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Medical Forum / General / Dentistry / July 2008

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Diet and the "TMJ" patient

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The Webby - 08 Jul 2008 07:27 GMT
In the thread, "NTI continued", the discussion has taken its most recent
turn into the realm of dietary difficulties.

I'm going to be away from my "desk" for a week or so beginning tomorrow.  
It is my suggestion that you all consider the value of a good, long
discussion about diet and the "TMD" patient.  When I return, I'll be
more than happy to participate in this thread; I have decades of
experiences that might be useful to others.

Catch you all soon.

Webby
The Webby - 08 Jul 2008 07:32 GMT
In article
<tmjiatroepidemic-9BA1D8.23272907072008@news.lga.highwinds-media.com>,

> In the thread, "NTI continued", the discussion has taken its most recent
> turn into the realm of dietary difficulties.
[quoted text clipped - 8 lines]
>
> Webby

P.S. ... It doesn't matter what your "diagnosis" is if what you have is
a *problem* eating because your jaw just doesn't seem to "work" normally.

Webby
jerm - 24 Jul 2008 20:53 GMT
> In article
> <tmjiatroepidemic-9BA1D8.23272907072...@news.lga.highwinds-media.com>,
[quoted text clipped - 16 lines]
>
> Webby

Hey Webby, could use some of your cuisine planning skills, if you have
the time.

Jeremy
The Webby - 24 Jul 2008 21:27 GMT
In article
<4d072799-8974-4e61-810c-4d56493813ae@z11g2000prl.googlegroups.com>,

> > In article
> > <tmjiatroepidemic-9BA1D8.23272907072...@news.lga.highwinds-media.com>,
[quoted text clipped - 21 lines]
>
> Jeremy

Sure!  I will make time.  How can I be of help?

Webby
jerm - 25 Jul 2008 00:25 GMT
> In article
> <4d072799-8974-4e61-810c-4d5649381...@z11g2000prl.googlegroups.com>,
[quoted text clipped - 28 lines]
>
> Webby

I guess, maybe just some ideas....seems like i can only think of a few
things I can eat...eggs.fish,oatmeal.....lots of ice cream........
The Webby - 25 Jul 2008 00:53 GMT
In article
<10a59eea-c67b-48dd-8978-8f3b4aca3106@u36g2000pro.googlegroups.com>,

> > In article
> > <4d072799-8974-4e61-810c-4d5649381...@z11g2000prl.googlegroups.com>,
[quoted text clipped - 34 lines]
> I guess, maybe just some ideas....seems like i can only think of a few
> things I can eat...eggs.fish,oatmeal.....lots of ice cream........

I'll work on this asap; have some plans for a few hours now.  Please let
me/us know if there are any foods in particular that you really
*dislike* so we can eliminate those right up front.  Ok?  

Webby
jerm - 25 Jul 2008 01:27 GMT
> In article
> <10a59eea-c67b-48dd-8978-8f3b4aca3...@u36g2000pro.googlegroups.com>,
[quoted text clipped - 43 lines]
>
> Webby

No hurry, whenever you get a chance............I like it all really,
with maybe the exception of eggplant.......:)........thanks Webby!
The Webby - 26 Jul 2008 19:00 GMT
In article
<ade8b5fc-86d4-4c8d-89c3-3af23723a5f7@p10g2000prf.googlegroups.com>,
[cut a bunch]

> > > I guess, maybe just some ideas....seems like i can only think of a few
> > > things I can eat...eggs.fish,oatmeal.....lots of ice cream........

Let's get this topic explored with the help of our many smd-chefs!  I
know they're out there ...  ;-)

First of all, jerm, it's important to understand your personal
challenges or obstacles.  We assume a few things in the beginning:

1.  No dietary restrictions associated with religion, personal
philosophies, or allergies.

2.  You are not a finicky eater.

3.  You are bored with your present routine and would appreciate some
ideas.

~~~~~~~

For today, would you mind sharing with us what you ate all day
yesterday.  It doesn't matter whether it was a "normal food day".  Let's
just begin with that.  If you can remember what you did yesterday, we
can let it begin with today's meals.  

Breakfast-

Snacks-

Lunch-

Snacks-

Dinner-

Snacks-

~~~~~~

Try to comment about whether you ate.  (Alone at home, with friends in a
home, restaurant, or wherever...)

Webby
The Webby - 26 Jul 2008 19:05 GMT
> For today, would you mind sharing with us what you ate all day
> yesterday.  It doesn't matter whether it was a "normal food day".  Let's
> just begin with that.  If you can [sic] remember what you did yesterday, we
> can let it begin with today's meals.  

If you *can't* remember ...

Sorry.  ~~Webby
jerm - 26 Jul 2008 22:00 GMT
> In article <tmjiatroepidemic-DA3F7A.11000526072...@news.west.cox.net>,
>
[quoted text clipped - 6 lines]
>
> Sorry.  ~~Webby

not finicky, actually am 6'3 220 and eat everything, no restrictions,

yesterday had oatmeal for breakfast, than a smoothie later, then had
some seared salmon for dinnner.
The Webby - 26 Jul 2008 23:06 GMT
In article
<80af9145-52cd-454a-9847-2b61e0993bca@p10g2000prf.googlegroups.com>,

> > In article <tmjiatroepidemic-DA3F7A.11000526072...@news.west.cox.net>,
> >
[quoted text clipped - 12 lines]
> yesterday had oatmeal for breakfast, than a smoothie later, then had
> some seared salmon for dinnner.

That isn't enough food to keep you weighing in at 220.  Nothing in
between meals?  

You need to be a little more specific, jerm.  Use the bullet list below
and fill in the blanks, so to speak, please.

Breakfast:

Oatmeal quantity?
Milk?
Sugar?
Fruit juice? (orange or other?)

Morning snack:

Nothing???  
Why not smoothie?
Why not something of a nutritional drink (weight gain type)?

Lunch:

Was the smoothie your lunch?
What was in the smoothie?

Afternoon snack:

Nothing???

Dinner:

Seared salmon (that's a good choice!).
Do you know how many ounces of salmon?

Nothing else with the salmon?
Maybe some mashed potatoes, soup,

Evening snack:

Ice cream?

~~~~~~

First, my point is that you need to eat *something* often throughout the
day.  If you don't feel hungry, that's not a reason to miss your "meal
times".  Oh, and I realize that yesterday was just one day; it might not
have been the day that best represented how much you normally eat but it
was a day... and we need to make all the days count for what they are
worth.  

Also, have you lost or gained weight in the past months with all this
going on?

Can you please respond to the above points for me in your next post?

Thanks,
Webby
jerm - 27 Jul 2008 02:13 GMT
> In article
> <80af9145-52cd-454a-9847-2b61e0993...@p10g2000prf.googlegroups.com>,
[quoted text clipped - 72 lines]
> Thanks,
> Webby

i havent been eating very well to be honest, and i have lost weight,
especially in my face, so im probably not at my normal weight. Eating
just seems dangerous lately, but actually i had a couple yogurts and
ive been eating tons of ice cream!......

and i ate the salmon alone, a pretty big piece though.
jerm - 27 Jul 2008 04:59 GMT
> In article
> <80af9145-52cd-454a-9847-2b61e0993...@p10g2000prf.googlegroups.com>,
[quoted text clipped - 72 lines]
> Thanks,
> Webby
jerm - 27 Jul 2008 05:22 GMT
> > In article
> > <80af9145-52cd-454a-9847-2b61e0993...@p10g2000prf.googlegroups.com>,
[quoted text clipped - 72 lines]
> > Thanks,
> > Webby

sorry, i answered the questions out of order. I probably shouldve read
your entire message first.
The Webby - 27 Jul 2008 05:42 GMT
In article
<0c0e824e-1f5d-441e-8376-36898255a198@k36g2000pri.googlegroups.com>,

> sorry, i answered the questions out of order. I probably shouldve read
> your entire message first.

So...

What is your *single most significant difficulty* with eating?

(Don't tell me two things.)

Webby
jerm - 27 Jul 2008 05:54 GMT
> In article
> <0c0e824e-1f5d-441e-8376-36898255a...@k36g2000pri.googlegroups.com>,
[quoted text clipped - 9 lines]
>
> Webby

ahh...thats hard to encapsulate into one...........fear of pain?
The Webby - 27 Jul 2008 06:03 GMT
In article
<aabbc34e-4679-4ea6-9cdf-e2d5c3b6514e@s21g2000prm.googlegroups.com>,

> > In article
> > <0c0e824e-1f5d-441e-8376-36898255a...@k36g2000pri.googlegroups.com>,
[quoted text clipped - 11 lines]
>
> ahh...thats hard to encapsulate into one...........fear of pain?

Okay... what do you do when you eat that is most likely to result in the
pain you fear?

Webby
jerm - 27 Jul 2008 06:28 GMT
> In article
> <aabbc34e-4679-4ea6-9cdf-e2d5c3b65...@s21g2000prm.googlegroups.com>,
[quoted text clipped - 19 lines]
>
> Webby

Well, my jaw makes a snap mostly when opening to take a bite, but
sometimes just normal chewing, but after that i end up in major spasms
for who knows how long. So, no real pain while eating, except for the
tightness in my jaw and small opening. But I havent even had a snap in
3 weeks, as ive been careful.
The Webby - 27 Jul 2008 08:18 GMT
In article
<6438e872-ba0d-41ce-8146-435735551d09@j7g2000prm.googlegroups.com>,

> > In article
> > <aabbc34e-4679-4ea6-9cdf-e2d5c3b65...@s21g2000prm.googlegroups.com>,
[quoted text clipped - 25 lines]
> tightness in my jaw and small opening. But I havent even had a snap in
> 3 weeks, as ive been careful.

About the opening to take a bite... does this also happen when you open
your mouth to brush your teeth?  And then after you're finished, do you
have the spasms as you do after chewing?

Beginning tomorrow, write down what you eat (and the times) and at the
end of the day, post it.  We'll get you some good ideas tomorrow.  Keep
your chin up.

Webby

Webby
The Webby - 27 Jul 2008 17:00 GMT
I'm going to start a new thread that is meant to include menu items and
eating techniques to minimize chewing effort.  If pain is not caused by
swallowing, then the techniques offered should be helpful.

Webby

[cut]
> > > Okay... what do you do when you eat that is most likely to result in the
> > > pain you fear?
[quoted text clipped - 16 lines]
>
> Webby
jerm - 27 Jul 2008 20:43 GMT
> In article
> <6438e872-ba0d-41ce-8146-435735551...@j7g2000prm.googlegroups.com>,
[quoted text clipped - 40 lines]
>
> Webby

not when i brush my teeth, although, i dont open that wide really......
The Webby - 27 Jul 2008 20:50 GMT
In article
<8cf28a33-0b18-4f46-a79d-e56a5755b5f7@b2g2000prf.googlegroups.com>,

> > About the opening to take a bite... does this also happen when you open
> > your mouth to brush your teeth?  And then after you're finished, do you
[quoted text clipped - 9 lines]
>
> not when i brush my teeth, although, i dont open that wide really......

Good. You don't need to open "that wide" when you eat either!  You just
need to learn some new techniques.  

So, what have you eaten so far today, and how did you manage?

Webby
jerm - 27 Jul 2008 22:29 GMT
> In article
> <8cf28a33-0b18-4f46-a79d-e56a5755b...@b2g2000prf.googlegroups.com>,
[quoted text clipped - 19 lines]
>
> Webby

same deal, oatmeal, 3 eggs, they were cooking ground beef tacos, so i
ate the fillings.
The Webby - 27 Jul 2008 22:43 GMT
In article
<17927352-3371-42e4-a520-4b4616c93c3e@t1g2000pra.googlegroups.com>,

> > In article
> > <8cf28a33-0b18-4f46-a79d-e56a5755b...@b2g2000prf.googlegroups.com>,
[quoted text clipped - 22 lines]
> same deal, oatmeal, 3 eggs, they were cooking ground beef tacos, so i
> ate the fillings.

By "they", who are you referring to?

Webby
The Webby - 27 Jul 2008 22:54 GMT
> In article
> <17927352-3371-42e4-a520-4b4616c93c3e@t1g2000pra.googlegroups.com>,
[quoted text clipped - 33 lines]
>
> Webby

I'm guessing "they" are roommates.  If you have roommates, this presents
a complexity not otherwise figured into your situation (by me).  I hope
you're able to see/read the newest thread concerning this subject.

I don't want to post to this *long* thread again.  It's becoming
unmanageable for anyone except the post to post reader.  Let's make use
of "Expanding menu options for jaw-pain patients" instead.  

Webby
 
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