Hyderabad, Nov. 24: 

A young techie in Hyderabad came home the other day with terrible back pain. instead of going to the hospital, he asked his roommate to get him a pain killer. His friend rushed to the nearest pharmacy and bought a painkiller over the counter (OTC).

Moments after taking the pill, the techie developed symptoms of vomiting and loose bowels and died hours later. a journalist too succumbed to pain killer-induced side-effects recently.

We all know that pain killers sell like potato chips over the counter and that most pharmacists double as doctors in India.

Though we read reports of such events in local pages of newspapers, we hardly care to go a bit deeper to understand the problem.

The takeaway from this episode is — do not substitute your pharmacist for a doctor and do not take a pain killer without doctor’s advice.

Side effects could range from skin rashes to ulcerisation. for people who already have ulcers, liver, cardiac and kidney problems, even one pain killer can cause serious risks. Some even cause death if not attended to in time, Dr D. Nageshwar Reddy, Chairman and Chief of Gastroenterology at Asian Institute of Gastroenterology, told Business Line.

General pain killers or Non-steroidal anti-inflammatory drugs (NSAIDs) should be taken along with proton-pump inhibitors (PPIs) to check acidity. “But those who are using OTC pain killers do not take these anti-acidic agents, exposing themselves to risks,” he says.

AIG receives 15-20 patients with extreme cases of bleeding associated with pain killers every month.

Dr M. Govardhan, Senior physician at CARE Hospitals, feels that indiscriminate use of pain killers could have both short-term and long term impacts.

“All drugs will have some side effects. But a doctor gives you protection. it is the responsibility of a patient to check whether a particular drug causes any side effects. If their condition weakens after medication, they should immediately call the doctor without waiting for next scheduled appointment,” he cautions.

Dr Govardhan points out that pain could be treated as a signal for an underlying problem that needs to be addressed first to get rid of the pain.

Those under medication for some other problem such as high blood pressure should be more wary because pain killers could lead to drug-drug interaction and could pose serious health risks.

If you know what to look for, you can probably spot the signs of depression and eating-related issues. your daughter, who used to run to the playground after school, now prefers to sit in front of the television with her hand in a bowl of potato chips. your son, a former soccer player, gorges on soda and cheese curls before burrowing into his room behind a closed door, playing video games until suppertime.

Or maybe friends don’t call as they used to, and your child seems to go around the house with worried, downcast eyes. Yet when you ask if something’s wrong, you get a monotonous, “I’m fine.”

If a scene like these seems familiar, it may be time to take action. Overeating can be a symptom of depression. and being overweight can cause child depression if weight leads to feelings of loneliness, isolation, or poor self-esteem. But parents can help break the chain. Here’s how to recognize the signs of child depression in overweight children and what you can do to help.

The Depression-Eating Link in Children

Nearly 1 in 5 American children is obese, more than triple the number in 1980. Reports of childhood depression have also increased, and the 2 problems are often related. the connection between them is not always obvious, but experts say that parents need to pay attention if their children’s unhealthy eating habits seem tied to sadder moods or depression.

“The relationship between obesity and depression goes in many different directions,” psychiatrist Myrna Weissman, MD, tells WebMD.  In a study Weissman and her colleagues at Columbia University published in 2001, depressed children were more likely than other kids to become obese adults. “It’s very easy in our culture to get overweight,” Weissman says. “And if you are depressed, you may eat to compensate.”

Feelings of emptiness — caused by depression or weight — can make children want to fill up on carbohydrates and chocolates. these stimulate the release of chemicals that make them feel better.

Sometimes, physical ailments such as anemia and thyroid conditions can cause depression. and some depression medications can cause weight gain.

Common Ground between Depression and Obesity

While it can be more difficult to diagnose child depression than depression in adults, a survey of more than 1,500 9- to 10-year-olds found that 20% of those who were obese often felt sad, compared to only 8% of their healthy-weight peers.

Depression and obesity have many shared symptoms, including sleep problems, sedentary behavior, and unhealthy attitudes toward eating.

A 2006 study of 400 depressed teenagers showed that on average it took them longer to get to sleep than other teens. Obese children also have sleep issues. they are more likely to suffer from sleep apnea — a serious condition marked by lapses in breathing during sleep. and they’re more likely to feel sleepy during the day. That can be harmful because sleepiness can make you hungry, so poor sleep can aggravate both depression and obesity.