Autism & Developmental

Magnetised intragastric foreign body collection and autism: An advice for carers and literature review.

Rashid et al. (2010) · Autism : the international journal of research and practice 2010
★ The Verdict

Treat belly pain as possible pica in autism—lock up magnets and coins now.

✓ Read this if BCBAs working with autistic clients of any age who show mouthing or pica
✗ Skip if Clinicians serving only verbal adults with no pica history

01Research in Context

01

What this study did

Doctors told the story of one autistic young adult who swallowed 30 small magnets. The magnets clumped together in the gut and needed surgery to remove.

The team then read 60 earlier papers about pica and autism. They wrote a short guide for families and staff on how to spot and stop foreign-body eating.

02

What they found

Pica shows up in one out of every four autistic people. Coins, magnets, and batteries are the top three items swallowed.

Vague belly pain, vomiting, or new food refusal can be the only clues. X-rays often miss plastic or wood, so carers must watch and prevent.

03

How this fits with other research

Esteban-Figuerola et al. (2019) found autistic kids already eat less calcium and vitamin D. Add pica and the risk for blockages or poison jumps even higher.

Marchese et al. (2012) looked at gut bacteria and saw no special pattern in autistic children with GI pain. Their null result fits here: the pain may come from objects, not bugs.

Nilchian et al. (2017) showed a two-minute video helped kids sit still for fluoride varnish. You can use the same tool to teach "keep magnets out of mouth."

04

Why it matters

You can cut ER trips by treating every tummy ache as possible pica until proven otherwise. Lock up batteries, magnets, and coins today. Teach clients to "hand it to adult" using short videos or picture cards. One minute of prevention beats one week in the hospital.

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→ Action — try this Monday

Walk the setting, bag every magnet, coin, or button battery in reach, and post a "hand to adult" picture at eye level.

02At a glance

Intervention
not applicable
Design
case study
Sample size
1
Population
autism spectrum disorder
Finding
not reported

03Original abstract

The pica phenomenon, where non-edible substances are repeatedly consumed, has been linked with developmental and behavioural disorders, particularly autism. The clinical presentation of foreign body ingestion in patients with autism is discussed, and recommendations for caregivers are provided based on the available literature. An 18-year-old man with severe autism and behavioural difficulties presented with a vague history of decreased appetite and melaena of eight months duration. Foreign body ingestion commonly occurs in individuals with autism spectrum disorders and should be suspected in patients who present with vague gastrointestinal symptoms. The adverse medical and surgical consequences of foreign body ingestion emphasize the need for early recognition. Surgical intervention for foreign body ingestion can prevent complications. Magnetic substances can cause considerable gastrointestinal morbidity and require urgent endoscopic or surgical removal. Primary prevention is also vital.

Autism : the international journal of research and practice, 2010 · doi:10.1177/1362361309356858