Thursday, November 4, 2010

What's for dinner?...Dirt.

Think about people compelled to eat strange disturbing things such as dirt, chalk, metal etc. This concept is undoubtedly intriguing. These symptoms spawn from a rare condition called Pica. Pica is a medical disorder characterized by an appetite for non-nutritive items or also things considered not to be edible on their own, such as raw rice, flour, and other food ingredients or raw food items. The word pica comes from the Latin word for magpie, a bird known for its large and indiscriminate appetite. This disorder effects more people than you would think. In fact, according to kidshealth.org, 25-30% of children are diagnosed with it. Although many young children explore their world through putting foreign objects in their mouths, children affected by pica have cravings that persist and often lead to a need for professional help. Some other people that are commonly affected by Pica include pregnant women and people with developmental disabilities.
http://kidshealth.org/parent/emotions/behavior/pica.html
The kinds of items consumed by people suffering from Pica cover a great range including dirt, clay, paint chips, plaster, chalk, cornstarch, laundry starch, baking soda, coffee grounds, cigarette ashes, burnt match heads, cigarette butts, soap, ice, glue, hair, buttons, paper, sand, toothpaste, and even feces.



(Pictured here are the contents of someone’s stomach who suffered from Pica. You can see a great variety of items including metal nails, beads, and stones.)

One can readily assume the kinds of health risks that consuming non-food items can pose. One could accidentally consume lead from paint, or toxins in dirt, even parasites. Now the question that’s on all our minds is what goes through these peoples minds when they continuously feed themselves things they know aren’t intended for consumption?
One example of a patient suffering from pica was a 33-year-old, African American woman admitted to the emergency room with vague abdominal complaints, increasing abdominal girth, weight gain, and episodic nausea and vomiting of several months' duration. Upon further examination it was concluded that these symptoms were a result of her unusual habit of eating dirt. Curiously enough the patient could never attribute her symptoms to this habit, and tried to blame them on other things. When asked about her cravings to eat dirt she recalled first trying dirt as a child, but said that soon after she had stopped because she was afraid of what her parents would do if they found out. Later on when she was 19 years old she had the first of two miscarriages. At this time she described how after the burial service she took a handful of dirt from the grave and ingested it. After the burial of her second stillborn she experienced other bouts of eating dirt as well as throughout other pregnancies. Later on when she had two young children she began instructing her children to gather soil from a neighbors flowerbed for her to eat, (although she never actually told them what the dirt was for).
When asked what about eating dirt appealed to her, she responded with a detailed description of what ingesting dirt was like for her. She said that she enjoyed grabbing a portion of dirt with the plastic pail her children had gathered it with, looking at it, smelling it, and feeling it in her hand, then finally shoving the whole handful into her mouth savoring the “gritty feeling” in her throat.



There are several different proposed causes of Pica. Some are more common than others, however there is no one specific cause because of its vague neurological roots. Some reasons why this disorder is thought to occur includes nutritional deficiencies triggering peculiar cravings, dieting which people eat non nutritional items in attempt to achieve fullness without calories, and also OCD disorder (obsessive compulsive disorder) and schizophrenia.
Pica, as well as many other bizarre mental disorders in modern times has a clear medical cause, but appears to be something out of witchcraft or magic in times of less scientific knowledge. Consider the symptoms of the people thought to be victims of witchcraft during the Salem which trials. A heavily researched theory is that a fungus called ergot, which sometimes infects rye grains, in fact triggered these symptoms of so called “witchcraft”. This fungus produces chemicals, which are very similar to LSD and cause vicious hallucinations and seizures. It’s strange medical phenomenon like this, as well as Pica and many other medical situations that are interpreted very differently depending on the amount of scientific and psychological knowledge available at that time.

Here are my sources...

http://psy.psychiatryonline.org/cgi/content/full/39/5/465

I trust this to be a good source because they are affiliated with many notable organizations such as the Academy Of Psychosomatic Medicine and American Psychiatric Publishing Inc.

http://kidshealth.org/parent/emotions/behavior/pica.html
This seemed like a trustworthy source because of how it is relatively well known it is, and how notable companies endorse it.

http://www.smithsonianmag.com/history-archaeology/brief-salem.html
The Smithsonian Institution is a well-known and reputable source and has been for a long time.

13 comments:

  1. I can't help but wonder if this is just a way to categorize habits or behaviors of people.

    There's always the kid in the group who eats dirt or glue after all. I have my own habits that I've never dropped, I still bite my fingernails constantly. It'd be odd if they classified that as a disease.

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  2. I agree that the medical field is over catagerizing everyhthing, there is even a disorder for kids who don't like tags on their shirts. Well I don't know about you but most kids don't like tags. While this woman's case was more serious because it caused her physical issues, anything can cause a medical issues when eaten out of moderation. It has been said in pregnant women that you often crave what your body is missing.

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  4. Humm...When I was younger (elementary aged) I may have had something similar to Pica...or maybe not, but it categorizes my behavior. I would crave flour...I would eat it by the spoonful when my mother wasn't around. Eventually it progressed to a mixture of flour and sugar...and then the flour and sugar mixture on frozen blueberries....strange....and yes, this behavior has stopped and I feel no relapse coming on in the future...but it is interesting to hear that I wasn't alone.

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  5. It seems like the real issue arises when the Pica is a symptom of a much more severe medical or psychological disorder. The lady didn't just like to eat dirt, she felt that she needed it and her cravings for it were triggered by traumatizing events in her life.

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  6. I was watching 1000 ways to die the other night and someone with pica died from craving and eating nails and pennies because it punctured his stomach lining and he bled to death. I really didn't believe someone could just crave something un-edible such as nails but he was just eating away. I think this would be traumatizing to someone like a child also effecting the parents because clearly its not normal. Very interesting !

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  7. That's one weird disorder. It make sense that "25-30" are diagnosed with this disorder. I think when children are at a young age, they are still in the process of exploring, and eating dirt, wouldn't be uncommon. I mean, i have eaten dirt at one point in my life, but continuing that through adult hood is just weird.

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  8. Oh god this is sooo scary. I have a fear of diseases and this one is really just terrible. It's interesting, but it's so weird. You have to wonder what is going through their minds. The woman who ate dirt... That was just creepy. She ate dirt off of her child's grave. And she had her kids go out and get dirt for her to eat. She can't possibly think that it's a GOOD idea to eat dirt. I wonder what she was thinking.

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  9. Hmm I didn't realize this actually existed. The figure that you noted is crazy to think about as well.

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  10. All I am going to say is interesting, yet strange.

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  11. I feel like eating nails is not good for you....

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  12. Just the other day I was watching a True Life episode where there was a woman who had this disorder. This is a disorder that I find very interesting, and linking it to class discussions, I have to wonder if it is some how linked to mutations that have happened during human evolution.

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