High-fat foods may trigger mild to severe abdominal pain … A phytobezoar is a bezoar or trapped mass in the gastrointestinal system that consists of indigestible plant material such as fibers, skins and seeds. Persimmon includes plenty of vitamin A and vitamin C which are helpful for decreasing blood pressure, operation of lungs. We confirmed gastric outlet obstruction during the operation and cleared it. 6. It has been indicated that persimmon phytobezoars were often resistant to chemical dissolution. Prevention and treatment information (HHS). There are several potential causes for stomach pain after you eat. 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. 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]. Persimmon, a tropical fruit rich in fleshy fiber, is commonly grown and consumed in certain countries [1]. Conflict of interest statement: none declared. doi: 10.1053/j.gastro.2008.02.041. 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]. Bezoar, an indigestible conglomeration trapped in the gastrointestinal tract, is a relatively rare disease entity with a variable incidence among studies [6]. Mouthwash after eating Persimmon has is high in sugar and contains pectin. All of these symptoms did not catch enough attention for the patient to seek medical treatment. In addition, a left upper quadrant abdominal mass was palpable half a year before the admission. In four (19.1%), the bezoar had lodged in the ileum, causing obstruction. The clinical manifestations of persimmon phytobezoars are similar to other phytobezoars and hinge on the localization and size of the phytobezoars. Complex endoscopic management of gallbladder cancer patient with Bouveret syndrome. Would you like email updates of new search results? Generally, with an empty stomach, it is advisable that not more than 200 grams of persimmon should be taken. Stomach pain after eating persimmon A compound called as profillin is detected in this fruit. For full access to this pdf, sign in to an existing account, or purchase an annual subscription. After eating persimmon … Mohammed AA, Benmousa A, Almeghaiseeb Iet al. Except for a positive diagnosis of Helicobacter pylori , other laboratory test results were all normal. Pain in the Stomach After Eating … Pain may also be prevented by changing your overall eating habits. In this case, we are prone to abdominal pain, vomiting, diarrhea and other symptoms. Isolated ileal bezoar causing small bowel obstruction. The surface of persimmon contains high concentrations of persimmon tannin. All persimmon phytobezoars of the patient were removed. Esophagogastroduodenoscopy (EGD) findings. People eat the fruit. Migration of a gastric bezoar. The clinical manifestations of persimmon phytobezoars are similar to other phytobezoars and hinge on the localization and size of the phytobezoars. About a year and a half ago I ate 1kg of unripe persimmon fruit on empty stomach. Shortly after eating persimmons, 11 (52.4%) had severe abdominal cramping, anusea, vomiting, and pyrexia. Abdominal pain after eating greasy foods can be uncomfortable and concerning. Gastroenterology. 2008 Nov;24(11):774-6. doi: 10.1097/PEC.0b013e31818c2891. These include: Food allergies. 6. 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 … 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. 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. 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. 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. The largest phytobezoar could not be removed as a whole piece (Figure 2). The persimmon and several foods together will form gastric persimmon stone, causing bloating, stomach pain and vomiting. HHS The main reason apples cause gas … Interestingly, symptoms of obstruction in the patient could be relieved when lying in the left lateral position. 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]. So, what’s going on? However, symptoms such as upper gastrointestinal bleeding, intestinal obstruction and gastric outlet obstruction are rather uncommon [9]. Moreover, the endoscope could not enter the duodenum after several attempts due to pylorus obstruction from phytobezoars (Figure 1). 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 … 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. 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. 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 set of carbohydrate intolerances are suspected to play a role in some types of abdominal pain… doi: 10.1136/bcr-2014-204966. Phytobezoar-induced small bowel obstruction associated with a concomitant gastric phytobezoar and ulcer in an elderly woman. | A giant mass was present in upper quadrant abdominal, and the mass was firm, mobile and elliptical. 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 … Generally, with an empty stomach, it is advisable that not more than 200 grams of persimmon should be taken. The recipes can also help with energy levels and mood. Gastric bezoars may frequently cause intestinal obstruction and are occasionally associated with gastric ulcer. NLM Department of Gastrointestinal Surgery, Xiangya Hospital of Central South University, Changsha, Hunan, China. 3, do not eat persimmons on an empty stomach, do not eat persimmons. 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. | A Unique Presentation of Bouveret's Syndrome: Two Large Gallstones Obstructing Both the Gastric Outlet and the Common Bile Duct Simultaneously. If one eat persimmon on empty stomach, it may bring a series of symptoms, such as nausea and vomit. Persimmons have high amounts of tannins and pectins, and when … 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]. The most frequent symptoms of phytobezoars in the stomach are dyspepsia, abdominal pain and vomiting or nausea. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Simultaneous gastric and small intestinal trichobezoars. In this regard, what Cannot be eaten with … 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. Understanding Gallstones: Types, Pain, and More. Please enable it to take advantage of the complete set of features! Even eating the fruit with “cold foods” like fish, crab or shrimp, will lead to the formation of stone in the stomach. 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. Bezoars are mainly classified into four types according to their material make-up: phytobezoars, trichobezoars, pharmacobezoars and lactobezoars. The following day, the patient underwent emergency gastrostomy with removal of three large persimmon phytobezoars. 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]. Combining the patient’s special food history with EGD presentation, the diagnosis of gastric outlet obstruction is apparent. 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. Persimmon phytobezoars, a type of phytobezoar, are often formed after frequent and excessive consumption of persimmons [7]. Still, the stomach pains you describe are not uncommon after eating apples. The most frequent symptoms of phytobezoars in the stomach are dyspepsia, abdominal pain and vomiting … Since 1946, 20 men and one woman aged 40 to 76 years (average 57) were operated upon for complications of diospyrobezoars. Ok ppl. BMJ Case Rep. 2012 Jul 10;2012:bcr0120125656. Successful endoscopic treatment of an intestinal diospyrobezoar migrated from the stomach. 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. You may need to avoid certain fruits if they cause problems. The phytobezoars were then completely removed by laparotomy. 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 … The persimmon and several foods together will form gastric persimmon stone, causing bloating, stomach pain and vomiting. 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 (. COVID-19 is an emerging, rapidly evolving situation. After 30minutes following meal I got tremendous pain in my upper abdomen, fullness/pressure … A food intolerance is possible. About a year and a half ago I ate 1kg of unripe persimmon fruit on empty stomach. In addition, when eating persimmon, to control the amount of each time to eat. Learn how to recognize the symptoms and what the treatment options are. doi: 10.1136/bcr.01.2012.5656. The phytobezoars form as a complication of delayed gastric emptying. If your dog exhibits any of these symptoms after eating persimmons — vomiting with abdominal contractions, abdominal pain and distention, dehydration, loss of appetite, … 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. A persimmon phytobezoar (considered to be harder than other types of phytobezoars) is formed after frequent consumption of persimmons. Slight distension and moderate tenderness were noted in the upper abdomen. Critical evaluation of web-based DNA N6-methyladenine site prediction tools. Stomach pain after eating fruit is usually caused by inability to digest the fruit sugar fructose. Enzymatic therapy is indicated in those with minor symptoms. USA.gov. NIH Mouthwash after eating Persimmon has is high in sugar and contains pectin. Clipboard, Search History, and several other advanced features are temporarily unavailable. Electronic clinical challenges and images in GI. The site with intermittent mild pain was located in the left upper quadrant. Patients who are suffering from pollen in the past are also suffer from ingestion of some plant-derived fruits… Here we present a 57-year-old man with persimmon phytobezoars, which ultimately led to gastric outlet obstruction.
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