She wrote that she's coughing up blood, has fainted, and has "found a new talent in pretending to eat." I'm bewildered and I don't know what to do. For those of you with an eating disorder or a loved one with an eating disorder...what should I tell her? Should I alert the family, or would that be breaking her trust and make things worse? I'm beginning to think she'll have to be hospitalized like i was. I'm really worried. She is stick-thin, and I mean stick-thin. She doesn't look healthy (and neither does my other cousin). I don't want her to have problems with her heart, I don't want her teeth to fall out, I don't want her to lose her hair and go through all this pain. Those are just a few of the effects I've read about. I'm really worried about her heart. What on earth do I do?