The persimmon and several foods together will form gastric persimmon stone, causing bloating, stomach pain and vomiting. Bezoar, an indigestible conglomeration trapped in the gastrointestinal tract, is a relatively rare disease entity with a variable incidence among studies [6]. However, symptoms such as upper gastrointestinal bleeding, intestinal obstruction and gastric outlet obstruction are rather uncommon [9]. Shortly after eating persimmons, 11 (52.4%) had severe abdominal cramping, anusea, vomiting, and pyrexia. About a year and a half ago I ate 1kg of unripe persimmon fruit on empty stomach. BMJ Case Rep. 2012 Jul 10;2012:bcr0120125656. Moreover, it has been reported that a case of intestinal obstruction was caused by a phytobezoar after chemical dissolution for a large gastric phytobezoar [10]. Simultaneous gastric and small intestinal trichobezoars. Mohammed AA, Benmousa A, Almeghaiseeb Iet al. HHS Here we report an unusual case of gastric outlet obstruction caused by multiple giant persimmon phytobezoars. ... or increase the chance of excessive bleeding during and after surgery. Ok ppl. Clipboard, Search History, and several other advanced features are temporarily unavailable. Electronic clinical challenges and images in GI. Understanding Gallstones: Types, Pain, and More. The phytobezoars form as a complication of delayed gastric emptying. H pylori eradication was performed after the patient was discharged. A giant mass was present in upper quadrant abdominal, and the mass was firm, mobile and elliptical. For full access to this pdf, sign in to an existing account, or purchase an annual subscription. A set of carbohydrate intolerances are suspected to play a role in some types of abdominal pain… De Cesare A, Fiori E, Bononi M, Ferraro D. Pediatr Emerg Care. Postoperatively, the patient recovered well and was started on total enteral nutrition. Published by Oxford University Press and Sixth Affiliated Hospital of Sun Yat-Sen University, This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (, Effect of the transcutaneous electrical stimulation system on esophageal-acid exposure in patients non-responsive to once-daily proton-pump inhibitor: proof-of-concept study, Oral vancomycin in the treatment of primary sclerosing cholangitis-associated pouchitis, Submucosal tunneling endoscopic resection of an exogenic esophageal mass in the mediastinum (with video), Treatment of colonic varices with a superior mesenteric venous stent: a case report describing a unique approach, Endoscopic pancreatic duct stenting for pain palliation in selected pancreatic cancer patients: a systematic review and meta-analysis, http://creativecommons.org/licenses/by-nc/4.0/, Receive exclusive offers and updates from Oxford Academic, Pancreatitis of ectopic pancreatic tissue: a rare cause of gastric outlet obstruction, Nephroprotective effect of persimmon leaves (. So, what’s going on? Gallstones can block your bile duct and cause abdominal pain. Generally, with an empty stomach, it is advisable that not more than 200 grams of persimmon should be taken. Learn how to recognize the symptoms and what the treatment options are. The clinical manifestations of persimmon phytobezoars are similar to other phytobezoars and hinge on the localization and size of the phytobezoars. This is because these are high protein foods and the tannic … The treatment for abdominal pain depends on its cause, and may include: Medications to lower inflammation, prevent acid reflux, or treat ulcers or infection Surgery to treat a problem with an … … The Essential Gastroparesis Cookbook is a great resource to help anyone who is struggling with bloating, stomach pain, feeling full immediately after or during a meal. Emergency surgery was then carried out because gastric outlet obstruction would result in serious complications such as malnutrition, water-electrolyte imbalance and acid-base imbalance without urgent treatment, [11]. The most frequent symptoms of phytobezoars in the stomach are dyspepsia, abdominal pain and vomiting or nausea. Even eating the fruit with “cold foods” like fish, crab or shrimp, will lead to the formation of stone in the stomach. Persimmon phytobezoars, a type of phytobezoar, are often formed after frequent and excessive consumption of persimmons [7]. A 57-year-old man with intermittent mild abdominal pain, abdominal mass and frequent vomiting was admitted to the emergency room of the Mayang Traditional Medical Hospital. Fengbo Tan, Hongbin Mo, Xiao He, Haiping Pei, An unusual case of gastric outlet obstruction caused by multiple giant persimmon phytobezoars, Gastroenterology Report, Volume 7, Issue 1, February 2019, Pages 74–76, https://doi.org/10.1093/gastro/gow042. 6. USA.gov. High-fat foods may trigger mild to severe abdominal pain … But they contain a lot of sap and when this sap combines with stomachic acids causing discomfort of epigastrium and indigestion, that phenomenon is not good … Different types of foods elicit varied digestive system responses. Three days before admission, the patient started vomiting immediately after a normal or semiliquid diet, but the symptom of vomiting could be relieved while lying in the left lateral position. Search for other works by this author on: The Third Surgery Department, Mayang Traditional Medical Hospital, Huaihua, Hunan, China, Department of Breast Cancer, HuNan Cancer Hospital, Changsha, Hunan, China, Review of the diagnosis and management of gastrointestinal bezoars, A rare cause of gastrointestinal phytobezoars: diospyros lotus, Bezoars and foreign bodies of the stomach, Efficacy of FOLFOXIRI versus XELOXIRI plus bevacizumab in the treatment of metastatic colorectal cancer, Bezoars as a cause for acute small intestinal obstruction, Letter: Coca-Cola can dissolve gastric phytobezoars, Surgical aspects of gastrointestinal persimmon phytobezoar treatment, Ultrastructural analysis of a gastric persimmon phytobezoar, Persimmon bezoars as a cause of intestinal obstruction: pitfalls in their surgical management, Acute intestinal obstruction caused by a persimmon phytobezoar after dissolution therapy with Coca-Cola, © The Author(s) 2016. In researching my discomfort, i found that the persimmons can form a phytobezoar, a clump of fibrous material that can trap other foods in your stomach and cause a blockage. Predisposing risk factors include partial gastrectomy, vagotomy and pyloroplasty, peptic ulcer disease, chronic gastritis, Crohn’s disease and carcinoma of the gastrointestinal tract. Depending on the location and size, clinical manifestations of gastrointestinal bezoars can vary, such as abdominal pain, bloody or tarry stool, abdominal fullness, anemia—or even upper GI bleeding—or signs of intestinal obstruction due to large intestinal bezoars [4,5]. It is obvious that our patient had existing gastric outlet obstruction with the symptom of emesis immediately after intake of non-liquid food; the obstruction was certified by EGD and the surgical procedure. Compared with other phytobezoars, persimmon phytobezoars are more difficult to dissolve or break up into small pieces owing to their tough consistency [8]. Phytobezoar-induced small bowel obstruction associated with a concomitant gastric phytobezoar and ulcer in an elderly woman. The possible reason was that the left lateral position could ease the pressure of persimmon phytobezoars to the pylorus so that some gastric contents could be emptied. Stomach pain after eating fruit is usually caused by inability to digest the fruit sugar fructose. Combining the patient’s special food history with EGD presentation, the diagnosis of gastric outlet obstruction is apparent. Enzymatic therapy is indicated in those with minor symptoms. Upon physical examination, the patient was emaciated with a low body mass index (16.2). National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Persimmon includes plenty of vitamin A and vitamin C which are helpful for decreasing blood pressure, operation of lungs. An unhappy stomach can certainly result in a less fulfilling life, as tummy troubles, pain and bloating can make us feel unlike ourselves and negatively affect our mental and … Oxford University Press is a department of the University of Oxford. The site with intermittent mild pain was located in the left upper quadrant. Department of Gastrointestinal Surgery, Xiangya Hospital of Central South University, Changsha, Hunan, China. After eating persimmon … This site needs JavaScript to work properly. NIH Would you like email updates of new search results? A Unique Presentation of Bouveret's Syndrome: Two Large Gallstones Obstructing Both the Gastric Outlet and the Common Bile Duct Simultaneously. In four (19.1%), the bezoar had lodged in the ileum, causing obstruction. The most common risk factors for phytobezoar formation are previous gastric surgery, poor mastication, overindulgence of food with high fiber content, diabetes mellitus complicated by gastroparesis and coexisting diseases with delayed gastric emptying [3]. Prevention and treatment information (HHS). Mouthwash after eating Persimmon has is high in sugar and contains pectin. There are several potential causes for stomach pain after you eat. 3, do not eat persimmons on an empty stomach, do not eat persimmons. In this regard, what Cannot be eaten with … The mass was 2-inches in size and was causing the woman severe pain. Copyright © 2021 Oxford University Press and Sixth Affiliated Hospital of Sun Yat-Sen University. Stomach pain after eating persimmon A compound called as profillin is detected in this fruit. The most frequent symptoms of phytobezoars in the stomach are dyspepsia, abdominal pain and vomiting … It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide, This PDF is available to Subscribers Only. . Please enable it to take advantage of the complete set of features! i am recently learning that eating too many persimmons will give you a horrible stomach ache. During an interview about his dietary habits, the patient reported that he had consumed five or more persimmons per week during the last three months. (a) A persimmon phytobezoar obstructed the pylorus and endoscope could not enter into the duodenum; (b) Several ulcers (blue arrow) up to 3 cm in diameter were found. Generally, with an empty stomach, it is advisable that not more than 200 grams of persimmon should be taken. A persimmon phytobezoar (considered to be harder than other types of phytobezoars) is formed after frequent consumption of persimmons. Moreover, the endoscope could not enter the duodenum after several attempts due to pylorus obstruction from phytobezoars (Figure 1). Reaction between persimmon tannin and stomach polymerizes fibers and other vegetable substances and produces a persimmon phytobezoar in which cellulose, hemicelluloses and various proteins are accumulated [2]. Esophagogastroduodenoscopy (EGD) revealed multiple yellow, tough, round bezoars with irregular surfaces in the stomach (the largest being 8 × 5 × 5 cm), and several ulcers up to 3 cm in diameter were found. Persimmon cannot be eaten with sweet potato and spinach: sweet potato is a food with more starch, which will produce a lot of gastric acid in the stomach after eating, while persimmon … Emergency exploration with removal is necessary when the persimmon bezoar causes ileal obstruction. doi: 10.1053/j.gastro.2008.02.041. People eat the fruit. 2008 Nov;24(11):774-6. doi: 10.1097/PEC.0b013e31818c2891. However, it is rare presentation of gastric obstruction result from flexible gastric volume. | Critical evaluation of web-based DNA N6-methyladenine site prediction tools. Since 1946, 20 men and one woman aged 40 to 76 years (average 57) were operated upon for complications of diospyrobezoars. The phytobezoars were then completely removed by laparotomy. "The persimmon … A food intolerance is possible. 2008 Apr;134(4):e1-2. Conflict of interest statement: none declared. The recipes can also help with energy levels and mood. Persimmon stones, or bezoars, often form in the stomachs of people who eat many persimmons. Mouthwash after eating Persimmon has is high in sugar and contains pectin. After eating persimmon … While it is apparent from the previous reports that nonsurgical treatment is safe and effective for phytobezoars, surgery— which can avoid the development of serious complications—should be considered for multiple giant phytobezoars with gastric outlet obstruction. Still, the stomach pains you describe are not uncommon after eating apples. Due to its specific challenge, endoscopic removal is often difficult and incomplete. Self-care interventions such as acupuncture may be helpful with stress, discomfort, pain… The surface of persimmon contains high concentrations of persimmon tannin. Shortly after eating persimmons, 11 (52.4%) had severe abdominal cramping, anusea, vomiting, and pyrexia. Pain may also be prevented by changing your overall eating habits. Successful endoscopic treatment of an intestinal diospyrobezoar migrated from the stomach. In this case, we are prone to abdominal pain, vomiting, diarrhea and other symptoms. Pain Management ; Sexual Conditions ... Japanese persimmon is a tree. A phytobezoar is a bezoar or trapped mass in the gastrointestinal system that consists of indigestible plant material such as fibers, skins and seeds. Food allergies occur when your body mistakes a certain food for a harmful … Gastric bezoars may frequently cause intestinal obstruction and are occasionally associated with gastric ulcer. The clinical manifestations of persimmon phytobezoars are similar to other phytobezoars and hinge on the localization and size of the phytobezoars. BMJ Case Rep. 2014 Jul 4;2014:bcr2014204966. The patient in our report harbored high risk factors including H pylori infection and chronic erosive gastritis. doi: 10.1136/bcr.01.2012.5656. The tannin in persimmon will stimulate the gastric juice. Current feasible treatment methods for gastric phytobezoars include dissolution of the bezoar by Coca-Cola (or chemical drugs) and endoscopic surgery. It has been indicated that persimmon phytobezoars were often resistant to chemical dissolution. Isolated ileal bezoar causing small bowel obstruction. Bezoars are mainly classified into four types according to their material make-up: phytobezoars, trichobezoars, pharmacobezoars and lactobezoars. The main reason apples cause gas … Twelve of 17 (70.9%) with gastric bezoars had hematemesis or melena caused by an associated gastric ulcer, while five (29.1%) had only moderate dyspepsia. Stomach pain after eating may be the result of an intolerance to foods like bananas, eggs, or peanuts and may be prevented by avoiding the culprits.