There are obvious risks in the consumption of earth that is
contaminated by animal or human feces; in particular, parasite
eggs, such as roundworm, that can stay dormant for years, can
present a problem. Tetanus poses a further risk. Nevertheless,
these risks are generally well understood by most tribal
populations that engage in geophagy, hence 'clean' earth from below
the surface level is sought out. Children's predilection to engage
in geophagy makes them more susceptible to worm infestations. Other
dangers associated with geophagia include damage to tooth enamel,
the ingestion of a variety of bacteria, various forms of soil
contamination, and intestinal obstruction.
In the traditional societies, there is a widespread practice to
heat-treat (bake) the earth before consumption, and this tends to
mitigate the risks to some extent.
There is a psychological hypothesis, which is centred on the
cravings reported by clay eaters. Researchers' attention was
directed mainly towards pregnant and postpartum women and their
emotional states. Geophagy was attributed to feelings of misery,
homesickness, depression, and alienation