Rapunzel Syndrome: Understanding the Hidden Danger for Women with Trichotillomania

Nov 11

If you’re living with trichotillomania (TTM), you may have already heard of Rapunzel syndrome, or perhaps you haven’t. Either way, it’s an important topic to discuss because understanding this rare condition can help you make informed choices about your well-being.

Let’s dive into what Rapunzel syndrome is, why it’s dangerous, and why seeking support is essential if you or someone you know has this behavior.

What is Rapunzel Syndrome?

Rapunzel syndrome is a rare condition that occurs when someone with TTM eats the hair they pull, leading to the formation of a hairball, known as a trichobezoar, in their stomach. This trichobezoar can extend into the intestines, creating a large mass that’s difficult for the body to digest or pass naturally.

Over time, these hairballs can grow in size and, without treatment, cause severe health complications.


The condition is called "Rapunzel syndrome" as a reference to the fairy tale character Rapunzel, who is known for her extraordinarily long hair. In the story, Rapunzel was locked in a tower and let down her long hair to allow her rescuer to climb up. Her hair became a symbol of beauty and endurance.


However, in the medical condition known as Rapunzel syndrome, long hair becomes a source of harm rather than help, as it collects in the stomach and forms a dangerous blockage.

The name captures the unusual and serious nature of the condition in a way that’s easy to remember.

Understanding the Emotional Side of Rapunzel Syndrome

Living with TTM can already feel isolating, and Rapunzel syndrome adds another layer of complexity. You might feel ashamed or worried about discussing these behaviors with others.

But remember, beautiful, you’re not alone, and there’s no shame in seeking help for something that impacts your well-being. Many people with TTM struggle with behaviors they don’t fully understand at first, and reaching out to talk about it is a brave and essential step.

Talking to a healthcare provider, therapist, or trusted loved one about hair ingestion is important because it opens the door to getting the help you deserve.

 You’re not weak or strange for experiencing this — instead, you’re human, and reaching out shows that you are taking care of your body and your medical condition.

Why Talking to Someone about Trichotillomania is Essential

If you or someone you know with TTM experiences urges to eat their pulled hair, we can’t emphasize enough how important it is to talk to someone. Reaching out for support can help prevent the much more dangerous complications of Rapunzel syndrome.

Healthcare professionals, especially those familiar with TTM, can guide you toward strategies to stop hair ingestion and manage TTM symptoms overall.

Support groups, therapy, and peer-led programs like those offered by HFHP are safe spaces to explore these behaviors without judgment.

We understand the unique challenges that women with TTM face, and we’re here to listen, support, and empower you on your journey to healing.


Do You Feel Like Rapunzel? If So, It’s Time to Get Help

Rapunzel syndrome is a serious but preventable condition. If you or someone you know with TTM is eating pulled hair, please reach out immediately to your healthcare provider for support as this is a dangerous medical situation. 

How HFHP and UnTrick Yourself™ Can Support You

At HFHP, we offer compassionate, evidence-based education to help you understand TTM, manage triggers, and build a plan that works for you. Our UnTrick Yourselfprogram includes personalized support plans and a friendly private community designed specifically for women like us.

Through this program, we provide practical strategies and resources to empower you in managing your symptoms while building a team of supportive people who can help as you strive to heal and grow.

And, you’ll connect with other women who understand, and you’ll gain tools to help you manage and, with time, lessen your symptoms.

Healing is possible, and taking the first step to talk to someone, whether it’s a friend, a family member, or a healthcare provider, can be life-changing.


Join us at healingfromhairpulling.com and take the first step on your journey toward healing.

Together, let’s find what works best for you!

References

Liang, Y., Huang, L., Wang, D., Liu, T., Li, X., Wang, W., ... & Chen, L. (2024). Rapunzel syndrome in children: a retrospective review of ten cases combined with literature review in a tertiary referral center. Pediatric Surgery International, 40(1), 1-14.https://link.springer.com/article/10.1007/s00383-024-05705-0 

Madhusudhan, K. S., Vaishnav, M., & Joy, D. (2022). Rapunzel syndrome. Journal of Gastrointestinal Surgery, 26(5), 1111-1112. https://link.springer.com/article/10.1007/s11605-021-05239-z

Marginean, C. O., Melit, L. E., Sasaran, M. O., Marginean, R., & Derzsi, Z. (2021). Rapunzel syndrome—an extremely rare cause of digestive symptoms in children: a case report and a review of the literature. Frontiers in Pediatrics, 9, 684379. https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2021.684379/full
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