TABLE 12

Common Presentations of Self-Injurious Behavior and the Medical Conditions to Consider If New Onset

Type of Self-InjuryPotential Associated ConditionsPotential Associated Injury
Head banging Headache, toothache, sinus infection, ear infection Detached retina, abrasions, contusions 
Head hitting or slapping Headache, toothache, sinus infection, ear infection Fracture of bones in hand, detached retina, abrasions, contusions 
Eye poking Vision loss, eye pain Eye abrasion 
Gum or tooth digging or banging Dental pain, gingivitis Gum injury, tooth autoextraction, tooth fracture 
Scratching and skin picking Allergy, eczema, drug reaction, skin infection or infestation (eg, fleas, scabies) Infection, scarring 
Finger and toenail biting or picking Pain Infection, nail removal, ingrown nails, paronychia 
Kicking or stomping Restless leg syndrome, leg pain Bruises, fractures 
Rumination Gastroesophageal reflux, eosinophilic esophagitis Esophageal ulceration and bleeding, dental damage, nutritional compromise, precancerous lesions of esophagus 
Type of Self-InjuryPotential Associated ConditionsPotential Associated Injury
Head banging Headache, toothache, sinus infection, ear infection Detached retina, abrasions, contusions 
Head hitting or slapping Headache, toothache, sinus infection, ear infection Fracture of bones in hand, detached retina, abrasions, contusions 
Eye poking Vision loss, eye pain Eye abrasion 
Gum or tooth digging or banging Dental pain, gingivitis Gum injury, tooth autoextraction, tooth fracture 
Scratching and skin picking Allergy, eczema, drug reaction, skin infection or infestation (eg, fleas, scabies) Infection, scarring 
Finger and toenail biting or picking Pain Infection, nail removal, ingrown nails, paronychia 
Kicking or stomping Restless leg syndrome, leg pain Bruises, fractures 
Rumination Gastroesophageal reflux, eosinophilic esophagitis Esophageal ulceration and bleeding, dental damage, nutritional compromise, precancerous lesions of esophagus 
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