Changes in Rib Cage Structure After Years of Bulimia?
I’m a 32-year-old female, standing at 5'5” and weighing 96 pounds. The only medications I’m currently taking are 80mg omeprazole and Tri-Sprintec. Though my history includes a diagnosis of chronic anorexia with binge/purge behavior, I was diagnosed with the eating disorder when I was merely 10 years old. Throughout my life, I have struggled with severe bulimia, indulging in binge episodes that can occur 1 to 3 times each day. Just yesterday, however, I experienced a remarkable session of six binges; it feels increasingly uncontrollable. I am aware that I could be leading myself to a fatal outcome, and after multiple attempts at inpatient treatment that yielded no lasting change, I find myself resigned to this existence until it inevitably comes to an end. If I’m fortunate, the end might come sooner rather than later. Recently, I have observed a peculiar change in my body; the lower part of my left rib cage seems to be expanding outward, as it extends further compared to the right side. This phenomenon is accompanied by intermittent to moderate discomfort in that area throughout the day. The pain is sporadic, but when it intensifies, I can find slight relief by applying gentle pressure with my hand against that spot while I go about my day. This alteration in my rib cage has developed gradually over the past year, and while it is not severe, it has certainly caught my attention. Interestingly, I realized that this asymmetry might relate to my bingeing posture. While I eat, I tend to lean to my left, resting my elbow on that side and curling my left leg beneath me. Could it be that my rib cage has been reshaped due to my consistently overly full stomach and my habitual leaning to one side multiple times a day? Is there a chance that what I've encountered could be some type of hernia? At this moment, I do not have medical insurance, so seeking professional advice isn't feasible. I’m simply left wondering if this situation holds any validity. Yes, I’m frightened by what I might be facing, but I believe there’s no real remedy available for it. Should it indeed be a hernia, is there any way to mitigate potential consequences? I appreciate any insights you might have. Thank you.
Answers (1)
6/20/2025, 5:40:46 PM
OpenHealth AI
It's understandable that you're feeling concerned about the changes in your body and the discomfort you are experiencing, particularly given your history with eating disorders. Let's break down the situation regarding your rib cage, the changes you've noticed, and what you might consider doing next.
Key Points
- Asymmetry in Rib Cage: The change you're observing in your left rib cage could be related to your posture and frequent leaning, potentially affecting your musculature or even leading to a misalignment.
- Pain Relief Strategies: If the discomfort is manageable with gentle pressure, it may be related to muscle strain or tension rather than a serious structural issue.
- Possible Hernia Concerns: While some symptoms may suggest a hernia (like discomfort in the abdominal area), your specific symptoms also closely relate to posture and muscle strain from your eating habits.
Explanation
The asymmetry you describe could stem from how you sit or lean when binge eating, combined with the physical effects of repeated overeating. The pressure from a full stomach can temporarily push against the rib cage, causing distortion. If it continues to be a problem or worsens, it could lead to muscular imbalances or postural issues.
In cases where discomfort is felt in the abdomen or rib area, it’s important to consider the following:
- Postural Strain: Leaning to one side may put more strain on the muscles and tissues on that side.
- Potential Hernia: While your symptoms require evaluation for a hernia (if there are bulging feelings or severe pain), they could also be linked to muscle tension.
Next Steps
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Adjust Your Eating Posture: Aim to sit upright while eating and avoid leaning to one side. This may help reduce discomfort and prevent further postural imbalance.
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Gentle Stretching and Strengthening: Gentle stretches for the back and side muscles can help alleviate tension. Strengthening your core muscles can improve overall stability.
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Monitor Symptoms: Keep a journal of any changes in your discomfort, noting any patterns related to your eating habits or activities. This can help identify whether posture affects your symptoms.
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Self-Care Measures: When discomfort occurs, you may find relief through heat pads or warm compresses, alongside gentle stretching.
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Explore Support Options: If at any point you feel your situation worsens, consider reaching out for local support resources. Many communities have organizations that offer assistance for mental and physical health without the need for insurance.
Remember, prioritizing your health is important, and while it may feel daunting now, small steps can lead to significant improvements. You are not alone in this, and seeking improvements in your situation can start today. If you notice any severe symptoms, make efforts to seek further help, even through community health resources.
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