Showing posts with label news. Show all posts
Showing posts with label news. Show all posts

Saturday, May 28, 2011

Is it safe to go allergen free?

There's a new slew of "all in your head" diagnosis coming out.  First up, doctors have supposedly identified an eating disorder known as orthorexia.  Essentially, sufferers believe that certain foods are pure evil and begin to restrict their diet to the point that it is unhealthy and dangerous.
Next up is a spin-off of anorexia.  People with eating disorders begin to blame gluten or other food allergies as the reason that they can't eat what is put before them, or offered at parties, or why they aren't eating at social functions. 

"Whether confirmed as celiac disease through blood tests or self-diagnosed as intolerance...the condition requires treatment by way of a highly restrictive diet. ... it also requires monitoring trace elements of protein present in foods or its preparation becomes necessary lest upset stomachs, painful GI tracts or other debilitating symptoms strike." (emphasis mine)

In the article I site above, this paragraph disturbs me even more than this upsetting practice.  Because it indicates that even if one has a documented, medically rational reason for complete and total avoidance...the worst that can happen is a stomach ache (the word debilitating is in there, but I doubt most people really comprehend how debilitating physical GI symptoms can feel)  The truth is that with the (albeit relatively rare) true IgE food allergies, which are NOT limited to the top 8, even a small crumb can cause anaphylaxis.  If a peanut falls on the salad, and the cook immediately fishes it out and sends the salad out to a nut allergic individual, their throat can swell shut before the rest of the party is done commenting on how delicious the first course looks.
If someone with celiac accepts a plate with toast on it, and simply removes the toast and brushes off the crumbs...not only will they suffer from debilitating stomach issues for a few days, their intestines will sustain physical damage that can be viewed and verified by endoscopy.  This damage leads to malnutrition, along with a host of other related problems and, worst case scenario, even cancer.
I don't doubt that there are some people who are afraid of food for unhealthy reasons.  Nor do I doubt that there are people with unhealthy obsessions about food, or avoiding too many foods.  But is the best way to address that fear to label restrictive eating as a psychiatric disorder?  Or is it to do more research?
I firmly believe that most people seeking a restrictive diet are motivated by physical symptoms.  Maybe they have an intolerance or allergy.  Maybe their bodies are just fed up with soda and fried foods.  Maybe they just need a little help balancing nutrition.  Regardless, identifying the motivation should be the first step.  And then rule out causes.
And if an individual is adament about avoiding foods, then it seems likely that they may not need to reintroduce those foods.  Instead, therapy or medical support should focus on identifying what one *can* eat.  And instituting a balanced diet.  So many people these days do not know how to cook, or find vegetables...or what to do with them when they do, that if they decide to give up gluten and nightshades they feel like they're stuck with white rice and carrots.  There are a host of little known veggies out there...and others that are just scary looking.
Maybe the orthorexic would be more adventurous if they learned how to prepare and eat an artichoke, a salad, their own dressing or sauces.  Those with anorexia and other eating disorders obviously do need counseling toward reaching a healthy body image.  But it might be easier if any digestive problems (like bloating, which can make a teenager feel inexplicably "fat") were addressed at the same time. 
At any rate, when someone has a valid reason for total avoidance, their choices need to be respected.  And they will be less likely to obsess over their food choices if they weren't concerned with mental health labels.  At least in the long run.  It seems reasonable and healthy to me for someone newly diagnosed to spend a little time obsessing about food, since they quite likely have been told to drastically change their way of looking at food.
As someone with a unique allergy, I don't want to be blown off and made sick or worse because of a 'trend' in 'it's all in your head' diagnoses.  As the mother of a food allergy sufferer, I don't want her labeled as eating disordered just because a few of her peers use the word 'allergy' inappropriately.  I see her eat a wide variety of fruits, veggies, carbs and protein every day.  What we don't eat doesn't matter nearly as much as what we DO eat.  And I sincerely hope the medical practitioners diagnosing these conditions, as well as the laymen labeling them, acknowledge the difference.  

Tuesday, April 12, 2011

Note to self: do not move to Chicago. 
Or, if it's ever necessary, plan to homeschool. 
No, it's not the academic values, or the teacher quality, or the test scores.  It's nothing to do with the lovely folk who live there.  My problem with Chicago? 
Some schools have a mandatory "purchase lunch here" policy.  Of course, there is the standard "medical conditions are exempt" caveat. 
My questions:  How must the medical conditions be documented?  And what constitutes a worthy medical excuse?  Diabetes, food allergies, Celiac Disease...migraines?  IBS?  Lactose intolerance?  Kosher requirements?  Vegetarian or vegan choices?  Behavior issues?  Autism? 
If they require a simple doctor's note, they usually require it every single year.  And sometimes a new one midyear when some policy or another changes.  It sounds reasonable to get your medical professional to write out a note for you.  But doctors seem to HATE this policy.  They have better things to do than take a 15 minute appointment to write a note stating that a medical condition has not been outgrown and that the parents, not the school administrators who have never met your child, should decide what, exactly, can and can not pass your child's teeth. 
And then there's the simple fact that some medical conditions, like IBS, don't require one specific diet.  It's an ongoing balancing act...and one day's requirements may be completely counter to another day's.  Control over diet is critical to the overall health of someone with severe IBS or chronic digestive issues...and I guarantee that by High School; digestive concerns are the last thing any child wants to discuss over lunch. 
Which brings up my next concern.  If bagged lunches are banned, then anyone who brings a bagged lunch will be under scrutiny.  The third degree can come about whether they are the best of friends, mortal enemies or complete strangers.  Why did you bring a lunch?  Why are you exempt from the hard and fast rules?  What are you eating...Why are you different? 
It's hard enough to be different.  To be unique.  And now some schools insist that the unique individuals get a doctor to document their needs and then go around in obvious defiance of the school rule because they are exempt?  This sends the wrong message. 
I don't know about other kids with food allergies.  But mine wants to slip just under the radar.  She wants to bring enough chocolate chip cookies to share so that she isn't 'different'.  She wants to donate a normal fruit platter, or be in charge of the crackers, or offer safe snacks that taste and appear 'normal' to her friends and schoolmates.  She wants to be safe and cocooned in her food world...but she doesn't want anyone else to question it or tease her about it. 

I'm sure there are kids who don't really care where their lunch comes from, or what's in it, as long as it tastes good.  And parents who are happy to let the school make good decisions.  There are plenty of families not paying any attention to the ratio of doughnuts and chips and cookies to fresh produce consumed in the household.  But taking control by removing choice from consumers (You must purchase lunch here, no outside food in a school where children are required by a court of law to attend) doesn't solve anything. 

I say ban soda if you have to ban something (it makes a sticky mess when spilled, and the way it sprays after being shaken up in a backpack all day can make a custodian cry), provide plenty of healthy options at the school...and turn a blind eye to the 'junk food' as long as it isn't consumed during class hours.  Continue encouraging and teaching about good choices, start a garden (They won't be interested the first year, so give it 5 years) and eventually kids will start to make better and better choices.  They have to be the ones to choose in the long run, we have to trust them with their own health.  Which means, we start by trusting them with their own lunch.