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The Gazette Wednesday, April 7, 2010 B1
Health & Fitness
Becoming A Fool In All The Right Ways
You've seen people like this, I don't mean to repeat a wasn't easy, but they took that
right? point I made last week, but if step.
I was in a parking lot near a what we put down during the So if you're one of those
main road in town, having just last census is true - if 2/3 of "two-thirds of Medina County
come out of a meeting and the people in our county really Census" people, care to join
about to run some errands. do "attend church" and are me in following through on
The auto-pilot side of my "Christian" - then why is it our faith?
brain began to pull my car out, easier to find more people on Might our homes actually
when suddenly I became religious auto-pilot than it is become lighthouses in the
aware of two active figures to find those whose lives are darkness? Could offices, fac-
who'd entered into my periph- led by Jesus in a way that its tory lines, and classrooms
eral vision and hearing. contagiously changing our become more than a paycheck
"Check this out!" said one TONY MYLES community? or a grade but a chance for us
voice. The Bible shares about a to make a difference in the life
"You won't find a better deal You've seen people like this, high-level religious leader of another? Is it possible for
than this!" said another. right? named Nicodemus who won- us to love our neighbors with a
Turning to get a better look, There are other people in dered what real faith looked genuine care and concern
I saw two young men twirling life with a different attitude Andrew Crooks (left) and Zach Ryan were recently like. He saw something gen- unlike anything they've ever
around signs that said, "$5 than Zach and Andrew. observed overflowing with enthusiasm while earning a uine in Jesus, and yet for some experienced?
Large Pizza." They were Little They've allowed the routine reason only wanted to talk I'm in. And I cannot be
few extra bucks during their spring break.
Caesar's employees, doing they keep every day to suck with Him at night. Jesus told bought, compromised,
their best on a beautiful day to the joy out of anything they Him: deterred, lured away, turned
gain the attention of drivers do. A number of my friends "I tell you the truth, no one back, diluted, or delayed. I'm
passing by (who likely were on who have worked monoto- • Are you a "shaker?" Does something flighty or tempo- can see the kingdom of God hoping you're in, to. Let's
auto-pilot as well). nous jobs have noted how the your enthusiasm for some- rary, but something significant unless he is born again." (John become a fool for the right
Keep in mind, this wasn't repetition tends to create co- thing you believe in vibrate and eternal. 3:3) things in all the right ways.
the first time I'd seen a pizza workers no one wants to be others out of their apathy? As mentioned last week, Do you catch the irony?
place doing something like around, from language to atti- • Are you a "taker?" Has many of us want to say we do Here's a guy so afraid to ask Until then, see you next
this. Still, there was some- tude. your cynicism for life and but often create routines - genuine questions about his week… if not around town.
thing about these boys that You've seen people like this, anger against how stuck you even religious ones - that work faith in the public daylight
was different. I pulled my car right? feel caused you to steal the joy against us. On Easter Sunday, that he comes to Jesus at "Fully-Alive Living" offers
over and said, "You guys have Then there are still others out of others? churches set up extra chairs night. Christ responds with a you weekly insights to serve
the most enthusiasm I've seen who smile a lot when they're • Are you a "faker?" Might and add more service times. declaration that in order to you in taking another step for-
in a while." looking your way… and it's your desire to get ahead be Then a week later, all those find eternal life, one has to be ward in matters of the heart,
"Awesome," one of them kind of creepy. You can tell causing you to use people and seats get put away until willing to start over - which soul, mind, body, and relation-
said. "We love our jobs!" It they want something from love things (instead of the Christmas and weekly gather- might sound foolish to some- ships. With over 20 years of
turns out these two guys - Zach you, and so any enthusiasm other way around)? ings revert backward. one like Nicodemus who'd experience and advanced edu-
Ryan and Andrew Crooks - they put forth comes off as What caught my attention Why is this? When it comes "earned" a respectable title. cation in working with people
were on spring break from inauthentic and self-serving. that day wasn't a clever mar- to matters of our soul, are we I have watched and helped of all ages, Tony Myles and his
Medina High School. Both were You merely represent a way for keting plan by a local pizza shakers, takers, or fakers? so many people over the years family live in Medina where he
taking advantage of the oppor- them to get ahead. place. I was a witness to two I've found that not too take this step of faith. Even serves as the Lead Pastor of
tunity to gain a few extra bucks You've seen people like this, guys who were willing to give many people want to ask and my own mom and dad on sep- Connection Church.
by putting in some extra hours. right? something all they had, from answer that question. We live arate occasions claimed a new
Zach explained, "It's actu- Out of these three cate- losing their voice to running in a culture that tells us that starting point with God. Both Visit Tony online...
ally a great place to work and gories, which most represents with genuine joy alongside of spiritual tolerance is a greater grew up with a knowledge Personal blog: http://dont
the people are great. I'm sav- your life? Consider how the cars. value than spiritual passion, about Him, and yet each had callmeveronica.blogspot.com
ing up to try to get my own people in your household, Is there anything like that in and so we click into auto-pilot the courage to recognize that Leadership blog:
place after I graduate, so I fig- workplace, classroom, or your life you believe in so and never really let ourselves this knowledge needed to http://tonymyles.blogspot.com
ured I might as well have fun neighborhood would describe much that you're willing to look foolish about the things become something more rela- Contact email:
doing it." you. look foolish about it? Not we say we believe in. tional and interactive. That firstname.lastname@example.org
Eating Disorders: Part I
Anorexia Nervosa: Popular Culture and Body Image
Some of you may recall the for inpatient psychiatric treat- often fasting and not eating • Intense fear of gaining Co-morbid psychiatric
emaciated image of Nicole ment. much. Despite family con- weight. conditions
Richie on the cover of several Gabby described herself as a cerns and insistence, Gabby • Distorted view of body size It is important to realize that
tabloids awhile ago. Of perfectionist ever since she refused to see a health profes- and/or shape. people with anorexia nervosa
course, that led to speculation was 6 or 7 years old. She sional. • Unusual eating habits such often have other emotional
that she may have anorexia believed her parents wanted While in the hospital, Gabby as avoiding meals, dieting, disorders which need to be
nervosa. But is it not uncom- her to be 'perfect' as she was was found to be in poor physi- fasting, sticking to only a few treated as a part of overall
mon for many of our female the older of the two sisters. cal condition. She seemed to food items, eating very small treatment strategy. The most
celebrities, whether actresses She also stated that between be in mild heart failure, and meals, weighing food before common co-occurring condi-
or models, to be super-thin. It her two parents, her father she had also developed eating, counting calories on tions include major depres-
is not surprising, given the was the most demanding. swollen joints, anemia and dry anything eaten, etc. sion, obsessive-compulsive
undue value that is placed on DR. RAKESH RANJAN Around age 10, Gabby began skin. A team of internists, • exercising excessively. disorder, generalized anxiety
thinness in the western cul- 'feeling fat'. She recalled her dieticians, therapists and psy- In addition to the above disorder, panic disorder, etc.
tures. family religiously ate supper chiatrists provided concerted symptoms, for somebody to
and her academic perform-
together, but often she would treatment for several weeks be diagnosed with anorexia Medical complications of
ance suffered. A feeling of
How common are eating make excuses not to eat with before Gabby began to recover nervosa, he/she must: anorexia nervosa
dejection set in and Gabby
disorders? them. She also joined the both physically and emotion- • Weigh at least 15% below When untreated, anorexia
was suddenly thinking about
Anorexia nervosa is one of gymnastic team at school, so ally. for age and height. nervosa can have devastating
ways to end her life. Fortu-
the three most common eating she could exercise regularly. • Show refusal to maintain effects on one's body. These
nately, her roommate at col-
disorders in the U.S.A. The She was able to hide her So, how can we recognize minimum normal body include:
lege called her parents who
other two are: bulimia nervosa obsession with her body anorexia nervosa in someone? weight. • Slow heart rate.
brought her back home. She
and binge-eating disorder. image until she was a sopho- The following are some of • Miss at least 3 consecutive • Low blood pressure.
was taken to her internist who
The symptoms of anorexia more in high school when her the tall-tale signs of anorexia menstrual cycles, if a female of • Heart failure.
was alarmed by her level of
nervosa appear early, usually parents noticed Gabby was nervosa: child-bearing potential.
malnutrition and referred her
between the ages of 11 and 13. See ANOREXIA, B2
In this country 1 or 2 out of
every 100 kids struggle with
some form of eating disorder. Facing surgery shouldn’t be a confusing and overwhelming experience. That’s why it’s advanced surgical techniques, you can heal faster and feel better. If you should
It is also estimated that 42% of important to have all the information you need to make the right decision about someday be faced with the reality of surgery, rest assured that in selecting
first-to third-grade girls want your surgery. Akron General makes it possible for you to meet ahead of time Akron General, you will have a better overall surgery experience and the expert
to be thinner and 81% of 10 with the members of your surgical team to learn what to expect before, during care you need. For more reasons to make Akron General your first choice
year olds are afraid of being and after your surgery. We offer highly respected, board-certified surgeons and to find an Akron General surgeon who’s right for you, please visit
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with eating disorders are
The story of Gabriella
I first met Gabriella* when
she was 19 and under my care
at the psychiatric ward of a
Deciding where to have surgery? Make sure it’s
local hospital. She was admit-
ted to the hospital because she
had become depressed and
an informed choice.
suicidal over the last several
months. At 5' 3" and weighing
just 80 lbs, Gabby believed she
Gabby came from a close-
knit family - her parents were
first generation Italians and
she had one younger sister,
age 16. She had just moved
from home to attend college
and had started dating for the
first time. The pressure of
school, social life and being Two more outstanding reasons to make
away from her family for the Akron General your first choice for surgery:
first time intensified her inse- Department chairmen
curity about her body image. Dr. Daniel Guyton, Surgery
and Dr. Lance Talmage,
Although she kept restricting
her diet and increasing her
exercise time, she remained
concerned about her appear-
ance. She became withdrawn
Cyan B1 magenta B1 yellow B1 black B1
B2 Wednesday, April 7, 2010 The Gazette
Health & Fitness
Successfully treats a
Balance Of Life Clinic ANOREXIA The most important goal is
to restore a healthy body
variety of conditions & their Supporting Your Commitment To Better Health
From B1 weight. The best approach in
treatment is a multi-discipli-
underlying causes! Physician Specializing in Integrative,
• Brittle hair and nails.
• Dry and yellow skin.
nary approach i.e. treatment
team should consist of psychi-
ACUPUNCTURE TREATMENTS $20 Preventive and Complementary Medicine • Anemia. atrists, therapists, internists
Limited Time Offer • Swollen joints. and nutritionists. The first
Clifford M. Sonnie, M.D., M.P.H. • Reduced muscle mass. step in treatment, depending
Dr. Nicholas Cambouris, D.C., FIAMA • Loss of bone density
1930 Pearl Rd., Brunswick www.BalanceofLifeClinic.com (increased risk of fractures).
on the severity of symptoms
may be hospitalization (as was
330-220-2001 3985 Medina Road Suite 250, Medina, OH 44256 (330) 764-4242 What is the Best way to treat
the case with Gabriella).
Individual and family psy-
ioral therapy, supportive group
therapy and self-help groups
Meet Summa Physicians
are all useful.
are typically not very effective
in treating anorexia nervosa,
Behavioral Health Team
but sometimes selective sero-
tonin reuptake inhibitors
(SSRI's) may be useful.
Any co-occurring psychi-
at Summa Barberton Hospital.
atric condition should be
It is known that the earlier
the treatment is offered the
better the long-term outcome.
* Name has been changed to
protect patient's privacy
Next Week: Eating Disor-
ders Part 2 - Bulimia Nervosa
The purpose of this article is
for educational purposes only.
It is not intended to diagnose
or treat any medical or psychi-
atric issue. Dr. Rakesh Ranjan
is a practicing psychiatrist and
a researcher. He is a recipient of
several research awards and
has authored several peer-
Alf Bergman, M.D. Rajeev Mehta, D.O. Sarah Reimer, Ph.D. They are accepting new reviewed journal articles and
• Medical Degree from Saint • Medical Degree from Ohio • Doctorate degree in patients. For an appointment book chapters on psychiatric
illnesses and their treatments.
Eustatius/Saba School of University College of Psychology from The Ohio call (800) 237-8662, ext: 234 He is a national speaker for
Medicine, Netherlands Osteopathic Medicine State University several organizations and
serves on the medical advisory
Antilles • Completed Northeastern • Specializing in health board for the NAMI of Greater
Cleveland. If you or a loved
• Completed University of Ohio University College of psychology including
one is experiencing any symp-
Connecticut Psychiatry Medicine Psychiatry oncology, palliative care, toms that would lead you to
Residency Program Residency Program geriatrics and believe that there could be a
mental imbalance, please e-
• Specializing in general • Specializing in general general psychology. mail your questions to Dr. Ran-
jan at askthedoctor@charakre-
psychiatry, therapy and psychiatry
search.com. Each Wednesday,
medication management Dr. Ranjan will address some of
spi.summahealth.org these questions in this column.
All contact info will be kept
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The Gazette Wednesday, April 14, 2010 B1
Health & Fitness
Eating Disorders: Part II
Bulimia Nervosa: A Yo-Yo Syndrome
If you want to learn about middle of the night and lead to life threatening cardiac
bulimia nervosa, an interest- helped herself to food. Haley complications.
ing means may be to familiar- was attending a local college • The obvious goal is to
ize yourself with the well- and was a cheerleader for the eliminate binging/purging
chronicled struggle of TV football team. She was known behavior. Behavior therapy,
celebrity Kirstie Alley. As to spend a lot of time daily at individual and family therapy
stated in part I of this article, the gym. Recently, she was (when applicable), and psy-
bulimia is one of the three diagnosed by her family doc- chotropic medications should
most common eating disor- tor as having ulcers and severe all be utilized. SSRI's (Selec-
ders in our country. Like constipation. Haley had tive Serotonin Re-upatke
anorexia nervosa, the majority recently divulged to her family Inhibitors) have been found to
of people affected with that she had been using large be helpful.
bulimia nervosa are young DR. RAKESH RANJAN amounts of laxatives for the • All co-morbid psychiatric
females between the ages of with Kirstie Alley) which is not past 4-5 years in an apparent conditions should be treated
12 and 25. common in those with attempt to lose weight. concurrently.
anorexia. Haley's parents were also con- • Self-help groups and group
What are the symptoms? cerned about her shopping therapy may be helpful.
The hallmark symptoms of Bulimic people are more sprees, sexual promiscuity and
bulimia nervosa are two-fold: likely to suffer from conditions increased risk-taking behav- * Name has been changed to
binge eating and purging. such as bipolar disorder, body iors. It was of great concern protect patient's privacy
Binge eating consists of con- dysmorphic disorder, impulse that she had recently con-
suming an enormous amount control disorders and sub- tracted genital herpes as well. Next Week: Eating Disorders
of food in one sitting. Purging stance abuse disorders than Upon thorough evaluation Part 3: Kids
consists of an attempt to get those with anorexia. of Haley, she was diagnosed
rid of eaten food shortly after with bulimia nervosa and The purpose of this article is
consuming it with various Is bulimia common only bipolar disorder. She was for educational purposes only.
means. These include self- among actresses/models? placed on a mood stabilizer It is not intended to diagnose
induced vomiting, use of laxa- Not at all. Mental health and referred to a nutritionist or treat any medical or psychi-
tives or water pills (diuretics), professionals treat a good and a therapist. Her family atric issue. Dr. Rakesh Ranjan
excessive exercise etc. This number of ordinary people doctor was notified about the is a practicing psychiatrist and
pattern of behavior is known who have bulimia. One of need for regular medical
a researcher. He is a recipient of
as the binge-purge cycle. these people I treated was check-ups. She was promptly
several research awards and
Haley* who, at the age of 22, given treatments for ulcer and
has authored several peer-
Anorexia vs. bulimia was brought to me by her par- genital herpes.
For the sake of proper ents. Haley was apparently reviewed journal articles and
recognition and treatment of having significant mood Are there any medical book chapters on psychiatric
these two eating disorders, it is swings and fleeting suicidal complications of bulimia? illnesses and their treatments.
important to understand the thoughts. Around age 13, she Like anorexia, bulimia can • Stomach ulcers. addressed first. He is a national speaker for
similarities and differences began having extreme fluctua- lead to several medical com- • Pancreatitis (swelling of • Any serious medical com- several organizations and
between the two. tions in her weight. Her plications, some of which can pancreas) plications such as irregular serves on the medical advisory
The common threads mother recalled that during be life threatening. These • Chronic constipation. heart beat and/or heart failure board for the NAMI of Greater
between anorexia and bulimia the past two years, Haley's include: • Electrolyte imbalance. need to be treated immedi- Cleveland. If you or a loved
include an intense fear of dress size had fluctuated • Damage to teeth. • Irregular heartbeat and/or ately. This may require hospi- one is experiencing any symp-
gaining weight, purging and between 8 and 20. Her family • Damage to and swelling of heart failure. tal admission. toms that would lead you to
sometimes compulsive exer- had noticed that she would go inner lining of the esophagus • Deaths. • A thorough medical work- believe that there could be a
cising. from not eating much to eat- (a tube that connects mouth up is essential. This must mental imbalance, please e-
Anorexic people are almost ing large quantities of food. to stomach). Treatment of bulimia nervosa include a physical exam, lab mail your questions to Dr. Ran-
always underweight while Her brother, whose bedroom • Swelling of parotid glands • The first step is a proper tests, EKG, etc. Low potas- jan at askthedoctor@charakre-
those with bulimia tend to be shared a bathroom with (glands that make saliva) near diagnosis including any co- sium is common among search.com. Each Wednesday,
normal weight or overweight. Haley's, would frequently hear cheeks. This can produce a morbid psychiatric conditions bulimic patients (especially Dr. Ranjan will address some of
Those with bulimia tend to retching sounds in the bath- 'chipmunk face' which has and medical complications. those who engage in self- these questions in this column.
have significant fluctuations in room shortly after Haley had been associated with long- • If substance abuse disor- induced vomiting) and should All contact info will be kept
weight (as has been the case gone to the kitchen in the term bulimics. der exists, that needs to be be treated promptly as it can confidential.
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The Gazette Wednesday, April 21, 2010 B1
Health & Fitness
There is Hope
The title of this article is like this, which is perhaps why thing seemingly more noble, each other and so there was a ing a 50th wedding anniver-
profanity, isn't it? what happened during the like building our lives around moment of awkwardness, yet sary who says, "Yeah, we made
It seems like people are service was so powerful. Sup- our kids. Yet when those kids we all did it - not because I'm it 50 years. Years 13-17 were
more afraid to say that phrase portive people from all walks grow up the "empty" part of a charismatic speaker but horrible, and we thought it
out loud than they are to curse of life filled chairs, stood an "empty nest" is realized by because every one of us in that was going to fail, but we hung
like a sailor (my apologies to against walls, and sat in an parents who never invested room knew something to be in there." What in life is horri-
any sailors). Marriages are on overflow area with a video into their their own souls. true in that moment. ble now but has the potential
edge, people we love are sick, feed. We all went one-on-one There is hope. There is hope. to be talked about in that way
jobs seem questionable, past with the same reality - "one Hope isn't located in Prior to that moment many years down the road? Espe-
mistakes haunt us, relational out of one people die," no another person, yet another were stuck in the quiet vac- cially if you allow God to place
issues appear unsolvable, and matter how much success we person can help us locate uum of their shock or a cycle His hand on your shoulder.
the list goes on. achieve or stuff we buy. hope. I'm still on my honey- of hot tears. On the heels of Is it time to get healthy spir-
"There is hope?" Can you the song Amazing Grace, itually in order to gain this
say it? Can you even conceive the possibility of anything though, we all stood for that perspective? I'm not talking
it? hopeful. moment of touch without about belittling that to an
I find it intriguing that most reserve. It was as if that tactile hour of religion a week, but
The movie The Shawshank people forget the lines that senation of another person about going one-on-one with
Redemption follows a 1940's come before that famous invading our space reminded a daily truth you can't ignore
man falsely accused of double movie quote. Just after the us that we live in a much big- any longer. You'll need to
murder and sentenced to life lead character subversively ger Story than we usually rec- become humble enough to
in prison. While he quickly broadcasts four minutes of ognize. confess your need for itand
adapts to the mechanics of beautiful music over the Speaking of that Story, the believe that it's out there (even
prison life, his enduring spirit prison's P.A. system, he's sen- chapter we're currently in isn't if you can't fully see it), but the
and perspective inspire the tenced to time "in the hole." God's ideal. The original plan payoff is that God will help
inmates. One famous quote He later tells his fellow of creation didn't include you live life from the inside-
many people remember from inmates: words like "cancer" and out instead of the outside-in.
the movie comes from an "I had Mr. Mozart to keep me "divorce." Yet after humanity I'd love to help you if you're
older character named Red: company. [taps his head] It was rejected that gift and the One interested, because there is
"Let me tell you something, in here. [gestures over his heart] who gave it to us, we now live hope.
my friend. Hope is a dangerous And in here. That's the beauty "in the meantime" where pain
thing. Hope can drive a man of music. They can't get that is real… but not the last word. Until then, see you next
insane. It's got no use on the from you… here's where it Jesus said: week… if not around town.
inside. You'd better get used to makes the most sense. You need "I have told you these things,
that idea." it so you don't forget… that so that in me you may have "Fully-Alive Living" offers
If you've tasted bitter set- there are places in the world peace. In this world you will weekly insights to serve you in
backs in life, you may feel this that aren't made out of stone. have trouble. But take heart! I taking another step forward in
way. Some consider holding That there's somethin' inside have overcome the world." matters of the heart, soul,
out hope, only to feel intimi- that they can't get to; that they (John 16:33) mind, body, and relationships.
dated by the risk and faith it can't touch. It's yours… hope." Whether you buy into Christ With over 20 years of experi-
requires. It's easy to pull back, Can you say it yet? "There… or not, I do know His promise ence and advanced education
not wanting to put effort into is… hope." The little blanket we wrap moon with my bride of 16 is true and what you're experi- in working with people of all
something you ultimately This past week I served a around ourselves that says "I years, but I know that my wife encing today doesn't have to ages, Tony Myles and his family
believe isn't going to change. family in our church who control everything in my can't complete me. However, be where the story ends. Real live in Medina where he serves
Isn't that why divorce hap- experienced a sudden loss. A world" can get pulled away at she can (and does) remind me hope doesn't depend on cir- as the Lead Pastor of Connec-
pens? Or why suicide occurs? life is now gone, and a good any moment. of a larger reality than what cumstances changing but on tion Church.
Or why people of all ages drop friend of mine now faces the Of course, when the funeral I'm experiencing. you finding a way to change
out of school? Or why we turn task of helping his two kids ends we often move back into I saw this happen among even if circumstances don't. Visit Tony online...
to a substance to make us feel understand life without their making life all about the iPad, people attending the funeral, Jesus did that in me years ago Personal blog: http://dont
"different" in some way… mother. another financial portfolio too. Toward the end of the when I recognized the differ- callmeveronica.blogspot.com
even if only for a half-second? There is hope? achievement, our home, a service, I had a leading to ask ence between religion and a Leadership blog:
Somehow we blindly buy compliment on how we look, everyone to stand and place a relationship, and He can do it http://tonymyles.blogspot.com
into the idea that what's hap- No words seem adequate in or more pop culture entertain- hand or arm on someone next in you, too. Contact email:
pened to us is more real than horrible circumstances like ment. Sometimes it's some- to them. We didn't all know Picture an older couple hav- email@example.com
Eating Disorders: Part III
Children and Adolescents: Much to Worry About
When it comes to eating dis- • Inexplicable heartburns. problem. are the same as those illnesses and their treatments.
orders and our youth, the • Dramatic fluctuation in • Mobilize your resources by described for treatment of He is a national speaker for
trend is alarming. They are weight. talking to and consulting the adults in the preceding parts several organizations and
being diagnosed at a much • Undue preoccupation with family physician, teachers, of this article. serves on the medical advisory
younger age and more often. exercise/food clergy and close relatives. NEXT WEEK: The Mind of a board for the NAMI of Greater
It is estimated that about 1% type/calories/body size etc. • Have the child/teen evalu- Sexual Predator Cleveland. If you or a loved
of teenage girls have anorexia Parents should also bear in ated both medically and psy- The purpose of this article is one is experiencing any symp-
while 5% have bulimia. About mind that kids with eating dis- chologically/psychiatrically. for educational purposes only. toms that would lead you to
42% of first-to-third graders orders tend to be perfection- • Address psychological It is not intended to diagnose believe that there could be a
want to be thinner. And about ists and with low self-esteem. issues e.g. low self-esteem by or treat any medical or psychi- mental imbalance, please e-
46% of 9 year olds and 81% of being supportive and/or atric issue. Dr. Rakesh Ranjan mail your questions to Dr. Ran-
10 year olds report fear of get- DR. RAKESH RANJAN Medical consequences of involving a therapist. is a practicing psychiatrist and jan at askthedoctor@charakre-
ting fat. The earliest diag- eating disorders in youth • Establish a healthy eating a researcher. He is a recipient of search.com. Each Wednesday,
nosed case of anorexia stands to be genetic or biological Theses could be devastating lifestyle for the whole family: several research awards and Dr. Ranjan will address some of
at age 4. which is the case with most and in cases of anorexia and this should include better has authored several peer- these questions in this column.
Eating disorders have also neurobiological disorders. bulimia, include: choice of foods, at least three reviewed journal articles and All contact info will be kept
become more common Most eating disorders seem to • Delayed or arrested balanced meals a day, eating book chapters on psychiatric confidential.
among boys, ethnic groups run in families. However, fam- puberty. together, parental determina-
other than whites and lower ily dynamics (e.g. how family • Delayed breast develop- tion of daily menu (child/teen
socioeconomic classes. About views thinness or eating ment (girls). should determine the portion)
10% of all young people with
eating disorders are now boys.
Five percent (5%) of those
habits), sociocultural issues
(e.g. pressure to be thin) and
psychological factors (e.g. low
• Growth retardation
• Decreased muscle and
• Establish an active lifestyle
for the whole family: this
Get Some Spring
In Your Step!
with anorexia, 15% of those self-esteem, poor body image • Decrease in blood pressure should include regular but
with bulimia and 35% of those etc.) all play important roles. and heart rate. modest exercise, avoidance of
with binge eating disorders are • Irregular heart beat excessive sedentary activities
boys. Warning signs of eating • Electrolyte imbalance e.g. watching T.V. or playing
Eating disorders also cause disorders in youth In contrast, kids/teens with video games, family physical
To see how we can add some spring to your step,
significant medical morbidity It is clear that the earlier the binge eating disorders may activities e.g. walking, jogging, please visit www.wadsworthchiro.com
in young people. In this con- treatment begins for eating develop (due to excess weight) etc.
text, the third most common disorders, the better the out- the following: • Create a supportive and
chronic illness in adolescent come. So, early detection is • High cholesterol and cohesive family environment:
females is eating disorders. crucial. However children and triglycerides. this should include doing non-
Finally, almost 87% of all adolescents are very adept at • High blood pressure. physical activities together e.g.
diagnosed with eating disor- hiding their symptoms for • Atherosclerotic heart dis- reading, refraining from com-
ders in this country are years. Parents are usually the ease. menting on child's/teen's
younger than 20. first people to notice any indi- • Diabetes. weight or shape, listening,
cation of an eating disorder. promoting healthy communi-
Types of eating disorders Now, besides the obvious What are the other risks? cation, encouraging expres-
The most common types behaviors associated with eat- Like adults, kids and teens sion of feelings, promoting
include anorexia nervosa, ing disorders, the following with eating disorders are more self-worth of child/teen etc.
bulimia nervosa and binge may serve as the 'red flags' if likely to suffer from mood dis- • Examine and adjust (if
eating disorder. We discussed your child or teen has an eat- orders, anxiety disorders, sub- needed) your attitudes
the symptoms of the first two ing disorder: stance abuse disorders, body towards eating, body weight
disorders among adults in • Inexplicable dizziness or dysmorphic disorder etc. etc. Remember your MEDINA COUNTY
parts I and II of this article. weakness. child/teen will most likely Reader’s
The symptoms are very similar • Chronic constipation. What to do when your model after you Choice
in young people. • Intolerance to cold e.g. fre- child/teen has warning signs Treatment DRS. JOE & BEST
Binge eating disorder is a quent flu-like symptoms. of eating disorders? Again, to re-emphasize, the
condition in which a • Declining school perform- The most important thing earlier the treatment is started,
LISA HERBERT BEST
child/teen engages in devour- ance for parents to realize is that it the better the long-term out-
ing a large amount of food in a • Inexplicable mood will not get better on its own come. As in adults, treatment
short period of time, but does changes and that your child/teen will should be provided by a multi-
1329 High St. (Rt. 94)
not engage in purging. • Undue hyperactivity. not be able to 'will it away'. disciplinary team consisting of Suite 109 Wadsworth, OH 44281
What causes eating disor-
ders in our youth?
• Frequent nightmares.
• Inexplicable dental prob-
Here is what to do:
• The first step is to gently
family physician, psychiatrist,
therapist, dietician etc. Vari-
The overriding factor seems lems. talk to child/teen about the ous components of treatment www.wadsworthchiro.com
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