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What if I swallow hair?

Published in Hair Swallowing 3 mins read

Swallowing a stray hair or a few strands typically poses no harm and will pass through your digestive system unnoticed. Hair, primarily composed of a protein called keratin, is indigestible by the human body and usually exits the body naturally with other waste.

When Swallowing Hair Becomes a Concern

While occasional hair ingestion is generally benign, a more serious situation can arise if hair is swallowed frequently or in large amounts over an extended period. Because hair cannot be digested, it can gradually accumulate within the digestive system, most commonly in the stomach, to form a dense, matted mass. This mass is medically known as a trichobezoar or, more generally, a bezoar.

Health Risks Associated with Hair Accumulation

The formation of a hair mass can lead to significant health complications, primarily due to the obstruction of the digestive tract. This blockage can prevent food from passing through, leading to a range of uncomfortable and potentially severe symptoms.

Common Symptoms of a Hair Mass

If a hairball forms and grows large enough to cause problems, it can lead to various symptoms that indicate a digestive obstruction. Early detection and treatment are crucial to prevent further complications.

Symptom Description
Abdominal Pain Persistent or recurring discomfort in the stomach or gut area.
Nausea and Vomiting Frequent feelings of sickness and throwing up, often exacerbated after eating.
Feeling of Fullness A sensation of being full or bloated, even after consuming small amounts of food.
Unexplained Weight Loss Due to difficulty eating, malabsorption, or persistent vomiting.
Bad Breath (Halitosis) May occur due to stagnant food or other digestive disturbances.
Palpable Abdominal Mass In some cases, a healthcare provider may be able to feel the hairball during a physical examination.

Related Conditions: Trichophagia and Trichotillomania

Compulsive hair swallowing is often linked to underlying behavioral or psychological conditions:

  • Trichophagia: This is an impulse control disorder characterized by the compulsive ingestion of hair. It can occur on its own or in conjunction with other conditions.
  • Trichotillomania: This disorder involves the compulsive pulling out of one's own hair. Individuals with trichotillomania may also develop trichophagia by eating the hair they pull.

These conditions often require psychological intervention to address the root cause of hair pulling and eating.

When to Seek Medical Attention

It's important to consult a healthcare professional if you or someone you know experiences any of the following:

  • Persistent abdominal pain, nausea, or vomiting.
  • Unexplained weight loss.
  • A feeling of a lump or mass in the abdomen.
  • Any signs of digestive obstruction.
  • If you or a loved one compulsively pulls or eats hair.

Treatment Options for Hair Mass (Trichobezoar)

Treatment depends on the size and location of the hair mass:

  • Endoscopic Removal: For smaller or less severe hairballs, an endoscope (a thin, flexible tube with a camera) can be used to break up and remove the mass through the mouth.
  • Surgical Removal: Larger or more complicated hairballs, especially those causing significant obstruction or other complications, may require surgical intervention for removal.
  • Psychological Therapy: For individuals with trichophagia or trichotillomania, therapy (such as cognitive-behavioral therapy) is often crucial to address the underlying behavioral impulses and prevent recurrence.

For more information on bezoars and their types, you can consult reputable health sources like Cleveland Clinic.