|  Oxford University Press is a department of the University of Oxford. i am recently learning that eating too many persimmons will give you a horrible stomach ache. People eat the fruit. Combining the patient’s special food history with EGD presentation, the diagnosis of gastric outlet obstruction is apparent. Except for a positive diagnosis of Helicobacter pylori , other laboratory test results were all normal. 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]. Patients who are suffering from pollen in the past are also suffer from ingestion of some plant-derived fruits… It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide, This PDF is available to Subscribers Only. Compared with other phytobezoars, persimmon phytobezoars are more difficult to dissolve or break up into small pieces owing to their tough consistency [8]. Prevention and treatment information (HHS). Persimmon includes plenty of vitamin A and vitamin C which are helpful for decreasing blood pressure, operation of lungs. Conflict of interest statement: none declared. However, symptoms such as upper gastrointestinal bleeding, intestinal obstruction and gastric outlet obstruction are rather uncommon [9]. Bezoars are mainly classified into four types according to their material make-up: phytobezoars, trichobezoars, pharmacobezoars and lactobezoars. In this regard, what Cannot be eaten with … The patient in our report harbored high risk factors including H pylori infection and chronic erosive gastritis. Ok ppl. Abdominal pain after eating greasy foods can be uncomfortable and concerning. doi: 10.1053/j.gastro.2008.02.041. It has been indicated that persimmon phytobezoars were often resistant to chemical dissolution. Persimmon, a tropical fruit rich in fleshy fiber, is commonly grown and consumed in certain countries [1]. Gastrotomy or gastrotomy with bezoar removal and wedge resection of the gastric ulcer is recommended when enzymatic therapy fails, or when there is gastric outlet obstruction or marrise hemorrhage. NIH Different types of foods elicit varied digestive system responses. 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. About a year and a half ago I ate 1kg of unripe persimmon fruit on empty stomach. Twelve of 17 (70.9%) with gastric bezoars had hematemesis or … . The main reason apples cause gas … 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? Understanding Gallstones: Types, Pain, and More. De Cesare A, Fiori E, Bononi M, Ferraro D. Pediatr Emerg Care. The phytobezoars were then completely removed by laparotomy. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. HHS Isolated ileal bezoar causing small bowel obstruction. A giant mass was present in upper quadrant abdominal, and the mass was firm, mobile and elliptical. Interestingly, symptoms of obstruction in the patient could be relieved when lying in the left lateral position. Current feasible treatment methods for gastric phytobezoars include dissolution of the bezoar by Coca-Cola (or chemical drugs) and endoscopic surgery. USA.gov. About a year and a half ago I ate 1kg of unripe persimmon fruit on empty stomach. Upon physical examination, the patient was emaciated with a low body mass index (16.2). Complex endoscopic management of gallbladder cancer patient with Bouveret syndrome. 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. Phytobezoar-induced small bowel obstruction associated with a concomitant gastric phytobezoar and ulcer in an elderly woman. In this case, we are prone to abdominal pain, vomiting, diarrhea and other symptoms. Pain may also be prevented by changing your overall eating habits. Slight distension and moderate tenderness were noted in the upper abdomen. The clinical manifestations of persimmon phytobezoars are similar to other phytobezoars and hinge on the localization and size of the phytobezoars. 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. Generally, with an empty stomach, it is advisable that not more than 200 grams of persimmon should be taken. The persimmon and several foods together will form gastric persimmon stone, causing bloating, stomach pain and vomiting. Successful endoscopic treatment of an intestinal diospyrobezoar migrated from the stomach. The following day, the patient underwent emergency gastrostomy with removal of three large persimmon phytobezoars. The mass was 2-inches in size and was causing the woman severe pain. doi: 10.1136/bcr.01.2012.5656. Still, the stomach pains you describe are not uncommon after eating apples. Bezoar, an indigestible conglomeration trapped in the gastrointestinal tract, is a relatively rare disease entity with a variable incidence among studies [6]. The site with intermittent mild pain was located in the left upper quadrant. Shortly after eating persimmons, 11 (52.4%) had severe abdominal cramping, anusea, vomiting, and pyrexia. Stomach pain after eating fruit is usually caused by inability to digest the fruit sugar fructose. BMJ Case Rep. 2012 Jul 10;2012:bcr0120125656. The phytobezoars form as a complication of delayed gastric emptying. This is because these are high protein foods and the tannic … 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. Pain in the Stomach After Eating … Generally, with an empty stomach, it is advisable that not more than 200 grams of persimmon should be taken. A Unique Presentation of Bouveret's Syndrome: Two Large Gallstones Obstructing Both the Gastric Outlet and the Common Bile Duct Simultaneously. The largest phytobezoar could not be removed as a whole piece (Figure 2). For full access to this pdf, sign in to an existing account, or purchase an annual subscription. 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]. If one often … However, it is rare presentation of gastric obstruction result from flexible gastric volume. 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. The persimmon and several foods together will form gastric persimmon stone, causing bloating, stomach pain and vomiting. Moreover, the endoscope could not enter the duodenum after several attempts due to pylorus obstruction from phytobezoars (Figure 1).  |  This site needs JavaScript to work properly. Here we report an unusual case of gastric outlet obstruction caused by multiple giant persimmon phytobezoars. If one eat persimmon on empty stomach, it may bring a series of symptoms, such as nausea and vomit. After 30minutes following meal I got tremendous pain … We confirmed gastric outlet obstruction during the operation and cleared it. Enzymatic therapy is indicated in those with minor symptoms. Gastric bezoars may frequently cause intestinal obstruction and are occasionally associated with gastric ulcer. Simultaneous gastric and small intestinal trichobezoars. Predisposing risk factors include partial gastrectomy, vagotomy and pyloroplasty, peptic ulcer disease, chronic gastritis, Crohn’s disease and carcinoma of the gastrointestinal tract. A persimmon phytobezoar (considered to be harder than other types of phytobezoars) is formed after frequent consumption of persimmons. Persimmons have high amounts of tannins and pectins, and when … Shortly after eating persimmons, 11 (52.4%) had severe abdominal cramping, anusea, vomiting, and pyrexia. Eating apples can make you gassy and cause digestive problems like stomach cramps, bloating and even diarrhea, but for different reasons than bananas. ... or increase the chance of excessive bleeding during and after surgery. Mouthwash after eating Persimmon has is high in sugar and contains pectin. (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. All of these symptoms did not catch enough attention for the patient to seek medical treatment. Critical evaluation of web-based DNA N6-methyladenine site prediction tools. Learn how to recognize the symptoms and what the treatment options are. 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. Recently, a 40-something woman in China suffered several abdominal pain due to a two inch, indigestible bezoar in the middle of her stomach, according to one news report. Postoperatively, the patient recovered well and was started on total enteral nutrition. Previous reports have suggested that the spectra obtained from the surface and the inner parts of a persimmon phytobezoar are quite similar to that of persimmon juice [1]. The most frequent symptoms of phytobezoars in the stomach are dyspepsia, abdominal pain and vomiting …  |  NLM 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. Food allergies occur when your body mistakes a certain food for a harmful … Department of Gastrointestinal Surgery, Xiangya Hospital of Central South University, Changsha, Hunan, China. BMJ Case Rep. 2014 Jul 4;2014:bcr2014204966. 2. Even eating the fruit with “cold foods” like fish, crab or shrimp, will lead to the formation of stone in the stomach. The recipes can also help with energy levels and mood. 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 … Here we present a 57-year-old man with persimmon phytobezoars, which ultimately led to gastric outlet obstruction. 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. After eating persimmon … Clipboard, Search History, and several other advanced features are temporarily unavailable. After eating persimmon … In addition, a left upper quadrant abdominal mass was palpable half a year before the admission. You can start by maintaining a regular eating routine of healthy foods and avoiding triggers that may be causing the pain. Mohammed AA, Benmousa A, Almeghaiseeb Iet al. Electronic clinical challenges and images in GI. 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]. The most frequent symptoms of phytobezoars in the stomach are dyspepsia, abdominal pain and vomiting or nausea. Emergency exploration with removal is necessary when the persimmon bezoar causes ileal obstruction. Please enable it to take advantage of the complete set of features! The surface of persimmon contains high concentrations of persimmon tannin. A food intolerance is possible. Migration of a gastric bezoar. 6. 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]. You may need to avoid certain fruits if they cause problems. H pylori eradication was performed after the patient was discharged. 3, do not eat persimmons on an empty stomach, do not eat persimmons. … The patient was a diabetic man in his 60’s that reported 5 days of abdominal pain after “massive ingestion of persimmons,” although it is not made clear what is meant by … 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. 2008 Nov;24(11):774-6. doi: 10.1097/PEC.0b013e31818c2891. Persimmon itself contains a lot of tannic acid, especially with the highest content of persimmon skin, and eating a large number of persimmons on an empty stomach, greatly increasing the risk of forming a "stomach … High-fat foods may trigger mild to severe abdominal pain … Copyright © 2021 Oxford University Press and Sixth Affiliated Hospital of Sun Yat-Sen University. Pain Management ; Sexual Conditions ... Japanese persimmon is a tree. There are several potential causes for stomach pain after you eat. 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]. 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. 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. The tannin in persimmon will stimulate the gastric juice. Persimmon stones, or bezoars, often form in the stomachs of people who eat many persimmons. In four (19.1%), the bezoar had lodged in the ileum, causing obstruction. In addition, when eating persimmon, to control the amount of each time to eat. Persimmon phytobezoars, a type of phytobezoar, are often formed after frequent and excessive consumption of persimmons [7]. Esophagogastroduodenoscopy (EGD) findings. The patient also claimed that he felt the mass increase gradually. Would you like email updates of new search results? All persimmon phytobezoars of the patient were removed. 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 … 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 … COVID-19 is an emerging, rapidly evolving situation. A phytobezoar is a bezoar or trapped mass in the gastrointestinal system that consists of indigestible plant material such as fibers, skins and seeds. These include: Food allergies. 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. A set of carbohydrate intolerances are suspected to play a role in some types of abdominal pain… The complication of gastrointestinal tract obstruction from bezoars was found to exist in the intestines but was rarely reported in the gastric tract because of its flexible volume. "The persimmon … doi: 10.1136/bcr-2014-204966. After 30minutes following meal I got tremendous pain in my upper abdomen, fullness/pressure … Gallstones can block your bile duct and cause abdominal pain. The clinical manifestations of persimmon phytobezoars are similar to other phytobezoars and hinge on the localization and size of the phytobezoars. Since 1946, 20 men and one woman aged 40 to 76 years (average 57) were operated upon for complications of diospyrobezoars. Hello, I am relatively healthy however have tremendous problem that cannot be diagnosed by any doctor. Mouthwash after eating Persimmon has is high in sugar and contains pectin. 6. Due to its specific challenge, endoscopic removal is often difficult and incomplete. Stomach pain after eating persimmon A compound called as profillin is detected in this fruit. If your dog exhibits any of these symptoms after eating persimmons — vomiting with abdominal contractions, abdominal pain and distention, dehydration, loss of appetite, … Self-care interventions such as acupuncture may be helpful with stress, discomfort, pain… 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. 2008 Apr;134(4):e1-2. 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 … Gastroenterology.
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