28/03/2026
What's your relationship like with DOTI/ ILOBA/ CLAY?
Dear SCD Warrior Community… can we pause, reflect, and unlearn this small habit before it grows into a serious health problem- eating dirt, soil or clay locally called Doti or iloba....
This message includes me too.
For those who may be wondering what this is about: many of us in the sickle cell community experience a strong urge to eat non-food substances such as soil (commonly known as doti), paper, sponge, or even mattress foam. This condition is known as Pica.
It’s important to understand that this is not simply a “bad habit” or a matter of choice. While it can be managed, in many cases it is linked to underlying medical conditions....particularly nutritional deficiencies. For individuals living with Sickle Cell Disease, pica is often associated with low iron levels or anemia, which are common due to the body’s increased demand for red blood cells.
Let’s also demystify a harmful myth:📌
Pica is not a form of demonic possession or a spiritual attack requiring deliverance. It is a medical and nutritional issue. When the body lacks essential nutrients like iron and Zinc, it can trigger unusual cravings as a signal that something is missing internally.
⚠️ Why is it a concern⁉️
Engaging in pica can lead to:
•Infections (especially from soil or contaminated substances)
•Intestinal blockages or digestive problems
•Worsening anemia
•Exposure to harmful chemicals or parasites
💡 What then can help?⁉️
•Seek medical guidance: Get your iron levels and overall blood count checked regularly.
•Follow prescribed supplements: Only take iron or other supplements if recommended by a healthcare professional I.e the daily intake of folic acid.
•Maintain a balanced diet: Include iron-rich foods like leafy greens, beans, fortified cereals, and lean proteins.
•Stay hydrated: Sometimes cravings can intensify when the body is dehydrated.
•Find safe alternatives: Chewing sugar-free gum or healthy snacks may help manage the urge.
•Talk about it: There is no shame.....sharing helps normalize the conversation and encourages support.
Let’s continue to learn, unlearn, and support one another. What feels like a “small habit” can become a trigger of other health complications if ignored - but together, we can take control of our health with the right knowledge and care.
Let's maintain our healthy lifestyle always by excluding Iloba/ Doti.