December 2020 in “International journal of medical science and clinical invention” Rapunzel syndrome can show vague symptoms and needs long-term psychiatric care to prevent recurrence.
October 2012 in “The American Journal of Gastroenterology” A hairball in the stomach can cause serious issues and may need surgery and psychiatric care.
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August 2008 in “Journal of Paediatrics and Child Health” A gluten-free diet resolved a girl's symptoms, revealing undiagnosed Coeliac disease as the cause.
January 2016 in “ACG Case Reports Journal” A girl with Rapunzel syndrome had surgery to remove a hairball, and addressing mental health is important to prevent it from happening again.