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A woman in her 50s frequently had nausea, and when she checked that there were "raw stones" in her stomach, the doctor reminded persimmons that they could not be eaten like this

author:Wenhui.com
A woman in her 50s frequently had nausea, and when she checked that there were "raw stones" in her stomach, the doctor reminded persimmons that they could not be eaten like this

Autumn and winter is the season when persimmons are on the market, and red persimmons can be described as the "favorite" of many citizens, but excessive intake or improper consumption can lead to the occurrence of gastrolithiasis. A few days ago, the Department of Gastroenterology of Shanghai Medical University Hospital admitted such a patient.

Recently, Ms. Wang, who is in her early 50s, has continuous nausea, acid reflux, occasionally accompanied by dull pain in the upper abdomen, and her appetite has also decreased significantly. After gastroscopy, Aunt Wang was diagnosed with gastrolithiasis. According to the characteristics of gastric stones, such as size, texture and concomitant complications, the Department of Gastroenterology adopts targeted treatment plans for patients. After endoscopic lithotripsy treatment, the patient has now improved and been discharged from the hospital.

A woman in her 50s frequently had nausea, and when she checked that there were "raw stones" in her stomach, the doctor reminded persimmons that they could not be eaten like this

After eating persimmons, will you "grow" stones in the stomach?

"Gastrolithiasis refers to the production of stones in the stomach, and drinking tea after eating hawthorn and persimmons on an empty stomach, drinking alcohol and eating more foods that increase the acidity of gastric juice are the main predisposing factors for the occurrence of gastrolithiasis." Lu Ying, director of the Department of Gastroenterology of Medical University Hospital, explained that gastrolithiasis, also known as gastric stones, is the formation of undigested solids in the stomach by certain foods or drugs, which remain in the stomach to form gastric foreign bodies. According to the different composition of stones, gastric stones can be divided into plant-based gastric stones, hairy stones, lactic acid stones, etc., among which plant-based gastric stones are the most common.

The most common cause of gastrolithiasis is stomach persimmon stones. Because persimmons contain a lot of tannic acid, gum, pectin and dietary fiber, the tannin content in immature persimmons can be as high as 20%. If you eat persimmons on an empty stomach, or eat a large number of immature persimmons, tannic acid may combine with gastric acid in the stomach to react, forming water-insoluble molecules of larger tannin protein, tannic acid protein, gum, pectin can bind persimmon core, vegetable plant fiber together, accumulate in the stomach to form a solid lump, become a stomach stone.

"People with a lot of stomach acid are prone to stomach stones when they eat persimmons, and some people even eat raw persimmons once to form stomach stones." Lu Ying introduced that the main symptoms of "gastrolithiasis" are paroxysmal and spasmodic pain in the upper abdomen, which can be accompanied by symptoms such as heartburn, acid reflux, nausea, and vomiting. When the gastric stone is large, it cannot be discharged in the stomach by itself, and long-term contact and friction with the gastric mucosa can easily cause serious consequences such as pyloric obstruction, gastric ulcer, gastrointestinal bleeding, gastric perforation, anemia, etc., and may also cause intestinal stone obstruction, and even gastric cancer.

A woman in her 50s frequently had nausea, and when she checked that there were "raw stones" in her stomach, the doctor reminded persimmons that they could not be eaten like this

Currently, abdominal CT or gastroscopy is preferred for diagnosis of gastrolithiasis. In the past, most of the treatment of gastric persimmon stones was treated with traditional Chinese medicine litholysis or surgical lithotomy. However, drug litholysis treatment takes a long time, and surgical stone removal brings greater pain to patients and may have complications. With the development of fiberoptic endoscopic therapeutics, gastroscopic lithotripsy has become the first choice. Gastric stones can be crushed with endoscopic instruments and then expelled through the pylorus.

Seasonal gourmet persimmons, how to eat correctly so as not to get gastrolithiasis? Lu Ying reminded that persimmons should not be eaten on an empty stomach and after drinking, because on an empty stomach or after drinking, the amount of gastric acid secretion will increase, and the tannic acid in persimmons is more likely to form gastric persimmons under the action of gastric acid.

In addition, persimmons should not be consumed in excess, and if they are eaten in small quantities, even if stomach persimmons are formed, they will be excreted on their own due to their small size. If consumed in large quantities, it can form huge stomach persimmon stones, and can not be excreted by itself, which will cause greater harm.

In addition, persimmons should not be eaten with high-protein foods, because persimmons are rich in tannic acid, which combines with proteins under the action of stomach acid and is easy to coagulate into lumps to form stones. Therefore, it should not be eaten with high-protein foods (such as crab, fish, shrimp, milk, eggs).

Experts remind the public that although persimmons are delicious, they should not be gluttonous, especially not on an empty stomach; At the same time, the elderly, children and other people with poor gastrointestinal motility should be more cautious about eating such foods.

Author: Tang Wenjia

Editor: Tang Wenjia

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