Saturday 4 October 2008

Eating Disorder

The other day I watched a very interesting documentary on Channel 4. It was about an 8 years old who is an anorexic. [Click here to watch it online] I was shocked to see such incident. 8 years old?!!! What's up with the kiddies these days. When I was a child of that age, all that I'm concern about is "will I miss the ice cream man if I take a quick nap". 

She's called Dana. Very beautiful girl. Pretty but thin (does this ring any bell??). (Editor's Note: p53 IS pretty and thin, but she is not in any way anorexic). It all started when she tried to eat healthily by giving up sweets and junk food. Then she became a vegetarian and not long after that she gave up food altogether.

It was shocking (to me, lest my sheer ignorance for the subject matter) to know that are more anorexic girls under the age of ten these days compared to previously. Obsession with body image has affected children of young age. Gosh- that's a disturbing thought. 

There I was- sitting in front of the TV gawking at it and making mental list of an anorexic's S+S. Dana ticked all the boxes.
  • When she looks at mirror she sees a FAT girl (she is about 3 stone in weight)
  • Extreme exercise (skipping all the time- mom took away her skipping rope, she then run up and down the stairs- mom detained her in her room, she then jumps on the same spot- dear God)
  • Has a voice in her head that tells her thing and controls her LIFE.
  • Calories counting. Even the older girls (in the rehab centre where she was at) was surprised to learn the fact that she knows the calories for everything.

The next day when I was in hospital I met a patient with ?Eating disorder. 80 odd. She refused to eat anything solid despite not having any dysphagia. Ensure (a type of nutritional drink/shakes) was delivered to her in small medicine cup- for which she happily drink away thinking that it was medicine. Ha! Of course the consultant was worried about her food intake, she's at high risk of not getting enough calories/nutrition. On further questioning (of her daughter) she has always been thin- all her life. 

Plus I noticed that she is very conscious about her appearance. Insisting of wearing matching coloured garment (pink nonetheless) from top to toe. At first I thought she's probably losing it (i.e. her mind- being old and all that), then when she really fiddle* with her hair while talking to my consultant or any other male doctors as a matter of fact, you know- with giggle and darting eyes. Body image issue anyone?

Numbers of elderly with eating disorder is underdiagnosed. The sad thing is when it is not detected(?) early enough, he/she will deteriorate fast or even die (many comorbidities and poor diet esp those living alone). 

My say: old also want to look pretty meh? Just enjoy life not that you have many of it left. 

*fiddle as in: brushing her hair away from forehead and tucking it behind her ears in a very teenage-like motion. difficult to explain, has to witness first hand.

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