5/4/2023 0 Comments Pika eating disorderThe word “Pica” is derived from Latin word for Magpie, a species of bird that feeds on whatever it encounters. The patient visited the Department of Psychiatry and oral medicine once in 3 months for 9 months and showed good response.įigure 2: (a) Traumatic fissure on the dorsal surface of the anterior part of the tongue, (b) small abrasions on the left buccal mucosa, (c) hard tissue revealed generalized stains, attrition, abrasion, (d) burn marks on abdomen ![]() Habit counseling with behavior modification was attempted, by asking the patient to eat more of chocolates, fruits, and dates. The patient was referred to the Department of Psychiatry. The patient was prescribed iron supplements once daily for 3 months sensitivity toothpaste was given for relief from sensitivity. On correlating the dietary history, intraoral findings and by evaluating the blood investigation a diagnosis of pica disorder was given. The patient was referred for routine blood investigations reports revealed a decrease in hemoglobin percentage and decreased serum calcium level, suggestive of iron deficiency anemia. A provisional diagnosis of traumatic fissure on the tongue, chronic generalized gingivitis and deep dentinal caries in relation to 16 was given. On asking the history about the burns, patient gave a history of hunger, for which he force himself to burn his stomach, which clearly suggested of psychotic abnormality. On examination of abdomen, marks of burn were evident d. Hard tissue revealed generalized stains, attrition, abrasion, and deep dentinal caries in relation to 16 c. Small abrasions were evident on left buccal mucosa b. On asking history, the patient revealed about his tongue thrusting habit. Traumatic fissure was evident on the dorsal surface of the anterior part of the tongue a. Intraoral examination revealed red soil in his mouth, which was asked to rinse so that intraoral examination is complete. Extraoral examination revealed palor in the lower palpebral conjunctiva which was suggestive of anemia. ![]() He also gave a history of consumption of wet red soil daily since 2 years. The patient used to chew tobacco and areca nut occasionally since 2 years. Medical and dental history was noncontributory. Burning sensation and pain on the tooth was intermittent in nature. He also gave a history of pain in upper right back tooth region. The following case report gives a brief description of pica syndrome, with detail dietary habits pattern and oral manifestations.Ī 19-year-old patient male patient walked into the outpatient department with a chief complaint of burning sensation in the mouth for 3 days. Current methodologies for the physical, mineralogical, and chemical characterization of pica substances, particularly clay, and soil, may be useful for determining the bioavailability of nutrients and other bioactive components and for generating data to support or negate these nutritional hypotheses. Although the etiology is unknown, we can consider nutritional deficiencies, cultural and familial factors, stress, low socioeconomic status, underlying biochemical disorder to be the probable cause. Individual with pica are reported to consume foods such as clay, dirt, sand, stones, pebbles, hair, feces, lead, vinyl gloves, plastic, pencil erasers, ice, fingernails, paper, paint chips, coal, chalk, wood, plaster, light bulbs, needles, string, cigarette butts, and wire. Pica is typically defined as persistent ingestion of nonnutritive substances for at least 1 month at an age for which this behavior is developmentally inappropriate. Pica - an eating disorder: A report and review. How to cite this URL: Nayak S V, Kini R, Shetty U, Rao PK, Kashyap RR, Bhandarkar G. How to cite this article: Nayak S V, Kini R, Shetty U, Rao PK, Kashyap RR, Bhandarkar G. ![]() Keywords: Anemia, eating disorder, nutritional deficiency, pica Herein, we report a case of pica syndrome with oral manifestation due to consumption of mud. ![]() Weird consumption pattern can lead to various changes in the hard and soft tissues of the oral cavity, which can further lead to ulcerations and pulpal pain. Clinical presentation of pica is highly variable and can be associated with the specific characteristics of the resulting medical conditions and the ingested substances. Pica usually does not exhibit life-threatening situations, but at times it can create severe complications due to this psychogenic behavior of an individual. Pica disorder is considered to be an inappropriate behavior characterized by an appetite pattern and craving for non-nutritive substances.
0 Comments
Leave a Reply. |