Akademik Veri Yönetim Sistemi
2 nd International Congress of Multidisciplinary Hygiene Research (ICOMHRE), Kocaeli, Türkiye, 2 - 04 Ekim 2025, ss.42, (Özet Bildiri)
Trichophagia is a rare body-focused repetitive behavior characterized by taking hair into the mouth,
chewing, and swallowing it. It is often associated with trichotillomania, observed in approximately
30% of patients, although only 1% develop trichobezoars requiring surgical intervention. The
condition frequently remains unnoticed for long periods and is usually recognized only when
gastrointestinal complications arise. Early signs include indigestion, abdominal pain, and
constipation.
The presented case is remarkable for both clinical and psychosocial features. The patient’s behavior
began after significant stress related to her husband’s infidelity and lack of support from her
children, which culminated in her decision to remove her headscarf. The behavior mostly occurs
when she is alone. Notably, she consumes not only her own hair but also strands belonging to her
granddaughter, preferring those collected on the comb. This behavior may reflect the patient’s
conflicting emotions within family relationships. It suggests that both strong attachment and
suppressed anger coexist, and trichophagia serves as a concrete expression of this ambivalence.
Recently, the patient developed constipation, was referred to gastroenterology, and colonoscopy
was planned with the possibility of Rapunzel syndrome considered. At admission, fluoxetine 20 mg
was initiated and increased to 60 mg during follow-up. Trichophagia should be considered not only
a psychiatric problem but also a behavior that can lead to significant oral and gastrointestinal
hygiene issues. Early recognition, psychoeducation, behavioral interventions, and medical
monitoring are essential to prevent complications and ensure hygiene safety.