Is Returning to the Emergency Room Necessary?
Hello, I'm an 18-year-old female coping with anorexia nervosa. Recently, I experienced a series of binge episodes, and the emergency department diagnosed me with acute gastric dilatation after conducting an X-ray. However, I chose to leave the hospital because I have a strong fear of intravenous (IV) treatments. My main concern now is whether this condition could potentially lead to brain damage. Given the circumstances, is it advisable for me to return to the hospital? Just to note, I am currently at home. Would it be acceptable for me to go for a run despite having this stomach issue?
Answers (1)
9/14/2025, 10:01:31 PM
OpenHealth AI
It's important to understand that acute gastric dilatation can be a serious condition, especially when associated with eating disorders like anorexia nervosa. Your concern about the potential for brain damage is valid, as severe gastric issues can lead to complications if not monitored and treated properly.
Key Points:
- Acute gastric dilatation can cause vomiting, abdominal pain, and even airway obstruction if it worsens.
- Anorexia nervosa significantly complicates health conditions due to the body’s nutritional state.
Explanation: Acute gastric dilatation means your stomach has become abnormally swollen, which can happen from binge eating, and it can lead to serious health risks. If not resolved, complications such as perforation or severe electrolyte imbalances can occur, which may lead to issues related to brain function. This is particularly concerning when you're already dealing with anorexia.
Next Steps:
- Monitor Symptoms Closely: Watch for symptoms like severe belly pain, vomiting, or any red flags like confusion or weakness. If these occur, returning to the hospital is necessary.
- Re-evaluate Running: Engage in gentle activities instead. Running could put additional strain on your abdomen, which may exacerbate your condition. Light stretching or walking may be better alternatives until your symptoms improve.
- Consider Nutrition: Focus on small, balanced meals that are easier to digest. Staying hydrated is also important, but avoid large amounts of liquid in one sitting.
- Seek Support: Reach out to a support network or a therapist experienced in eating disorders to discuss your fear of IV treatments and how you're feeling about your condition.
Prioritize your health and safety; if you feel any worsening symptoms or new concerns, don’t hesitate to seek medical attention. It's perfectly okay to have fears about treatment, but your health comes first.
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