Recently, sweet and glutinous persimmons and sweet and sour hawthorns have been on the market in large quantities, and many people can't stop eating them, but some people have eaten them in the hospital, what's going on?
Eat 10 persimmons in a row
The Hangzhou man almost had a perforated intestine
Some time ago, 50-year-old Mr. Zhang (pseudonym) in Hangzhou bought a lot of persimmons online as snacks, and a bite was so sweet that he ate nearly ten persimmons in a row that day, and then stopped satisfied.
As a result, when he went to bed that night, Mr. Zhang faintly felt a little sore in his stomach, but he didn't pay attention to it at first.
But in the past half a month, Mr. Zhang's abdominal pain and bloating have repeatedly not improved, a few days ago the abdominal pain suddenly worsened, and at the same time, he also had nausea, vomiting and other conditions, so he came to the Department of Gastroenterology of Zhejiang Provincial Hospital of Integrated Traditional Chinese and Western Medicine (Hangzhou Red Cross Hospital) for treatment.
After receiving the consultation, Xu Jianjun, chief TCM physician of the Department of Gastroenterology, inquired about his medical history in detail and combined with the CT examination report, he judged that Mr. Zhang may have been obstructed by eating too many persimmons on an empty stomach to form gastric persimmon stones, and must be treated immediately.
Subsequently, Xu Jianjun immediately performed gastrointestinal decompression for Mr. Zhang and arranged a gastroscopy, and the results were even more complicated than predicted: the gastric persimmon stone had "fallen" to the descending duodenum, causing duodenal obstruction, and if it continued to be incarcerated, there was a risk of perforation.
However, due to the poor position of stone incarceration, it was not possible to use the ** method of oral cola or sodium bicarbonate dissolution, Xu Jianjun's team comprehensively analyzed and considered, and immediately arranged endoscopic lithotripsy.
After **, Mr. Zhang has been discharged from the hospital: "Thank you so much, I will never dare to be greedy in the future." ”
Xu Jianjun introduced that every autumn and winter, the Department of Gastroenterology will admit several patients with gastric persimmon stones, most of which are related to improper diet.
To put it simply, gastric persimmon stone refers to the clump formed by the retention and coagulation of a large number of fresh persimmons or persimmons in the stomach, and the cause of formation is related to complex changes in the stomach environment.
For example, Mr. Cheung ate a large amount of persimmons on an empty stomach, which contained a large amount of tannic acid and pectin, which would form insoluble persimmon stones under the action of gastric acid.
Eating hawthorn on an empty stomach hurts the stomach
I found a big stomach stone in my fist
Hawthorn strengthens the spleen and is appetizing, and is the favorite of many people. Xiaofei is a hawthorn lover. Half a month ago, she bought a box of hawthorn and thought of using it for appetizers. Who knows, when I ate more than a dozen pills on an empty stomach, my stomach began to make a fuss after eating, and I felt a faint pain. For this reason, she also took stomach medicine for a week, but the stomach pain never subsided.
So, Xiaofei came to the Department of Gastroenterology of the First People's Hospital of Xiaoshan District for treatment, and she did a gastroscopy in the hospital's endoscopy center, and found that there was a large yellow stone with a strange shape in her stomach, accompanied by many ulcers such as the stomach body and stomach horns.
A handful of hawthorn hurts her stomach, and she also found out the culprit of her recent stomach pain - stomach stones.
Guo Feng, director of the Department of Gastroenterology, performed "intragastric lithotripsy" for her under gastroscopy, and all the gastric stones of ** Xiaofei were crushed, and the crushed stones could be discharged from the body on their own.
Gastrolithiasis is the condensation of a foreign body formed in the stomach into a hard mass, also known as an "endogenous gastric foreign body", which can neither be digested nor excreted through the pylorus. It can be divided into four categories: plant stones, animal stones, drug stones, and mixed stones.
Among them, plant gastric stones are the most common, mostly caused by eating a large amount of hawthorn, persimmon and black jujube on an empty stomach, because this kind of fruit contains very astringent tannin (especially the high content of unripe fruits), tannic acid and gastric acid contact form tannic acid protein, which is difficult to dissolve in water, and then coagulated with pectin and plant fiber to form a lump of different sizes. If these lumps do not reach the small intestine through the pylorus, they become lodged in the stomach and form bezoars.
In this regard, Zhu Chenhui, a gastroenterologist at the First People's Hospital of Xiaoshan District, said that the people who are prone to gastric stones are middle-aged and elderly people, but they are also showing a trend of younger people, and the youngest patients with gastric stones are in their early thirties.
"The typical symptoms of gastric stones are abdominal pain, epigastric discomfort, bloating, loss of appetite, nausea, vomiting, etc. After the formation of gastric stones, there is pressure on the stomach wall, which stimulates excessive gastric acid secretion, which may cause ulceration or even perforation of the gastric mucosa. Gabel stones can also cause intestinal obstruction when they enter the intestine. ”
How should the public prevent the occurrence of gastric persimmon stones and gastric stones in their daily lives? The doctor gave the following two suggestions:
1.Avoid eating large amounts of hawthorn, persimmons, black dates, and other foods on an empty stomach.
2.Be mindful of the amount you consume. The elderly and those with poor digestion need special attention. Generally speaking, no more than 5 hawthorns and 1 persimmon at a time, and do not eat them every day in a row. In addition, cooked products such as hawthorn and other fruits (such as hawthorn cake) are good alternatives, which have a rich taste and avoid some of the drawbacks of eating the fruit directly.