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.
Welcome to my un-corny life...a series of vignettes interspersed among real food allergy (intolerance?) discussion.
Showing posts with label Weight. Show all posts
Showing posts with label Weight. Show all posts
Saturday, May 28, 2011
Is it safe to go allergen free?
Labels:
allergy,
celiac,
eating disorders,
emotions,
news,
orthorexia,
Weight
Monday, November 08, 2010
The trouble with being a full time homemaking mom is that there's plenty of leeway for adapting my activity to suit my physical needs. And so, as nausea and cramping and general fatigue increase, I instinctively adapt. But there's very little gauge, from my end of things.
It's been years since I spent my days going from bed...to an internal soliloquy about getting back to a heating pad...to crawling back into bed for a brief reprieve. It's been years since a little old lady cornered me outside a public restroom for going out and about and exposing the rest of the world in "my condition". It's been years since I shot up 3 waist band sizes in an afternoon. Or vomited blood. Or even curled up on the bathroom floor and wished I could just fall asleep and not hurt anymore.
Put in perspective, I'm doing great.
I get frustrated sometimes...but I don't wonder how I'm going to find the strength to walk from the car to the school and back.
So it caught me by surprise to have my husband tell me he was worried. I've been slacking off, I know...but I've been feeling 'bleh'.
At least since September. And we had a rough summer. And I've been hormonal.
Gently he pointed out that according to my faithful little planner that I record in but ignore, I've been 'hormonal' since May. And nauseous. And that my diet is dwindling again. (variety wise, not calorie wise!) In his eyes, I'm slowly fading away and it's scaring him.
Of course, I had no response for that. Other than to splutter that of course I had been eating a lot of rice...it settles well, and there were things I didn't want to miss. I haven't lost that much weight, I think. (He didn't actually have to say "You're missing them anyway") I paused. I harumphed. I called. I made the appointment.
I wish I could say it went well.
The first time the dr asked if I was taking any medication for my Celiac Disease, it didn't seem unusual. But the 3rd time, I got an uncomfortable feeling that I'd just wasted a copay.
I explained to her about corn, and at least that's in my record now. They took enough blood to put my entire arm to sleep, and I'm enormously relieved to find that the phlebotomist was understanding about my freaky rolling veins and patiently used a child sized needle. (It takes twice as long, but is less likely to lead to a lost or collapsed vein.)
But I pretty much left with the diagnosis of..."You're skinny. You need to gain some weight."
Which seemed obvious.
The GI will call if they need to see me. Maybe the blood tests will be enlightening. But I have a sinking suspicion that I'm stuck with "skinny".
At least it's a new diagnosis. Usually they just say "Huh, that's weird. Maybe it's just stress."
It's been years since I spent my days going from bed...to an internal soliloquy about getting back to a heating pad...to crawling back into bed for a brief reprieve. It's been years since a little old lady cornered me outside a public restroom for going out and about and exposing the rest of the world in "my condition". It's been years since I shot up 3 waist band sizes in an afternoon. Or vomited blood. Or even curled up on the bathroom floor and wished I could just fall asleep and not hurt anymore.
Put in perspective, I'm doing great.
I get frustrated sometimes...but I don't wonder how I'm going to find the strength to walk from the car to the school and back.
So it caught me by surprise to have my husband tell me he was worried. I've been slacking off, I know...but I've been feeling 'bleh'.
At least since September. And we had a rough summer. And I've been hormonal.
Gently he pointed out that according to my faithful little planner that I record in but ignore, I've been 'hormonal' since May. And nauseous. And that my diet is dwindling again. (variety wise, not calorie wise!) In his eyes, I'm slowly fading away and it's scaring him.
Of course, I had no response for that. Other than to splutter that of course I had been eating a lot of rice...it settles well, and there were things I didn't want to miss. I haven't lost that much weight, I think. (He didn't actually have to say "You're missing them anyway") I paused. I harumphed. I called. I made the appointment.
I wish I could say it went well.
The first time the dr asked if I was taking any medication for my Celiac Disease, it didn't seem unusual. But the 3rd time, I got an uncomfortable feeling that I'd just wasted a copay.
I explained to her about corn, and at least that's in my record now. They took enough blood to put my entire arm to sleep, and I'm enormously relieved to find that the phlebotomist was understanding about my freaky rolling veins and patiently used a child sized needle. (It takes twice as long, but is less likely to lead to a lost or collapsed vein.)
But I pretty much left with the diagnosis of..."You're skinny. You need to gain some weight."
Which seemed obvious.
The GI will call if they need to see me. Maybe the blood tests will be enlightening. But I have a sinking suspicion that I'm stuck with "skinny".
At least it's a new diagnosis. Usually they just say "Huh, that's weird. Maybe it's just stress."
Wednesday, July 22, 2009
Corny Lessons
My mom used to have a little magnet up that read "You can never be too rich or too thin". I saw that phrase quoted in a lot of places while growing up in the 80's.
It's come to mind a lot lately. And I think that the corn industry has proved it wrong, on both counts. Although many people theorize that corn is one of the primary causes of the expanding waistbands of Americans in general, for those with severe intolerance it can have the opposite affect. You see, in order to form fat cells, food has to sit around in the body long enough to be absorbed and digested. Some forms of intolerance cause the body to attempt to rapidly rid itself of identified attackers...including corn.
The guru of genetic engineering, mastermind of maize has proven that one can be too rich, at least as part of a corporation. It boggles my mind how one corporation can grow large enough to dominate the food supply. Sometimes it seems that there are connections, interwoven webs with Monsanto and Corn vital strands. Genetic modification still seems very arrogant to me. How can we presume to know enough about DNA and intricate workings of nature to manipulate the gene pool of the food we rely upon to nourish us? With the knowledge that releasing these genes into the open air, they become impossible to contain should come the responsibility to hold on to that particular technology. There are too many questions left unanswered. Why would anyone gamble our future, our children's health and world, on an arrogant science when better options exist? It boils down to money. There's money in new products, new techniques, new patents. Old ways can't be patented, they can't earn residual income.
Where are the people who are supposed to look out for us? Who's in charge? Well, it looks like the guy who convinced the FDA to treat genetically modified food as "substantially equal" to naturally grown food is now a Senior Adviser to the FDA. And the choice for Under Secretary of Agriculture doesn't trust the American public to make our own decisions about what we do or don't want in products labeled "milk". Otherwise why would he have fought to make it illegal for companies that refuse to use rBGH to label their products rBGH free? (And isn't it a violation of our constitutional right to free speech to forbid a company to advertise the truth about their own product? They weren't bad mouthing rBGH. Just stating that their product was hormone free.)
I suppose since our household is predominantly dairy free, I shouldn't stress too much. But I want to know what's in my food. I think that the American people have a right to know. And I don't think that monetary compensation should have anything to do with what we can and can't know about our food.
The truth is that people don't want extra hormones. They don't trust pesticides or genetic modification. They know that general health has been declining over the past 100 years, even if life spans might increase and treatments for disease improve the odds. Our general health and well being has been steadily going downhill. And we know, instinctively, that it's in our diet and lifestyle.
We aren't suffering from a deficit in gym memberships. We aren't suffering from a deficit in food, nor are we GMO deficient and we certainly don't suffer from lack of rBGH in our dairy products (which we faithfully chug thanks to the dairy boards "Got Milk" campaign). There's something wrong with the packaged food lifestyle, and modifying crops to increase yield, decrease variety and monopolize the food chain is not the answer.
We want simplicity. We want truth. And we want to be trusted with the truth. Unless the government trusts us, how can we trust them?
It's come to mind a lot lately. And I think that the corn industry has proved it wrong, on both counts. Although many people theorize that corn is one of the primary causes of the expanding waistbands of Americans in general, for those with severe intolerance it can have the opposite affect. You see, in order to form fat cells, food has to sit around in the body long enough to be absorbed and digested. Some forms of intolerance cause the body to attempt to rapidly rid itself of identified attackers...including corn.
The guru of genetic engineering, mastermind of maize has proven that one can be too rich, at least as part of a corporation. It boggles my mind how one corporation can grow large enough to dominate the food supply. Sometimes it seems that there are connections, interwoven webs with Monsanto and Corn vital strands. Genetic modification still seems very arrogant to me. How can we presume to know enough about DNA and intricate workings of nature to manipulate the gene pool of the food we rely upon to nourish us? With the knowledge that releasing these genes into the open air, they become impossible to contain should come the responsibility to hold on to that particular technology. There are too many questions left unanswered. Why would anyone gamble our future, our children's health and world, on an arrogant science when better options exist? It boils down to money. There's money in new products, new techniques, new patents. Old ways can't be patented, they can't earn residual income.
Where are the people who are supposed to look out for us? Who's in charge? Well, it looks like the guy who convinced the FDA to treat genetically modified food as "substantially equal" to naturally grown food is now a Senior Adviser to the FDA. And the choice for Under Secretary of Agriculture doesn't trust the American public to make our own decisions about what we do or don't want in products labeled "milk". Otherwise why would he have fought to make it illegal for companies that refuse to use rBGH to label their products rBGH free? (And isn't it a violation of our constitutional right to free speech to forbid a company to advertise the truth about their own product? They weren't bad mouthing rBGH. Just stating that their product was hormone free.)
I suppose since our household is predominantly dairy free, I shouldn't stress too much. But I want to know what's in my food. I think that the American people have a right to know. And I don't think that monetary compensation should have anything to do with what we can and can't know about our food.
The truth is that people don't want extra hormones. They don't trust pesticides or genetic modification. They know that general health has been declining over the past 100 years, even if life spans might increase and treatments for disease improve the odds. Our general health and well being has been steadily going downhill. And we know, instinctively, that it's in our diet and lifestyle.
We aren't suffering from a deficit in gym memberships. We aren't suffering from a deficit in food, nor are we GMO deficient and we certainly don't suffer from lack of rBGH in our dairy products (which we faithfully chug thanks to the dairy boards "Got Milk" campaign). There's something wrong with the packaged food lifestyle, and modifying crops to increase yield, decrease variety and monopolize the food chain is not the answer.
We want simplicity. We want truth. And we want to be trusted with the truth. Unless the government trusts us, how can we trust them?
Labels:
Corn,
GMO,
government,
legislation,
random thoughts,
Weight
Sunday, May 31, 2009
Skinny
I'm skinny. I'm slender, thin, twiggy, emaciated.
Other women seem to think the best way to "bond" is to walk up and chat up diet and excercize, to say things like "Oh, I hate women like you. You have so much self control."
Ha. Talk to my husband, who is almost horrified by the amount of chocolate and sweet potatoes I can consume (not together).
And I hate that the corn allergy thing is lumped with my figure. No, I'm not anorexic because there's nothing left to eat. The corn may have played a significant part in causing intestinal damage that prevents me from gaining weight well, the celiac certainly did. But there are foods that I should be able to eat. If it were a matter of allergy, I'd function within the confines of my diet. Corn allergy (etc) certainly complicates things, but there's more. And no one seems to know what it is.
Even more, I worry about raising two girls in a society that places deep value in calorie counts, pounds, and the size on a clothing tag.
People tell me they're so busy between work and parenting they can't find time to "lose weight". People with perfectly acceptable, natural, healthy looking curves tell me this. And I can't find the words to say I wish I had the energy to be that busy.
Other women seem to think the best way to "bond" is to walk up and chat up diet and excercize, to say things like "Oh, I hate women like you. You have so much self control."
Ha. Talk to my husband, who is almost horrified by the amount of chocolate and sweet potatoes I can consume (not together).
And I hate that the corn allergy thing is lumped with my figure. No, I'm not anorexic because there's nothing left to eat. The corn may have played a significant part in causing intestinal damage that prevents me from gaining weight well, the celiac certainly did. But there are foods that I should be able to eat. If it were a matter of allergy, I'd function within the confines of my diet. Corn allergy (etc) certainly complicates things, but there's more. And no one seems to know what it is.
Even more, I worry about raising two girls in a society that places deep value in calorie counts, pounds, and the size on a clothing tag.
People tell me they're so busy between work and parenting they can't find time to "lose weight". People with perfectly acceptable, natural, healthy looking curves tell me this. And I can't find the words to say I wish I had the energy to be that busy.
Subscribe to:
Posts (Atom)