What is Pica?

Pica is characterized by the persistent consumption of non-nutritive, non-food items. Examples of items that people with pica may feel compelled to eat are paper, soap, cloth, hair, fabric, soil, chalk, paint, metal, pebbles, charcoal, ash, clay, and ice. 

Signs and symptoms of Pica

The following are possible signs and symptoms of persistent consumption of non-food items.



  • Diarrhea
  • Constipation
  • Lead poisoning
  • Parasitic infection
  • Bowel obstruction or perforation

Diagnosis criteria for Pica

Pica is diagnosed when the following criteria are met:


  1. The consumption of non-food items occurs over a period of over one month
  2. Ingestion of these items is inappropriate for the individual's developmental level and the indiividual is over two years of age
  3. Ingestion of these items is not part of the individual's cultural background
  4. If the consumption of non-food items occurs with an existing mental illness, which could be an eating disorder such as anorexia nervosa or bulimia nervosa, it is severe enough to warrant specific attention



As a normal part of learning and development, children between 18 months and two years of age may put various non-nutritive, non-food items into their mouths that they end up ingesting. If this behaviour occurs later in life, however, it should be addressed as quickly as possible. 

Anorexia Nervosa

Anorexia nervosa is a mental illness characterised by behaviours that interfere with maintaining an adequate weight. 

Biological, social, genetic, and psychological factors play a role in increasing the risk of its onset.

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Bulimia Nervosa

Bulimia nervosa is a mental illness characterised by periods of food restriction followed by binge eating, with recurrent compensating behaviours to “purge” the body of the food.

Biological, social, genetic, and psychological factors play a role in increasing the risk of its onset.

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Avoidant and Restrictive Food Intake Disorder

Avoidant/restrictive food intake disorder (ARFID) is characterised by severe limitations in the amount and/or types of food consumed, but unlike anorexia nervosa, it does not involve distress about body shape or size, or fears of fatness. 

ARFID is a mental illness which can severely compromise growth, development, and health. 

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Binge Eating Disorder

Binge eating disorder is a mental illness that can seriously affect psychological and physical health. It is characterized by recurrent episodes of eating large quantities of food then experiencing shame, distress or guilt afterwards.

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Other Specified Feeding or Eating Disorder

Other Specified Feeding and Eating Disorders refers to atypical presentations of anorexia nervosa, bulimia nervosa, and binge eating disorder, among other eating disorders. 

These eating disorders are equally serious and as potentially life-threatening as the more typical presentations. 

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Pica

Pica involves the persistent consumption of non-nutritive, non-food items.

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Rumination Syndrome (or Disorder)

Rumination syndrome, which also goes by the name rumination disorder, is classified as both a digestive disorder and a feeding and eating disorder.

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