My mother is 82 and has an eating problem. She doesn't enjoy eating. She claims to have nausea from food smells. I'm concerned she is not getting enough nutrition. She also has a problem with liking junk foods like cakes and candy. She has very poor teeth -- most have decayed out -- and she has a tremendous fear of dentists. If you know of any way we can help her eat I would appreciate it.

-- Carol

Your mother probably has several reasons for not eating. First, if her teeth are decaying, she is probably in pain, and eating only makes it worse. She must see a dentist! Many of us don't like going to the dentist, but especially in your mother's situation, it is vital. You should talk to dentists in your area and find one who is used to dealing with geriatric patients; your mother may be able to take a mild sedative beforehand to help with her apprehension.

Another reason elderly people (actually, people of any age) don't eat is depression. The incidence of depression in the elderly population is quite high. Sometimes an appropriate antidepressant pill is necessary and may help improve her eating as well as general sense of well-being.

The elderly population has many unique medical and social problems. Your mother needs to be followed by a doctor who has knowledge of the special needs of this population. A gerontologist is a doctor who specializes in geriatrics, or care of the elderly. You should try to find such a specialist in your area; it could help your mother tremendously.