Chew and spit

From WikiMD.com Medical Encyclopedia

Eating disorder characterized by chewing food and spitting it out without swallowing


Chew and spit (often abbreviated as CHSP) is a disordered eating behavior where an individual chews food and then spits it out without swallowing. This behavior is often associated with eating disorders such as anorexia nervosa and bulimia nervosa, but it can also occur independently. Individuals who engage in chew and spit may do so to experience the taste of food without ingesting calories.

Characteristics[edit | edit source]

Chew and spit involves placing food in the mouth, chewing it to enjoy the taste and texture, and then spitting it out before swallowing. This behavior allows individuals to experience the pleasure of eating without the perceived negative consequences of weight gain. It is often done in secret and can become a compulsive habit.

Psychological Aspects[edit | edit source]

The psychological motivations behind chew and spit can vary. For some, it is a way to cope with anxiety or stress related to food and body image. It may also be a method to exert control over food intake. Individuals may feel guilt or shame about this behavior, which can contribute to a cycle of secrecy and isolation.

Health Implications[edit | edit source]

While chew and spit may seem like a harmless way to avoid calories, it can have several negative health effects. The act of chewing food stimulates the production of saliva and digestive enzymes, which can lead to dental erosion and tooth decay if food is frequently spat out. Additionally, the behavior can disrupt normal digestive processes and lead to gastrointestinal issues.

Social and Emotional Impact[edit | edit source]

Engaging in chew and spit can have significant social and emotional consequences. Individuals may avoid eating in social settings to hide their behavior, leading to feelings of isolation and loneliness. The secrecy and shame associated with chew and spit can also contribute to depression and anxiety.

Treatment and Support[edit | edit source]

Treatment for chew and spit typically involves addressing the underlying psychological issues and developing healthier eating habits. Cognitive behavioral therapy (CBT) is often used to help individuals change their thought patterns and behaviors related to food. Support from mental health professionals, nutritionists, and support groups can also be beneficial.

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Contributors: Prab R. Tumpati, MD