BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuBezoarTrichobezoar; HairballA bezoar is a ball of swallowed foreign material most often composed of hair or fiber. It collects in the stomach and fails to pass through the intestines. Causes Chewing on or eating hair or fuzzy materials (or indigestible materials such as plastic bags) can lead to the formation of a bezoar. The rate is very low. The risk is greater among people with intellectual disability or emotionally disturbed children. Generally, bezoars are mostly seen in females aged 10 to 19 years. Symptoms Symptoms may include:Indigestion IndigestionIndigestion (dyspepsia) is a mild discomfort in the upper belly or abdomen. It often occurs during or right after eating. It may feel like:Heat, bu...Read Article Now Book Mark Article Stomach upset or distress Nausea and vomiting NauseaNausea is feeling an urge to vomit. It is often called "being sick to your stomach. "Vomiting or throwing-up forces the contents of the stomach up t...Read Article Now Book Mark Article Diarrhea Pain Gastric ulcers Exams and Tests The child may have a lump in the abdomen that can be felt by the health care provider. A barium swallow x-ray will show the mass in the stomach. Sometimes, a scope is used (endoscopy) to directly view the bezoar in the stomach.Lump in the abdomenA lump in the abdomen is a small area of swelling or bulge of tissue in the belly.Read Article Now Book Mark Article Barium swallow x-rayAn upper GI and small bowel series is a set of x-rays taken to examine the esophagus, stomach, and small intestine. Barium enema is a related test th...Read Article Now Book Mark Article Treatment The bezoar may need to be surgically removed, especially if it is large. In some cases, small bezoars may be removed through a scope placed through the mouth into the stomach. This is similar to an EGD (esophagogastroduodenoscopy) procedure.EGDEsophagogastroduodenoscopy (EGD) is a test to examine the lining of the esophagus, stomach, and first part of the small intestine (the duodenum)....Read Article Now Book Mark Article Outlook (Prognosis) Full recovery is expected. Possible Complications Persistent vomiting can lead to dehydration.DehydrationDehydration occurs when your body does not have as much water and fluids as it needs. Dehydration can be mild, moderate, or severe, based on how much...Read Article Now Book Mark Article When to Contact a Medical Professional Contact your provider if you suspect your child has a bezoar. Prevention If your child has had a hair bezoar in the past, trim the child's hair short so they cannot put the ends in the mouth. Keep indigestible materials away from a child who has a tendency to put items in the mouth.Be sure to remove the child's access to fuzzy or fiber-filled materials.Open ReferencesReferencesKliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Foreign bodies and bezoars. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 360.Pfau PR, Benson M. Foreign bodies, bezoars, and caustic ingestions. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 28.AllVideoImagesTogRelated Information Dehydration(Condition) Review Date: 8/5/2023 Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. No warranty of any kind, either expressed or implied, is made as to the accuracy, reliability, timeliness, or correctness of any translations made by a third-party service of the information provided herein into any other language. © 1997- A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited. © 1997- All rights reserved. A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.Content is best viewed in IE9 or above, Firefox and Google Chrome browser.
BezoarTrichobezoar; HairballA bezoar is a ball of swallowed foreign material most often composed of hair or fiber. It collects in the stomach and fails to pass through the intestines. Causes Chewing on or eating hair or fuzzy materials (or indigestible materials such as plastic bags) can lead to the formation of a bezoar. The rate is very low. The risk is greater among people with intellectual disability or emotionally disturbed children. Generally, bezoars are mostly seen in females aged 10 to 19 years. Symptoms Symptoms may include:Indigestion IndigestionIndigestion (dyspepsia) is a mild discomfort in the upper belly or abdomen. It often occurs during or right after eating. It may feel like:Heat, bu...Read Article Now Book Mark Article Stomach upset or distress Nausea and vomiting NauseaNausea is feeling an urge to vomit. It is often called "being sick to your stomach. "Vomiting or throwing-up forces the contents of the stomach up t...Read Article Now Book Mark Article Diarrhea Pain Gastric ulcers Exams and Tests The child may have a lump in the abdomen that can be felt by the health care provider. A barium swallow x-ray will show the mass in the stomach. Sometimes, a scope is used (endoscopy) to directly view the bezoar in the stomach.Lump in the abdomenA lump in the abdomen is a small area of swelling or bulge of tissue in the belly.Read Article Now Book Mark Article Barium swallow x-rayAn upper GI and small bowel series is a set of x-rays taken to examine the esophagus, stomach, and small intestine. Barium enema is a related test th...Read Article Now Book Mark Article Treatment The bezoar may need to be surgically removed, especially if it is large. In some cases, small bezoars may be removed through a scope placed through the mouth into the stomach. This is similar to an EGD (esophagogastroduodenoscopy) procedure.EGDEsophagogastroduodenoscopy (EGD) is a test to examine the lining of the esophagus, stomach, and first part of the small intestine (the duodenum)....Read Article Now Book Mark Article Outlook (Prognosis) Full recovery is expected. Possible Complications Persistent vomiting can lead to dehydration.DehydrationDehydration occurs when your body does not have as much water and fluids as it needs. Dehydration can be mild, moderate, or severe, based on how much...Read Article Now Book Mark Article When to Contact a Medical Professional Contact your provider if you suspect your child has a bezoar. Prevention If your child has had a hair bezoar in the past, trim the child's hair short so they cannot put the ends in the mouth. Keep indigestible materials away from a child who has a tendency to put items in the mouth.Be sure to remove the child's access to fuzzy or fiber-filled materials.Open ReferencesReferencesKliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Foreign bodies and bezoars. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 360.Pfau PR, Benson M. Foreign bodies, bezoars, and caustic ingestions. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 28.