Presentation
The authors present a clinical case of trichobezoar and discuss the most relevant aspects concerning this entity. METHODS: Presentation of psychiatric and surgical data concerning the case report. Previously reported cases are also mentioned. [rihuc.huc.min-saude.pt]
Trichobezoars present with signs and symptoms of acute abdomen and gastric tract obstruction. [clinical-practice-and-epidemiology-in-mental-health.com]
In this report we present a case of trichobezoar associated with trichophagia in the absence of trichotillomania. A 16-year-old girl presented to surgery outpatient with complaints of pain in abdomen and vomiting for the last 6 months. [cyberleninka.org]
We herein report a case of a 13-year-old girl who presented with gastric outlet obstruction and symptomatic anaemia. Abdominal examination revealed a vague epigastric mass. [smj.org.sg]
Entire Body System
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Candidiasis
[…] with impaired immunity, leading also to uni-or bilateral ureteric obstruction[5] and renal abscesses.[6] Aspergilloma of the urinary tract is usually a secondary spread from pulmonary aspergillosis while candida bezoars occur in cases with systemic candidiasis [cyberleninka.org]
Gastrointestinal
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Hematemesis
These include abdominal pain, nausea, bilious vomiting, hematemesis, anorexia, early satiety, weakness, weight loss and abdominal mass, depending on the degree of obstruction [ 5, 10, 12 ]. [clinical-practice-and-epidemiology-in-mental-health.com]
These include abdominal pain, nausea, bilious vomiting, hematemesis, anorexia, early satiety, weakness, weight loss and abdominal mass, depending on the degree of obstruction [ 5 Sehgal VN, Srivastava G. [benthamopen.com]
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Acute Abdomen
Trichobezoars present with signs and symptoms of acute abdomen and gastric tract obstruction. [clinical-practice-and-epidemiology-in-mental-health.com]
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Bilious Vomiting
These include abdominal pain, nausea, bilious vomiting, hematemesis, anorexia, early satiety, weakness, weight loss and abdominal mass, depending on the degree of obstruction [ 5, 10, 12 ]. [clinical-practice-and-epidemiology-in-mental-health.com]
These include abdominal pain, nausea, bilious vomiting, hematemesis, anorexia, early satiety, weakness, weight loss and abdominal mass, depending on the degree of obstruction [ 5 Sehgal VN, Srivastava G. [benthamopen.com]
Jaw & Teeth
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Halitosis
Bezoars are accumulations of undigested material in the lumen of any segment of the gastrointestinal tract, frequently the stomach. 1–4 They can remain asymptomatic for long periods or cause symptoms such as early satiety, halitosis, iron-deficiency anemia [elsevier.es]
Psychiatrical
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Impulsivity
Such issues may also be important in the study of impulsive-compulsive spectrum models and to their relevance to impulse control disorders Peer review: yes URI: Appears in Collections: PSI - Artigos Items in Repository are protected by copyright, with [rihuc.huc.min-saude.pt]
The case described also challenges the usual concept of impulsivity versus compulsivity. [clinical-practice-and-epidemiology-in-mental-health.com]
Such issues may also be important in the study of impulsive-compulsive spectrum models and to their relevance to impulse control disorders. Keywords: Trichobezoar, Rapunzel Syndrome, Trichotillomania, Trichophagia. [benthamopen.com]
Although trichotillomania itself is considered to be an impulse control disorder, it may also manifest as a symptom of many other mental disorders. [cyberleninka.org]
Many sufferers of trichophagia start out with trichotillomania Treatment for Trichophagia Treating the disorder of trichophagia is similar to treatment of other impulse control disorders. [trichstop.com]
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Denial
Considering the ego-dystonic nature of the behaviour revealed by the denial and shame, along with the stereotypic nature of the trichophagia behaviour, the authors tend to an obsessive-compulsive background, in spite of affirming the interest in recent [clinical-practice-and-epidemiology-in-mental-health.com]
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Psychiatric Symptoms
She showed no depressive or psychotic symptoms, suicidal ideation or other psychiatric symptoms besides episodic anxiety and initial insomnia; she mentioned that on those occasions, “I tend to become very nervous sometimes, and when that happens I can [clinical-practice-and-epidemiology-in-mental-health.com]
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Suicidal Ideation
She showed no depressive or psychotic symptoms, suicidal ideation or other psychiatric symptoms besides episodic anxiety and initial insomnia; she mentioned that on those occasions, “I tend to become very nervous sometimes, and when that happens I can [clinical-practice-and-epidemiology-in-mental-health.com]
Urogenital
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Anuria
[…] involvement of renal parenchyma.[4-7] Independently by the type of fungus, fungal balls of the kidney have especially been reported in neonates and premature infants, they being sometimes associated with bilateral pelviureteric obstruction and consecutive anuria [cyberleninka.org]
Neurologic
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Insomnia
She showed no depressive or psychotic symptoms, suicidal ideation or other psychiatric symptoms besides episodic anxiety and initial insomnia; she mentioned that on those occasions, “I tend to become very nervous sometimes, and when that happens I can [clinical-practice-and-epidemiology-in-mental-health.com]
In one patient with insomnia, the dose of fluoxetine was reduced to 40 mg. The results of the treatment were compared using the MGH-HPS. [ncbi.nlm.nih.gov]
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Headache
Nine patients on fluoxetine reported mild to moderate adverse effects: insomnia, drowsiness, fatigue, nausea, dry mouth, dizziness, excessive perspiration, tremor, headache, or delayed orgasm. [ncbi.nlm.nih.gov]
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Convulsions
As the esophagogastroduodenoscopy probe passed through the convulsing, dank corridor of the esophagus into the dark chamber of the stomach, this is what the operator saw: a hairball. Nay, not just a hairball, a hair monster, a mighty trichobezoar. [sciencebuzz.org]
Workup
Microbiology
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Candida
[…] that can occur in diabetics or other patients with impaired immunity, leading also to uni-or bilateral ureteric obstruction[5] and renal abscesses.[6] Aspergilloma of the urinary tract is usually a secondary spread from pulmonary aspergillosis while candida [cyberleninka.org]
Treatment
Treatment Psychotherapy It is believed that the most effective form of TTM treatment is psychotherapy, usually behavioral therapy (BT) (Table 1 ). This form of treatment is the most commonly used and also the best-known method of TTM treatment. [ncbi.nlm.nih.gov]
Research Article Remote treatment of sleep‐related trichotillomania and trichophagia First published: 21 February 2018 Abstract We used a biobehavioral treatment consisting of melatonin and a standardized bed and wake time to decrease one girl's head [onlinelibrary.wiley.com]
Imaging tests can confirm this suspicion and abdominal CT is the technique of choice 4 although only upper gastrointestinal endoscopy is able to determine its composition and can be used for treatment. 5,7 There are 3 treatment modalities for bezoars, [elsevier.es]
People resort to psychiatric evaluation and treatment to stop this impulsive pulling and eating hair. [thehealthsite.com]
Many sufferers of trichophagia start out with trichotillomania Treatment for Trichophagia Treating the disorder of trichophagia is similar to treatment of other impulse control disorders. [trichstop.com]
Prognosis
In the psychiatric field it is considered a compulsive psychological disorder. [ citation needed ] Prognosis [ edit ] Rapunzel syndrome, an extreme form of trichobezoar in which the "tail" of the hair ball extends into the intestines, can be fatal if [en.wikipedia.org]
[…] normal stomach wall can be traced completely separate from the lesion no contrast enhancement mucosal edema and wall thickening may be seen in duodenum and jejunum intraperitoneal fluid with free gas can be seen if perforation is present Treatment and prognosis [radiopaedia.org]
Etiology
", number "6", } TY - JOUR T1 - Trichophagia and trichobezoar T2 - Etiologic role of iron deficiency AU - McGehee, Frank T. AU - Buchanan, George R. [utsouthwestern.pure.elsevier.com]
Additional research on this topic is needed, including larger studies, studies of clinical correlates of trichophagia in trichotillomania, and studies of etiology and pathophysiology. [ncbi.nlm.nih.gov]
Pathophysiology
Additional research on this topic is needed, including larger studies, studies of clinical correlates of trichophagia in trichotillomania, and studies of etiology and pathophysiology. [ncbi.nlm.nih.gov]
Prevention
June 8, 2010 ruzuzu commented on the word trichophagia *hands bilby the tube of Vegemite with the hope that its malty brown goodness has the power to prevent bezoar s* June 8, 2010 hernesheir commented on the word trichophagia What is the name for someone [wordnik.com]
Early detection of trichotillomania and trichophagia can prevent this ‘hairy’ problem; psychiatric treatment is often required and a trichobezoar must be considered as an uncommon differential diagnosis of an epigastric mass in association with trichotillomania [smj.org.sg]
Early detection of trichotillomania and string trichophagia can prevent this ‘hairy’ problem; psychiatric treatment is often required and a trichobezoar must be considered as an uncommon differential diagnosis of an epigastric mass in association with [docksci.com]
The early detection of trichophagia and trichobezoar depends on an effective screening for trichotillomania and related behaviours, in order to prevent a possibly life-threatening condition with important medical and surgical morbidity. [clinical-practice-and-epidemiology-in-mental-health.com]