![]() ![]() Her family noticed that she had academic problems, had poor concentration and was not helping in household works. In that frustration, she used to eat around 10 papers daily and run behind autos and other vehicles to inhale that smell. ![]() ![]() After 6 months of this practice she realized that if she misses inhaling the kerosene for even 1 or 2 days she will feel restless, having low mood at school, not interested in doing any household work and craving to inhale kerosene. She used to feel relaxed and detached from the surroundings after inhaling the kerosene for about 3-4 h. She felt good, and that led her to smell kerosene daily without her family's knowledge. Meanwhile, while transferring kerosene to another container she accidentally experienced the smell of kerosene and was inclined towards that smell. She had never tried to cut down on eating paper until she was brought to the hospital. Within a month, she developed a habit of eating 4-5 A4 size papers daily during school time. Next day also without the knowledge of her classmates she ate three pieces of paper. An hour later she had another piece of paper and passed the whole day without having any adverse impact. When her family came to know about this, she was restricted and was advised against it.Īt the same time when alone at school 1-day, she felt like eating notebook paper and got immense pleasure after it. ![]() Her family members would chew betel nut, and she also started chewing betel nut regularly without her parents’ knowledge. B, a 16-year-old unmarried girl, a student of 1 st psychiatric urgent care, belonging to a Hindu lower socioeconomic strata family, with no past or family history of any psychiatric illness or substance abuse, was brought with a history of eating paper and inhaling substances like kerosene for 3 years. Although pica is not linked to solvent abuse here, we report an adolescent case of paper-eating with solvent dependence. They encompass a broad range of chemicals that may have different pharmacological effects and are found in hundreds of different products such as fuels, solvents, glue, propellants, adhesives and paint thinners. Solvents are volatile substances which produce chemical vapors that can be inhaled to induce a psycho-active or mind altering effect. World-wide 25-33% of all pica cases involve small children, 20% are pregnant women, and 10-15% are individuals with learning disabilities. It has been observed in men and women of all ages and ethnicity, but is more prevalent among the lower socioeconomic classes. Incidence of pica has also been linked to iron deficiency, zinc deficiency and certain co-morbid conditions like Kleine-Levin syndrome, mental retardation and schizophrenia. The condition has been described in medical journals for centuries. Pica is an unusual craving for and ingestion of either edible or inedible substances. The most popular form of xylophagia is the consumption of paper, but rare type of pica may be described in the literature. People who suffer from this eating disorder usually consume substances like paper, pencils, tree barks or other items made of wood. Xylophagia is a condition involving the consumption of paper and form of eating disorder known as pica. ![]()
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