|
[Date Prev][Date Next]
[Chronological]
[Thread]
[Top]
[Dysphagia] PICA
I had a fascinating client once with this very issue. He was only 3 years
old at the time and had only a mild developmental delay - pretty much your
"typical looking" preschooler, but with some major feeding issues.
Everything pointed to sensory based issues, with maybe some previous
undiagnosed GERD as a suspect cause. Any textures were a major issue. Mom
described PICA type behaviors such as picking the carpet piling and eating
it and eating dirt and sand! I was amazed given that he couldn't tolerate a
grain of texture in his pureed food. I watched him once in their playyard.
He played nicely with his sib for a few minutes, then made a bee-line to the
little plastic house and proceeded to run his fingers down every crease that
held dirt and eat it. He was cognitively aware enough to only do this when
he didn't think I was watching.
I remembered at a conference I had attended with Kelly Dorfman, R.D. who
suggested iron deficiency as a cause of PICA. I urged Mom to get his labs
done - his iron came out so low the doctor was amazed that he still had any
energy to do anything. He told Mom he would have to hospitalize his if the
numbers didn't improve quickly with the supplements. It took some time to
get him regulated medically and his PICA did go away. That was the first
time I had seen that type of presentation in my 17 years of practice; it was
a great learning experience for me!
Kathy Breese
----- Original Message -----
From: <hillivie423@adelphia.net>
To: <scott-dailey@uiowa.edu>
Cc: <dysphagia@b9.com>; <pressmah@sjhmc.org>
Sent: Tuesday, November 01, 2005 4:12 PM
Subject: RE: [Dysphagia] PICA
> The people who live here have lab testing done routinely to monitor their
> health. Are there levels of nutrient deficiencies that might be
> considered normal in most people, but signal the presence of true PICA?
> ---- "Dailey wrote:
>> With PICA it is also important to rule out any nutrient deficiencies
>> (iron, magnesium, selenium etc). Some individuals who have deficiencies
>> will exhibit PICA, presumably in an effort to remediate the deficiency.
>>
>>
> _______________________________________________
> Dysphagia mailing list
> Dysphagia@b9.com
> http://lists.b9.com/mailman/listinfo/dysphagia
>
|
|