It's definitely not abnormal to struggle with fluids when you have an eating disorder. It's actually fairly common (though obviously not ideal). I know when I was in treatment I was not the only one who struggled with it, and I've known other folks online who do too.
Does drinking from a different type of cup help? For example, are you less likely to gag if you use a straw, or a mug, or a to go cup? Are different types or textures of liquids or different flavors easier than others? Are hot drinks different than cold or room temperature drinks?
For me, I really struggle with cold water, but I am okay with hot tea, iced tea, or other things. I have found I can tolerate room temperature water more easily than cold water. I also really hate straws. I also prefer things like smoothies or soups that I can have with a spoon that are higher in liquid content. It may take some trial, but if you have seen a medical doctor and they have ruled out physical causes, sometimes it's more to do with actual anxiety.
Are you getting any support for the mental health side of things?
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