A member asked:

Severe chest/rib/back pain brought on after a few attempts at purging. history of behaviors related to anorexia and bulimia. could it be muscle strain from attempting to purge or something more serious?

A doctor has provided 1 answer

Anorexia ?'s: Repeated "purging" may cause more violent muscle contractions which can create the pain described. You may require psychological help to combat the negative effects of anorexia, which can evolve to serious illness and death if persisted.

Answered 2/18/2020

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