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Bloating in Eating Disorder Recovery

Jun 10, 2025

Overview

This talk addresses the issue of bloating during refeeding and recovery from eating disorders, focusing on its physical causes, emotional impact, and strategies to cope. The emphasis is on self-acceptance, understanding the recovery process, and practical tips for easing discomfort during this challenging period.

The Challenge of Bloating in Recovery

  • Bloating is common and distressing during weight restoration from an eating disorder.
  • The discomfort of bloating can intensify body image struggles and anxiety about physical changes.
  • Fear of rapid or uncontrollable weight gain is a significant emotional barrier during recovery.

Physical Causes of Bloating in Recovery

  • Prolonged starvation leads the body to break down muscle, including vital organs, to survive.
  • Organ function (e.g., reproductive, circulatory, digestive) is compromised during eating disorders.
  • Upon refeeding, the body initially stores nutrients, especially around the trunk, as a protective response.
  • This process mimics an evolutionary "feast or famine" mindset, with bloating as a temporary side effect.
  • Consistent nourishment eventually leads to trust in the body and redistribution of weight.

Overcoming Psychological Barriers

  • Recovery requires perseverance despite temporary bloating and discomfort.
  • The phase of bloating tests commitment to recovery and challenges old thought patterns.
  • Fear of body image setbacks may trigger relapse into disordered habits.

Practical Tips for Managing Bloating

  • Wear loose, comfortable clothing to reduce triggering sensations.
  • Avoid mirrors to prevent negative body scrutiny and promote self-acceptance.
  • Engage in gentle walks to distract from body discomfort (not as a means to burn calories).
  • Drink water regularly to help the body release retained fluids.
  • Surround yourself with supportive, uplifting people during recovery.
  • Focus on the truth about recovery, rejecting negative thoughts associated with the eating disorder.

Recommendations / Advice

  • Trust that bloating is temporary and part of the healing process.
  • Maintain consistent, adequate nutrition to move past the body's starvation response.
  • Practice self-compassion and patience as your body adjusts and recovers.