Digestive

My Baby Eats Non-Food Items (Pica)

Editorially reviewed | Sources: AAP, Mayo Clinic, CDC|Updated June 2026

The short answer

It is completely normal for babies and young toddlers to explore by putting objects in their mouths. True pica, which is the persistent eating of non-food substances, is uncommon before age two and may be linked to iron deficiency or developmental factors. If your child repeatedly seeks out and eats non-food items past the typical mouthing stage, it is worth discussing with your pediatrician.

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By Age

What to expect by age

0-6 months

Babies in this age range begin to explore the world through their mouths as part of normal oral-motor development. They will mouth toys, blankets, and anything within reach. This is not pica. However, always ensure small objects and toxic substances are kept out of reach, as choking and poisoning are the primary dangers at this age.

6-12 months

As babies become mobile through crawling and cruising, they gain access to more objects on the floor and within reach. Mouthing intensifies during this period and is a healthy part of sensory exploration. Eating small amounts of dirt, paper, or similar items occasionally is normal and not typically harmful. Focus on babyproofing and removing hazardous items from the environment.

12-24 months

Most toddlers begin to distinguish between food and non-food items by about 18 months. Some continued mouthing is normal, but deliberately and repeatedly eating non-food substances like dirt, clay, paint chips, or chalk could indicate pica. This behavior is sometimes associated with iron-deficiency anemia or zinc deficiency, and your pediatrician may recommend a blood test to check.

24-36 months

By age two, most children have moved past the mouthing stage. If your child persistently seeks out and consumes non-food items at this age, it warrants medical evaluation. Pica in this age group can be associated with nutritional deficiencies, developmental differences, or sensory processing needs. Lead exposure is a particular concern if your child eats paint chips or soil near older buildings.

What Should You Do?

When to take action

Probably normal when...
  • Your baby under 18 months puts objects in their mouth to explore them but does not consistently swallow non-food items
  • Your baby occasionally tastes dirt, sand, or paper during outdoor play but is easily redirected
  • Your toddler mouths toys or household objects but spits them out rather than eating them
Mention at your next visit when...
  • Your child over 18 months repeatedly and deliberately eats non-food substances like dirt, clay, or paper despite redirection
  • You suspect your child may have been eating paint chips, especially in homes built before 1978
  • Your child seems to crave specific non-food items and becomes upset when prevented from eating them
Act now when...
  • Your child has eaten something potentially toxic such as batteries, magnets, cleaning products, or lead-based paint chips
  • Your child is showing signs of a bowel obstruction including vomiting, abdominal distension, refusal to eat, or inability to pass stool after ingesting non-food material

Sources

Trust your instincts. If something feels wrong, reach out to your pediatrician.

Worrying about your baby means you care. That is a good thing.

My Baby's Belly Looks Swollen

A rounded, slightly protruding belly is completely normal in babies and toddlers due to immature abdominal muscles and their proportionally larger organs. However, if the belly becomes suddenly swollen, feels hard and tight, or is accompanied by pain, vomiting, or changes in bowel movements, it needs medical evaluation as it could signal gas buildup, constipation, or rarely, something more serious.

My Baby Has an Anal Fissure (Blood When Pooping)

A small streak of bright red blood on the surface of your baby's stool or on the diaper is most commonly caused by an anal fissure, which is a tiny tear in the skin around the anus from passing hard stool. Anal fissures are very common in babies and toddlers and usually heal on their own with simple measures like keeping stools soft. While this is rarely serious, any blood in your baby's stool should be mentioned to your pediatrician.

Tummy Massage for Baby Gas

Gentle abdominal massage can help relieve gas and discomfort in babies by encouraging gas to move through the intestines. The technique involves gentle clockwise circular motions on the belly (following the direction of the digestive tract), the "I Love U" stroke pattern, and gentle knee-to-tummy movements. Massage also provides comforting touch that can soothe a fussy baby.

Silent Reflux in Baby

Silent reflux occurs when stomach acid rises into the esophagus and throat but is swallowed back down rather than spit up. Babies with silent reflux may be fussy during or after feeds, arch their back, have hoarse crying, or refuse to eat, but without visible spitting up. It can be harder to diagnose than typical reflux because there is no obvious spit-up.

Bicycle Legs Technique for Gas

Bicycle legs is a simple, effective technique for helping babies pass trapped gas. Gently moving your baby's legs in a cycling motion pushes against the abdomen and helps gas move through the intestines. Combined with gentle belly massage and tummy time, it is one of the best non-medical approaches to gas relief in infants.

Dark Blood in Baby's Stool

Dark or black blood in stool (melena) is different from bright red blood and may indicate bleeding from the upper digestive tract (stomach or upper intestine). In newborns, black stools in the first few days (meconium) are normal. Beyond the first week, dark, tarry, or coffee-ground-like material in stool needs prompt medical evaluation. Some dark-colored foods and iron supplements can also darken stools without being blood.