[55F] Presenting with pica and other behavioral symptoms

What might be happening

Based on the information you have provided, possible unifying diagnoses include:

• Pica: This is a condition characterized by an appetite for substances that are non-nutritive, such as paper, clay, metal, chalk, soil, glass, or sand. Pica can also be a sign of nutritional deficiencies, such as iron deficiency anemia.

  • Treatment for pica involves addressing the underlying deficiencies or other medical problems, if they exist.

• Prader-Willi Syndrome: This is a rare genetic disorder that results in a number of physical, mental and behavioral problems. A key feature of Prader-Willi syndrome is a constant sense of hunger that usually begins at about 2 years of age.

  • Treatment for Prader-Willi syndrome focuses on managing the symptoms and includes a balanced, low-calorie diet, physical activity, and behavior management.

• Sleep Disorders: Sleep disruptions can be due to a variety of conditions, such as insomnia, sleep apnea, restless legs syndrome, and circadian rhythm disorders.

  • Treatment for sleep disorders can include lifestyle changes, medication, and cognitive behavioral therapy.

Please note, these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in order to provide a diagnosis.

What you can do

1. Keep a food diary: Write down what you eat, how much, and when. This can help you and your doctor identify patterns or triggers to your eating habits.
2. Maintain a regular sleep schedule: Go to bed and wake up at the same time each day, even on weekends. This can help regulate your body's internal clock.
3. Stay hydrated: Drink plenty of water throughout the day. This can help control your appetite and prevent dehydration.
4. Seek professional help: Consult with a healthcare professional who can provide a proper diagnosis and treatment plan.

What you should look out for

Reasons to see a doctor more urgently:

• If you notice blood in your stool or vomit
• If you experience severe abdominal pain
• If your symptoms worsen or do not improve with lifestyle changes
• If you experience sudden, unexplained weight loss

Remember, it's important to consult with a healthcare professional who can provide a proper diagnosis and treatment plan.