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How low does your BMI have to be to be hospitalized?

13K views 45 replies 24 participants last post by  Lost_mia  
#1 ·
I know for a fact that I am currently not near hospitalization at 5'8 and 108 pounds but I just would like to know if I reached my goal weight of 90lbs what the consequences would be?
 
#3 ·
You could easily be hospitalized at your current BMI, you are considered well underweight. But generally you have to have heart issues, electrolyte imbalances, or other sever medical issues that at your weight I'm sure you qualify. The hospital doesn't just grab anorexic people off the street though, first somebody who cares about you, or yourself, need to report to a doctor or the ER for a referral.
 
#4 ·
The hospital doesn't just grab anorexic people off the street .
I just pictured a group of nurses huddled in a group sneakily following an anorexic down the street, ducking behind bushes when she turns around

hahahaha

easily amused
 
#6 ·
I was hospitalized at a BMI of 22.5-23 because a blood test from the doc showed that my blood glucose was 46 (bc I hadn't eaten in 5 days... whoops). It's not just based on your weight, but also the severity of your symptoms. I'd been restricting for quite a long time, but because my HW was well into the obese range, I was still at a "healthy" weight.

(I was 16, so it's not like I was involuntarily hospitalized as an adult, but I was kinda forced into it by my mom because she was really worried about me)
 
#7 ·
I'm sorry too, I shouldn't of come across so harsh. I spent a lot of time in those hospitals I wouldn't want to even fathom going back for the 7th or 8 th time ughhh

Honestly though if you've never been hospitalized with an ED and are not in extreme distress you wouldn't have a worry also depending where you reside there are insane waiting lists in my country months on months where ED sufferers have actually passed on prior to getting help but as Cordyceps said a concerned person would be the one to get the ball rolling family, friends, Dr... Proceeds a involuntary loss of medical rights and admission were you to refuse treatment.
 
#9 · (Edited by Moderator)
Just to clarify if complications leading up to your hospitalization lands you on a general ward to be stabilized those on the out patients list will be bumped back & you will receive the first available bed in ED Inpatient program it could even be in another province but that's usually after your local programs have failed to help your progress...
 
#13 ·
I'm sorry too, I shouldn't of come across so harsh. I spent a lot of time in those hospitals I wouldn't want to even fathom going back for the 7th or 8 th time ughhh

Honestly though if you've never been hospitalized with an ED and are not in extreme distress you wouldn't have a worry also depending where you reside there are insane waiting lists in my country months on months where ED sufferers have actually passed on prior to getting help but as Cordyceps said a concerned person would be the one to get the ball rolling family, friends, Dr... Proceeds a involuntary loss of medical rights and admission were you to refuse treatment.
Okay thank you
 
#14 ·
It's not only your BMI, it's the state of your overall health - your labs and vitals. I have a low BMI, but I squeak by OK on everything else, because I am very careful. My heart is a little fucked from past craziness, but not in the danger zone yet. You can be overweight and still be very sick.

Take care.
 
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#15 · (Edited by Moderator)
it all depends on your physical health and your insurance company. i've had to be tubed at a BMI of 19 and denied IP at a BMI of 15. my doctors said they would involuntarily hospitalize me as soon as i got to BMI of under 12 regardless of labs. people go to hospital at all sorts of weights though because anyone can get sick...its not a fun place to be, but if you need to go then get a case worker and petition your insurance to cover your stay. Its very difficult to find or afford a bed.
 
#16 ·
Depends on what hospital
If you go to the er they will send you home
You have to be referred to an eating disorder clinic and if you can pay and tell them you have problems it doesn't matter what your weight is (unless you aren't medically stable or maybe severely obese )
you can go through the ER too, although its not easy. i got a bed at UCLA through the ER, they held me under grave disability because i wasn't feeding myself. i was referred IP from a separate PHP facility and was actually denied...insurance is difficult, even if you have a referral. this was prior to some of the legislative changes they made to parity..maybe its easier now.
 
#18 ·
Yeah, BMI doesn't exactly matter. I mean, it's a factor, obviously, but they also really take into account everything else that's going on. You don't have to be underweight to be hospitalised for your eating disorder.
 
#19 ·
I haven't and my BMI is under 10. And I have been weighed in the hospital at this weight; they just let me go without any trouble.
 
#25 ·
Interesting topic, my DR basically said the same thing to me as most people have said but I'm in the UK. I asked the Dr in the hope that the fear of being hospitalised would be worse than the fear of not losing anymore. She's done a whole load of bloodwork on me but I feel fine so I presume they will all be good too.
 
#27 ·
Hey I know every hospital is different but I found this

According to the AAP patients who meet any one of the following criteria should be re-fed in hospital rather than an outpatient setting (other criteria may pertain, clinical judgment required):

  • < 75% ideal body weight, or ongoing weight loss despite intensive management
  • Refusal to eat
  • Body fat < 10%
  • Heart rate < 50 per minute daytime; < 45 bpm nighttime
  • Systolic pressure < 90
  • Orthostatic changes in pulse (> 20 bpm) or blood pressure (> 10 mm Hg)
  • Temperature < 96 F
  • Arrhythmia
But that is only a general overview really. I once had an ECG outpatient and my hr was 38. I went back to school. My body fat in my first year of being sick was 9.9%... I wasn't hospitalised.
When it came down to it and I was hospitalised - I was actually medically stable but, they didn't want my BMI to go below 14, I was young enough to be put in the general childrens ward (rather than adult psych or sent to a different city), because it was caught so quickly they thought the prognosis was good, and I had jsut finished exams so had no school for 2.5months. Had I been an adult who had suffered for 10-15yrs, they probably wouldn't have!
They take a lot into account before they put someone IP. Nowadays they are all about shorter hospital stays and the emphasis is on the OP work and to try and keep people as functional members of society rather than 'institutionalizing'
To be placed in an inpatient unit specialised to treat EDs - for a lot of them you generally have to want to recover, or they wont take you. For medical stays you either have to be completely refusing food or have some acute complication. Often they can take you in based on weight but remember if you're an adult - you get the last say (unless you are sectioned!)
Thanks for all of that:) and I'm not an adult im pretty much fourteen (will be in a month anyways) but I wasn't sure if I ever was forced inpatient if I would be in a children's hospital or not so if you knew the age restriction of the children's hospital that would be great if you could tell me
 
#29 ·
I am pretty sure the age limit here is 16 for childrens :) I will just say you are probably much better off to go in a children's ward than a general psych one! Sometimes they can be pretty scary and most definitely not appropriate for young people!
Okay thank you and yeah the idea of a general physch ward scares me. Is this for the US? Cuz I live in oregon