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Bulimia, the “Private Problem”

Depressed WomanNot So Private Anymore

If you recognize yourself or someone in your family in this piece, you share a problem with over 500,000 other people. Bulimia.

  • Do you worry about how much you eat—all the time?
  • Do you start a new diet almost every day?
  • Do you perceive everyone else as thinner than you are?
  • Do you make time in the day to eat in solitude—ice cream, doughnuts, pies, cakes, soft drinks—then vomit or take laxatives?

Eating disorders have become so common in this weight-obsessed nation that we’ve been forced to face the facts. Too many young people—and some not so young—are caught up in a cycle of binge eating, then purging, to physically attain some wacky cultural ideal.

“Thin is in.” “You can never be too rich or too thin.” While there may be nothing wrong with thinness, dieting to that end can become obsessive. That’s when your health starts to suffer.

The First Signs

Bulimia is hard to admit. Most victims feel out of control—they want to stop, and can’t. But because bulimia shows in your mouth, your dentist may well be aware of your situation.

Here’s what we see in someone addicted to binge-and-purge cycles.

  • Enamel eaten away on the insides of upper front teeth from daily exposure to stomach acids
  • “Moth-eaten” edges of front teeth
  • Heightened sensitivity to heat and cold
  • Erosion has thinned the tooth enamel so nerves are sensitive
  • Low salivary pH—acidic saliva chemical erosion of enamel around fillings
  • Swollen glands due to vitamin deficiency
  • Soft tissue damage

Bulimia won’t go away in a day. But there is immediate dental help at hand until you get eating patterns under control.

First of all, people who brush their teeth after purging may be making a mistake. Brushing in an acid environment will only embed more acid in tooth enamel. A sodium bicarbonate or simple water rinse may be safer.

Home fluoride treatments can also be prescribed to encourage remineralization of enamel. And there are de-sensitizers to help your teeth stand up to heat and cold.

The reasons for bulimia are many, but can be resolved over time. The important thing: there is help.

Help for Eating Disorders

Anorexia Nervosa & Related Eating Disorders
P.O. Box 5102
Eugene, OR 97405
503-344-1144
http://www.anred.com

Bulimia/Anorexia Self-Help (BASH)
6125 Claytone Avenue – Suite 215
St. Louis, MO 63139
800-227-4785

Center for the Study of Anorexia & Bulimia
1 West 91st Street
New York, NY 10024
212-595-3449
http://www.4woman.gov

National Anorexic Aid Society
1925 East Dublin-Granville Road
Columbus, OH 43229
614-436-1112

About Yuri Kaneda, DDS

Dr. Yuri Kaneda was born in Japan and immigrated to the US when she was 4 years old with her family. She lived in Ohio, Nebraska, and Illinois before finally settling in the San Diego area. A graduate of Bonita Vista High School, she went on to the University of California Berkeley where she obtained her Bachelors in Microbiology and Immunology. After working for 2 years in growth plate research at University of California San Diego, she went to the University of California San Francisco Dental School for her Doctor of Dental Surgery degree. Upon graduation, she returned to San Diego where she worked as an associate in the practice of Drs. Morimoto and Yaryan, her childhood dentist. She then started her own practice in 1995 and has been at her present location since 1999 which happens to be across the street from her high school!

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