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Creating Waves of Awareness

Last week I was on a train journey. There was an obese lady sitting in front of us. Right from the time she entered the train, she started eating continuously, that too heavy meals. She started with chapattis and then rice, veg salads, bananas, sweets, etc. The laddu she was having actually looked like canon ball! Finally, she took the food items left by the kids in her group. I felt that she is the scavenger of the whole family!

At the end, when the tea-vendor came, she asked for sugarless tea. It was not available with him. That really disappointed her. When the train reached the next station, immediately she ordered her son to get one tea without sugar. Casually she told the fellow passengers, “I have severe diabetes, and the doctor has told me to avoid sugar in tea”.

That poor lady thinks that avoiding sugar in the tea is enough for her. And, her poor doctor does not know the fact that inspite of following his advice "strictly", she is stuffing her stomach with calories!

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Comment by Dr Muhammed Rafeeque on August 4, 2011 at 12:21am
Thanks for the comments. The rubric bulimia can be considered. But the only difference is, she is not using laxatives or induced vomiting, because her obesity clearly shows that Whatever she eats is deposited as fat.
Comment by Marilyn Freedman on August 3, 2011 at 9:20am
This is very interesting - Bulimia as the diagnosis/rubric.  Since bulimia is related to binge eating and control through vomiting or laxatives I would never have thought to extend it to the control of diet in this way to use it in this case.  Thank you for the valuable insight!
Comment by Dr Muhammed Rafeeque on June 15, 2011 at 6:22am
Comment by Dr. Satish Kumar Rana on February 28, 2011 at 2:09am

@ Kurum

Thank you sir!

Comment by Dr Muhammed Rafeeque on February 27, 2011 at 11:05pm

Thanks for the comments. Eating and defecation are closely related. Most of our troubles are due to excess eating. The body really try to accomodate the excess of nutrients in different patrs. Finally the deposition starts in the vital organs. The abdominal fat can even inactivate the blood insulin.

Similarly, frequent visit to toilet can weaken the pelvic floor muscles. It can result in conditions like piles, fissures and rectal prolapse. Ladies may also develop uterine prolapse.

Comment by Dr. Satish Kumar Rana on February 26, 2011 at 8:49am
A good discussion.

May I please rectify the dictum for you please Dr. Rafeeque - the dictum is from Ayurvedic Ved [Encyclopedia] and is about the urging for stools and not for meals.

YOGI [is a person who mostly sits for hours in meditation] goes for stool only once in 24 hrs.
BHOGI [a person whose is after worldly tastes and is simply after getting tastes of everything, including sensual pleasures] goes for stool twice.

ROGI [a patient, say of colitis] goes for stools many a times.

Three meals a day is a routine with almost all Indians and Bulemia can be found in various obese and diabetic patients.
Warm regards.
Comment by Dr Muhammed Rafeeque on February 20, 2011 at 11:22pm

Thanks for the comments.

The old dictum is relevant:
The one who eats only a single meal a day is called YOGI.
The one who eats twice a day is called a BHOGI.
The one who eats thrice a day is called a ROGI (sick).

Comment by sajjadakram on February 19, 2011 at 12:09pm

what is the rubric?


Comment by Dr. Wequar Ali Khan on February 19, 2011 at 9:06am
She probably has another "mental illness" the denial attitude,could it be due to some sort of "depression" that she goes on a "binging" spree? Just a thought;

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