Sufferers of pica have an undeniable urge to eat non-food, often as a result of stress, mineral deficiency or pregnancy. The disease has many sub-categories, some weirder and more dangerous than others, to describe people who eat chalk, feces, glass, mucus, paint, body parts, hair, urine, wood and more. Pictured above are 1,446 metal items, from nails to salt shaker tops, that were surgically removed from the stomach of a pica patient in Missouri. She died of blood loss during the surgery.
It is Characterized by an appetite for
substances that are largely non-nutritive, such as paper,clay, metal, chalk, soil, glass,
or sand. According to DSM-IV criteria, for these actions to
be considered pica, they must persist for more than one month at an age where
eating such objects is considered developmentally inappropriate, not
part of culturally sanctioned practice and sufficiently severe to warrant
clinical attention. There are different variations of pica, as it can be from a
cultural tradition, acquired taste, or a neurological mechanism such as
an iron deficiency or a chemical imbalance. It can lead to
intoxication in children, which can result in an impairment in both physical and
mental development. In addition, it can also lead to surgical emergencies
due to an intestinal obstruction as well as more subtle symptoms such as
nutritional deficiencies and parasitosis. Pica has been linked to
mental disorders and they often have psychotic comorbidity. Stressors such as
maternal deprivation, family issues, parental neglect, pregnancy, poverty, and
a disorganized family structure are strongly linked to pica.
Pica is
more commonly seen in women and children, where it affects people of all
ages in these subgroups. Particularly it is seen in pregnant women, small
children, and those with developmental disabilities such as autism.
Children eating painted plaster containing lead may suffer brain
damage from lead poisoning. There is a similar risk from eating soil near
roads that existed before tetraethyl lead in petrol was phased out
(in some countries) or before people stopped using contaminated oil (containing
toxic PCBs or dioxin) to settle dust. In addition to poisoning,
there is also a much greater risk of gastro-intestinal obstruction or
tearing in the stomach.[unreliable medical source?] Another
risk of eating soil is the ingestion of animal feces and accompanying parasites.
Pica can also be found in other animals and is commonly found in dogs.
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