Oesophageal ulcer due to a herbal remedy
Abstract Herbal-induced oesophageal lesions are rare. We report the case of an 85-year-old male who presented with cough and odynophagia. An upper endoscopy showed white deposit under the proximal oesophageal sphincter. Biopsy of the lesion revealed an oesophageal ulcer with adherent plant material...
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Veröffentlicht in: | Age and ageing 2019-03, Vol.48 (2), p.309-311 |
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creator | Naous, Jihane Saab, Basem Roberto Abou Hamdan, Tarek |
description | Abstract
Herbal-induced oesophageal lesions are rare. We report the case of an 85-year-old male who presented with cough and odynophagia. An upper endoscopy showed white deposit under the proximal oesophageal sphincter. Biopsy of the lesion revealed an oesophageal ulcer with adherent plant material and ruled-out candidiasis. At this point, the patient divulged self-preparation of an herbal remedy consisting of Aloe Vera pulp, whisky, honey, ginger and turmeric. Aloe Vera, ginger and turmeric are commonly used to sooth some gastroenterological symptoms in Complementary and Alternative Medicine. Incorrect extraction of Aloe Vera pulp and adding honey to it transformed the recipe into a sticky paste that may have injured the oesophageal mucosa. Follow-up showed that the cough and odynophagia subsided after discontinuing this herbal remedy. |
doi_str_mv | 10.1093/ageing/afy174 |
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Herbal-induced oesophageal lesions are rare. We report the case of an 85-year-old male who presented with cough and odynophagia. An upper endoscopy showed white deposit under the proximal oesophageal sphincter. Biopsy of the lesion revealed an oesophageal ulcer with adherent plant material and ruled-out candidiasis. At this point, the patient divulged self-preparation of an herbal remedy consisting of Aloe Vera pulp, whisky, honey, ginger and turmeric. Aloe Vera, ginger and turmeric are commonly used to sooth some gastroenterological symptoms in Complementary and Alternative Medicine. Incorrect extraction of Aloe Vera pulp and adding honey to it transformed the recipe into a sticky paste that may have injured the oesophageal mucosa. Follow-up showed that the cough and odynophagia subsided after discontinuing this herbal remedy.</description><identifier>ISSN: 0002-0729</identifier><identifier>EISSN: 1468-2834</identifier><identifier>DOI: 10.1093/ageing/afy174</identifier><identifier>PMID: 30371724</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Aged, 80 and over ; Aloe - adverse effects ; Alternative medicine ; Biopsy ; Candidiasis ; Cough ; Cough reflex ; Curcuma - adverse effects ; Endoscopy ; Esophageal Diseases - chemically induced ; Esophagoscopy ; Esophagus ; Extraction ; Herbal medicine ; Honey ; Honey - adverse effects ; Humans ; Lesions ; Male ; Mucosa ; Ointments - adverse effects ; Phytotherapy - adverse effects ; Pulp ; Sphincter ; Ulcer - chemically induced ; Ulcers ; Whisky ; Zingiber officinale - adverse effects</subject><ispartof>Age and ageing, 2019-03, Vol.48 (2), p.309-311</ispartof><rights>The Author(s) 2018. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com 2018</rights><rights>The Author(s) 2018. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.</rights><rights>The Author(s) 2018. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c426t-30648ebf368f695df136736ba6303864bfecb3ad0045667d7b86940498b07cb73</citedby><cites>FETCH-LOGICAL-c426t-30648ebf368f695df136736ba6303864bfecb3ad0045667d7b86940498b07cb73</cites><orcidid>0000-0002-3083-6568</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1578,27901,27902,30976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30371724$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Naous, Jihane</creatorcontrib><creatorcontrib>Saab, Basem Roberto</creatorcontrib><creatorcontrib>Abou Hamdan, Tarek</creatorcontrib><title>Oesophageal ulcer due to a herbal remedy</title><title>Age and ageing</title><addtitle>Age Ageing</addtitle><description>Abstract
Herbal-induced oesophageal lesions are rare. We report the case of an 85-year-old male who presented with cough and odynophagia. An upper endoscopy showed white deposit under the proximal oesophageal sphincter. Biopsy of the lesion revealed an oesophageal ulcer with adherent plant material and ruled-out candidiasis. At this point, the patient divulged self-preparation of an herbal remedy consisting of Aloe Vera pulp, whisky, honey, ginger and turmeric. Aloe Vera, ginger and turmeric are commonly used to sooth some gastroenterological symptoms in Complementary and Alternative Medicine. Incorrect extraction of Aloe Vera pulp and adding honey to it transformed the recipe into a sticky paste that may have injured the oesophageal mucosa. Follow-up showed that the cough and odynophagia subsided after discontinuing this herbal remedy.</description><subject>Aged, 80 and over</subject><subject>Aloe - adverse effects</subject><subject>Alternative medicine</subject><subject>Biopsy</subject><subject>Candidiasis</subject><subject>Cough</subject><subject>Cough reflex</subject><subject>Curcuma - adverse effects</subject><subject>Endoscopy</subject><subject>Esophageal Diseases - chemically induced</subject><subject>Esophagoscopy</subject><subject>Esophagus</subject><subject>Extraction</subject><subject>Herbal medicine</subject><subject>Honey</subject><subject>Honey - adverse effects</subject><subject>Humans</subject><subject>Lesions</subject><subject>Male</subject><subject>Mucosa</subject><subject>Ointments - adverse effects</subject><subject>Phytotherapy - adverse effects</subject><subject>Pulp</subject><subject>Sphincter</subject><subject>Ulcer - chemically induced</subject><subject>Ulcers</subject><subject>Whisky</subject><subject>Zingiber officinale - adverse effects</subject><issn>0002-0729</issn><issn>1468-2834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkEtLAzEURoMotlaXbmXATTdj85qbzFLEFxS60XVIZpI-mDZj0iz6741MVXDjKtxwOPe7H0LXBN8RXLOZXtr1bjnT7kAEP0FjwkGWVDJ-isYYY1piQesRuohxk0dSEXqORgwzQQTlYzRd2Oj7VbborkhdY0PRJlvsfaGLlQ0m_wa7te3hEp053UV7dXwn6P3p8e3hpZwvnl8f7udlwynsS4aBS2scA-mgrlpHGAgGRkPeKYEbZxvDdIsxrwBEK4yEmmNeS4NFYwSboOng7YP_SDbu1XYdG9t1emd9iopSXoOASsqM3v5BNz6FXU6naM5BWY0pz1Q5UE3wMQbrVB_WWx0OimD1VaEaKlRDhZm_OVqTyYf_0N-d_Sb0qf_H9Qnyb3i1</recordid><startdate>20190301</startdate><enddate>20190301</enddate><creator>Naous, Jihane</creator><creator>Saab, Basem Roberto</creator><creator>Abou Hamdan, Tarek</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><orcidid>https://orcid.org/0000-0002-3083-6568</orcidid></search><sort><creationdate>20190301</creationdate><title>Oesophageal ulcer due to a herbal remedy</title><author>Naous, Jihane ; Saab, Basem Roberto ; Abou Hamdan, Tarek</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-30648ebf368f695df136736ba6303864bfecb3ad0045667d7b86940498b07cb73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged, 80 and over</topic><topic>Aloe - adverse effects</topic><topic>Alternative medicine</topic><topic>Biopsy</topic><topic>Candidiasis</topic><topic>Cough</topic><topic>Cough reflex</topic><topic>Curcuma - adverse effects</topic><topic>Endoscopy</topic><topic>Esophageal Diseases - chemically induced</topic><topic>Esophagoscopy</topic><topic>Esophagus</topic><topic>Extraction</topic><topic>Herbal medicine</topic><topic>Honey</topic><topic>Honey - adverse effects</topic><topic>Humans</topic><topic>Lesions</topic><topic>Male</topic><topic>Mucosa</topic><topic>Ointments - adverse effects</topic><topic>Phytotherapy - adverse effects</topic><topic>Pulp</topic><topic>Sphincter</topic><topic>Ulcer - chemically induced</topic><topic>Ulcers</topic><topic>Whisky</topic><topic>Zingiber officinale - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Naous, Jihane</creatorcontrib><creatorcontrib>Saab, Basem Roberto</creatorcontrib><creatorcontrib>Abou Hamdan, Tarek</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Age and ageing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Naous, Jihane</au><au>Saab, Basem Roberto</au><au>Abou Hamdan, Tarek</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Oesophageal ulcer due to a herbal remedy</atitle><jtitle>Age and ageing</jtitle><addtitle>Age Ageing</addtitle><date>2019-03-01</date><risdate>2019</risdate><volume>48</volume><issue>2</issue><spage>309</spage><epage>311</epage><pages>309-311</pages><issn>0002-0729</issn><eissn>1468-2834</eissn><abstract>Abstract
Herbal-induced oesophageal lesions are rare. We report the case of an 85-year-old male who presented with cough and odynophagia. An upper endoscopy showed white deposit under the proximal oesophageal sphincter. Biopsy of the lesion revealed an oesophageal ulcer with adherent plant material and ruled-out candidiasis. At this point, the patient divulged self-preparation of an herbal remedy consisting of Aloe Vera pulp, whisky, honey, ginger and turmeric. Aloe Vera, ginger and turmeric are commonly used to sooth some gastroenterological symptoms in Complementary and Alternative Medicine. Incorrect extraction of Aloe Vera pulp and adding honey to it transformed the recipe into a sticky paste that may have injured the oesophageal mucosa. Follow-up showed that the cough and odynophagia subsided after discontinuing this herbal remedy.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>30371724</pmid><doi>10.1093/ageing/afy174</doi><tpages>3</tpages><orcidid>https://orcid.org/0000-0002-3083-6568</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Aged, 80 and over Aloe - adverse effects Alternative medicine Biopsy Candidiasis Cough Cough reflex Curcuma - adverse effects Endoscopy Esophageal Diseases - chemically induced Esophagoscopy Esophagus Extraction Herbal medicine Honey Honey - adverse effects Humans Lesions Male Mucosa Ointments - adverse effects Phytotherapy - adverse effects Pulp Sphincter Ulcer - chemically induced Ulcers Whisky Zingiber officinale - adverse effects |
title | Oesophageal ulcer due to a herbal remedy |
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