Medical information

MTC Affiliated GP

Dr. Tarek Zourob LRCP & SI, BCH, MD & NUI: General Practitioner affiliated with Marino Therapy Centre. Expertise in eating disorders (anorexia, bulimia, overeating), dysfunctional eating and complications connected with these conditions.


44 Malahide Road
Dublin 5
Tel: 01 8510040

Eating Disorders such as Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder and Eating Disorders Not Otherwise Specified, as described in the psychiatric manual DSM IV, are just labels which concentrate mostly on the description of a person’s behaviour. The different types very often overlap and even the top experts agree that it is difficult to make a clear diagnosis. But all of these are only the symptoms of the condition known as Eating Distress (ED).

Eating Distress is a condition where the mind culminates all of the negative assumptions the person has about him or herself. The negative mind becomes more powerful than the positive mind and has much more influence on the person’s thinking, feelings and behaviour. This state of mind develops subconsciously and the person is not always aware that they are victims of this self-destructive condition. Often we read that sufferers have a low self-esteem. However, in reality, he or she has no sense of self at all. Therefore, this condition is extremely abusive and manifests itself with highly destructive symptoms in which an Eating Disorder is one.

Medical Complications associated with Eating Distress & Eating disorders

Non-medical therapist treating ED need to be aware of the physical problems created by this illness, so that they can encourage their patients to seek medical evaluation and treatment. Two persons with the same behaviour may develop completely different symptoms. Some patients who self-induce vomiting has low electrolytes and bleeding oesophagus, others can vomit for years without ever developing these symptoms. It is necessary to have a well-trained and experienced physician as part of the treatment of an Eating Distress.

Medical assessment

  • Laboratory and other diagnostic test
  • Nutritional evaluation
  • Physical exam

Common Complaints

  • Headaches
  • Stomach-aches
  • Insomnia
  • Weakness
  • Fatigue
  • Dizzy spells

Consequences of starving (Anorexia Nervosa)

  • Dry thin hair
  • Dry skin covered with downy fuzz
  • Brittle splitting nails
  • Weak and wasted muscles
  • Tremors
  • Constipation, bloating and abdominal discomfort
  • Kidney and bladder infections
  • Urinary track stones
  • Cavities and gum disease
  • Frantic activity and depression
  • Absence of cycle
  • When the level of body fat falls bellows a certain point, the mind becomes utterly preoccupied with food.

Consequences of bingeing and vomiting (Bulimia Nervosa)

  • Menstrual irregularities
  • Puffy face, swollen gland in neck beneath jaw
  • Sore throat or sinus infections
  • Hair loss
  • Cavities and loss of tooth enamel
  • Weak muscles
  • Raw fingers from acid from vomiting/Russell’s sings