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
Hauptverfasser: Naous, Jihane, Saab, Basem Roberto, Abou Hamdan, Tarek
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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.
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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. 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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. 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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 &amp; 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source Applied Social Sciences Index & Abstracts (ASSIA); Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
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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