Pica

Aparna, PotluriVenkatalakshmi; RaviDavid, Austin; Mathew, P. M.

doi:10.4103/0970-9290.102246

Cited by 7 publications

(4 citation statements)

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“…[ 41 ] In contrast, among FD, pica has often been reported in lower socioeconomic groups in several reports. [ 80 81 ]…”

Section: Resultsmentioning

confidence: 99%

“…Of the cases of pica described in Indians, most are associated with one or more risk factors. [ 57 80 92 ] There are two kinds of presentations reported: one where the individual directly presents to psychiatry with complaints of having irresistible urges to consume nonfood items, and another usually presents as a complication of pica, and pica is diagnosed on specifically clarifying the history. [ 75 93 94 ] The second group commonly presents with diarrhea, abdominal pain, loss of appetite, and dental problems.…”

Section: Resultsmentioning

confidence: 99%

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Research on feeding and eating disorders in India: A narrative review

Vaidyanathan,

Menon

2024

Indian Journal of Psychiatry

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Despite growing evidence of their prevalence, research on feeding and eating disorders (FEDs) in India has been sporadic. This narrative review aimed to summarize the research on FED in India and set priorities for future research and translation of evidence. An electronic search was conducted in the MEDLINE, PsycINFO, and Google Scholar databases to identify relevant English peer-reviewed articles from April 1967 to July 2023. The extracted data from these studies included author names, publication year, research location, type of intervention (for interventional studies), nature of comparator treatments, and main outcomes or findings. We found a rising trend in the prevalence of EDs in India. Adolescent age group, female sex, higher socioeconomic status, family history of mental illness or disordered eating, and borderline personality pattern were risk factors for EDs. For feeding disorders (FDs), childhood age group, malnutrition, pregnancy, psychosis, intellectual disability (ID), and obsessive-compulsive disorder (OCD) were putative risk factors. Both physical and psychiatric comorbidities were common in FEDs. Culture appears to exert a pathoplastic effect on symptom presentation in FEDs; an illustrative example is the documented nonfat phobic variant of anorexia nervosa (AN) in India. Research on management has focused on using assessment tools, investigations to rule out medical comorbidities, psychosocial and family-based psychotherapies, nutritional rehabilitation, pharmacotherapy, and neuromodulation approaches. Whereas the publication output on FEDs in India has increased over the last decade, it remains an under-researched area, with a striking paucity of original research. Future research priorities in FEDs include conducting country-wide registry-based studies to offer real-world insights, longitudinal research to identify culturally relevant risk factors, and developing brief, culturally sensitive diagnostic instruments for FEDs in the Indian context. This will help generate locally relevant epidemiological data on FEDs and inform treatment and prevention strategies.

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“…[ 41 ] In contrast, among FD, pica has often been reported in lower socioeconomic groups in several reports. [ 80 81 ]…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Research on feeding and eating disorders in India: A narrative review

Vaidyanathan,

Menon

2024

Indian Journal of Psychiatry

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“…Anemia is a common finding in patients with pica, but multiple controversies exist on whether pica or anemia comes first. Thus, it was emphasized that iron deficiency triggers the ingestion of clay ( 22 ), but geophagia might induce iron deficiency by reducing iron absorption ( 23 , 24 ). Nevertheless, a study performed on children with sickle cell anemia found that children diagnosed with pica were more anemic compared with non-pica children ( 25 ).…”

Section: Discussionmentioning

confidence: 99%

Rapunzel Syndrome—An Extremely Rare Cause of Digestive Symptoms in Children: A Case Report and a Review of the Literature

et al. 2021

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Rapunzel syndrome is an extremely rare condition seen in adolescents or young females with psychiatric disorders consisting of a gastric trichobezoar with an extension within the small bowel. The delays in diagnosis are common since in its early stages, it is usually asymptomatic. We report the case of a 13-year-old girl admitted in our clinic for abdominal pain, anorexia, and weight loss. The clinical exam pointed out diffuse alopecia, a palpable mass in the epigastric area, and abdominal tenderness at palpation, the patient weighing 32 kg. The laboratory tests showed anemia. The abdominal ultrasound showed a gastric intraluminal mass with a superior hyperechoic arc. The upper digestive endoscopy revealed a mass formed by hair, mucus, and food occupying the gastric cavity with the extension into the duodenum confirming the diagnosis of Rapunzel syndrome. The giant trichobezoar of 511 g, measuring 17 × 7 × 6.5 cm with a tail of approximately 3 cm, was successfully removed through laparotomy. Although rare, Rapunzel syndrome must never be forgotten as a differential diagnosis for digestive symptoms since its early detection hinders the occurrence of further complications.

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“…The word ‘pica’ is derived from Latin word for Magpie, a species of bird that feeds on whatever it encounters. The diagnosis requires that the patient is persistently eating non-food substances for at least 1 month and such behaviour is inappropriate for the child’s stage of development 13. There is a 25% incidence of pica among the developmental delayed population 14.…”

Section: Discussionmentioning

confidence: 99%

Cardiopulmonary complications in a patient with bezoar

et al. 2013

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SUMMARYWe report a case of a 17-year-old institutionalised male with a medical history of fragile X syndrome, bilateral congenital glaucoma, cataracts and pica disorder. He was transferred to our paediatric intensive care unit owing to respiratory failure and hypotension. On transoesophageal echocardiogram, he presented left atrium compression. A CT of the thorax and mediastinum revealed an unknown heterogeneous material in the lumen of the stomach and oesophagus, with a lung parenchyma suggestive of alveolar foreign material. Endoscopic evaluation showed diaper fragments inside the oesophagus and stomach. Fragmentation and suction of diaper material was made. Medical treatment was performed with inotropic support, conventional mechanical ventilation and antibiotics. BACKGROUND

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Pica

Cited by 7 publications

References 0 publications

Research on feeding and eating disorders in India: A narrative review

Research on feeding and eating disorders in India: A narrative review

Rapunzel Syndrome—An Extremely Rare Cause of Digestive Symptoms in Children: A Case Report and a Review of the Literature

Cardiopulmonary complications in a patient with bezoar

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