Pica is an eating disorder in which individuals eat substances that have no nutritional value. They may eat less harmful items like ice or, at times, may have harmful substances like dried paint flakes or metal chips, which may lead to severe food poisoning. It is most common among children and pregnant women.
Pica is more severe and long-lasting in people with mental and developmental disabilities. However, in most of the cases, it is temporary, but seek immediate medical help if your child cannot stop the habit of eating nonfood items.
People suffering from this disorder generally eat nonfood-based products, and if the eating behaviour continues for more than a month, then the condition is termed Pica. Also Read: Emotional Eating: Causes, Symptoms And Treatment
The individuals crave for the following nonfood items:
Ice
Soap
Buttons
Clay
Hair
Sand
Cigarette Ashes
Dry Paint Flakes
Glue
Chalk
Causes:
There is no specific cause of pica, generally, a deficiency of iron, zinc or other vital nutrients may be associated with Pica. Anaemia may be the root cause of pica in pregnant women. Unusual cravings are a sign that the body is trying to restore low nutrient levels. Individuals with mental disorders like schizophrenia and obsessive-compulsive disorder (OCD) may develop pica as a way to manage the disorder.
Excessive dieting and severe nutritional deficiency may also lead to pica.
Diagnosis And Treatment:
Generally, there’s no specific test to diagnose pica. The doctor usually evaluates the person based on a complete medical history, dietary practices, eating behaviour and other factors. The patient should be honest to the doctor about the nonfood items they take, which help the physician to accurately diagnose the condition.
The doctor may also suggest doing a blood test to determine iron and zinc levels to rule out if the patient has an underlying nutrient deficiency. Nutrient deficiency in most cases may be related to pica. Also Check Out: 5 Foods Super-Rich In Iron That Are Essential For Overall Health-Infographics
Treatment of pica depends upon treating the complications that have resulted from eating nonfood stuff. For instance, lead poisoning from eating paint chips where the doctor may suggest chelation therapy. This therapy allows the lead to be excreted in urine.
Vitamin and mineral supplements are recommended to correct the nutritional deficiency. Taking a multivitamin supplement is an effective way of treating pica. For individuals with OCD and other mental conditions, doctors recommend behaviour therapy and medications.
Frequently Asked Questions:
What is the best treatment for pica?
The best treatment involves identifying and treating underlying nutrient deficiencies, such as iron deficiency, along with behavioural therapy and medical support when needed.
How to cure pica naturally?
There is no proven natural cure for pica. A balanced, nutrient-rich diet and correcting deficiencies can help, but persistent pica should be evaluated by a healthcare professional.
What are the first signs of pica?
The main sign is a persistent urge to eat non-food substances such as soil, chalk, clay, paper, or ice for at least one month.
What foods are good for pica?
There is no specific food that cures pica. Iron-rich foods such as lentils, beans, leafy greens, eggs, and meat, along with vitamin C-rich foods, can support nutrition, especially when iron deficiency is present.
References:
https://pmc.ncbi.nlm.nih.gov/articles/PMC4015153/
Eating everything except food (PICA): A rare case report and review
Shweta Advani 1,✉, Gulsheen Kochhar 1, Sanjay Chachra 1, Preeti Dhawan 1
Patty Inglish MS. Eating everything but food. 2008
Roselle HA. Association of laundry starch and clay ingestion with anemia in New York City. Arch Intern Med. 1970;125:57–61.
Say B, Ozsoylu S, Berkel I. Geophagia associated with iron-deficiency anemia, hepatosplenomegaly, hypogonadism and dwarfism. A syndrome probably associated with zinc deficiency. Clin Pediatr (Phila) 1969;8:661–8. doi: 10.1177/000992286900801113.
Nicholls DM, McLachlan DR. Issues of lead toxicity. Basic Life Sci. 1990;55:237–46. doi: 10.1007/978-1-4613-1473-8_32. [DOI]
A lesson on pica, 2007, Mohave County WIC website, Inc. Copyrights Ltd. ©2012 Mohave County us
Djemal S, Darbar UR, Hemmings KW. Case report: Tooth wear associated with an unusual habit. Eur J Prosthodont Restor Dent. 1998;6:29–32.
Johnson CD, Shynett B, Dosch R, Paulson R. An unusual case of tooth loss, abrasion, and erosion associated with a culturally accepted habit. Gen Dent. 2007;55:445–8.
Johnson CD, Koh SH, Shynett B, Koh J, Johnson C. An uncommon dental presentation during pregnancy resulting from multiple eating disorders: Pica and bulimia: Case report. Gen Dent. 2006;54:198–200.
Oski FA. Iron deficiency in infancy and childhood. N Engl J Med. 1993;329:190–3. doi: 10.1056/NEJM199307153290308.
