“…The role of nutritional deficiencies in pica and whether they are cause or consequence is therefore unclear. Physical and neurobiological conditions associated with pica Physical Conditions leading to malabsorption, poor nutritional status or anaemia, including gastric bypass surgery and coeliac disease (Gupta 2007)Micronutrient deficiencies (iron/zinc/calcium) (Erickson 2017)Malnutrition (Lerner 2008)Dental pain (Ayanouglou 2011)Increased appetite due to medication (Erickson 2017)Dialysis (Katsoufis 2012)Sickle cell anaemia (El-Mekkawy 2014)Neurobiological Diminished dopaminergic transmission (Barrett 2008)Elevated serotonin levels (Barrett 2008)Decreased/increased endogenous opiate (Barrett 2008)…”
Section: Associations With Picamentioning
confidence: 99%
“…There are several possible explanations for the link between sickle cell disease (SCD) and pica. It has been proposed that brain injury resulting from silent infarction can occur in children with SCD, and this could be associated with behavioural difficulties as well as cognitive deficits contributing to the development of pica (El-Mekkawy 2014). Also, children with SCD seem to have a greater risk for developing depression compared with those with other chronic conditions such as diabetes, cancer and cystic fibrosis, which may then be linked to pica (El-Mekkawy 2014).…”
SUMMARY
Pica is a condition associated with a number of physical and mental health diagnoses. The potentially fatal consequences of pica and the links with significant physical health problems are not always recognised. Pica is like other forms of behaviour that can challenge: clinicians must seek the underlying cause and treat this first, before primarily pursuing a behavioural form of treatment. In this article, we discuss the associations, consequences, assessment and management options available for pica to guide professionals. Pica often presents in a way individual to the particular patient, so tailoring of assessment and treatment is important.
“…The role of nutritional deficiencies in pica and whether they are cause or consequence is therefore unclear. Physical and neurobiological conditions associated with pica Physical Conditions leading to malabsorption, poor nutritional status or anaemia, including gastric bypass surgery and coeliac disease (Gupta 2007)Micronutrient deficiencies (iron/zinc/calcium) (Erickson 2017)Malnutrition (Lerner 2008)Dental pain (Ayanouglou 2011)Increased appetite due to medication (Erickson 2017)Dialysis (Katsoufis 2012)Sickle cell anaemia (El-Mekkawy 2014)Neurobiological Diminished dopaminergic transmission (Barrett 2008)Elevated serotonin levels (Barrett 2008)Decreased/increased endogenous opiate (Barrett 2008)…”
Section: Associations With Picamentioning
confidence: 99%
“…There are several possible explanations for the link between sickle cell disease (SCD) and pica. It has been proposed that brain injury resulting from silent infarction can occur in children with SCD, and this could be associated with behavioural difficulties as well as cognitive deficits contributing to the development of pica (El-Mekkawy 2014). Also, children with SCD seem to have a greater risk for developing depression compared with those with other chronic conditions such as diabetes, cancer and cystic fibrosis, which may then be linked to pica (El-Mekkawy 2014).…”
SUMMARY
Pica is a condition associated with a number of physical and mental health diagnoses. The potentially fatal consequences of pica and the links with significant physical health problems are not always recognised. Pica is like other forms of behaviour that can challenge: clinicians must seek the underlying cause and treat this first, before primarily pursuing a behavioural form of treatment. In this article, we discuss the associations, consequences, assessment and management options available for pica to guide professionals. Pica often presents in a way individual to the particular patient, so tailoring of assessment and treatment is important.
A trichobezoar is a collection of hair that forms a mass in the gastrointestinal tract and can cause obstructive symptoms when it fails to pass through the intestine. This article reviews the epidemiology, pathogenesis, clinical manifestations, diagnosis, and surgical management of trichobezoar. Managing the psychiatric aspect of this condition is key to preventing recurrence and the need for another surgery.
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