS is too starved to interpret signals fully), there is both analgesia and an on-steroids (literally) immune system associated with extreme stress as well.
Restrictive behaviors are extremely stressful to the body. Cortisol (steroid) is surging through your body and this fires up your immune system beyond its usual level (for a while). Eventually the long-term impacts of higher-than-normal levels of cortisol will move patients in one direction or another: autoimmune illness (body attacking its own cells as though they were foreign), or immunosuppression (getting very sick all the time).
When you stop restricting, the entire stress system is told to stand down. So now you’re feeling the pain and you may have a wicked cold along with it as well.


Plenty of people on the forums asking about why they are now having cold after cold and flus in recovery when they were just fine when they were starving. Their systems are predisposed to immunosuppression in the presence of high levels of cortisol.
Those with autoimmune predisposition are the ones with all the edema, pain, swelling and inflammation.
Both states will demand of the fat organ that is work harder and usually enlarge to handle the demands. And both states ease with continued rest, re-feeding and mind retraining too of course.
Gwyneth at youreatopia



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