Can drinking cola dissolve stomach stones? Doctor’s emergency reminder: to separate the situation

Coke, which is called “happy water in a fat house” by netizens, actually has the effect of “healing the wounded”? Recently, a news about “a man’s stomach calculus doctor prescribes 2 large bottles of Coke” rushed to the hot search.

The news said that Mr. Li from Yulin City, Guangxi, had stomach bloating and stomach pain for several days, and he couldn’t even eat when he was uncomfortable. After two days of taking the medicine to strengthen the stomach and digestion, there was no improvement. After I went to the Yulin Hospital of Traditional Chinese Medicine for a gastroscope, I found out that I was suffering from gastric stones. The doctor found a green lump with a diameter of about 5cm in Mr. Li’s stomach. thing. After the doctor asked, he learned that Mr. Li ate persimmons almost every day, and judged that the source of the stomach stones should be persimmons.

Fortunately, it was discovered early, and the stones in the stomach did not cause serious consequences such as gastric ulcers, bleeding, and perforation due to repeated friction. The doctor used a gastroscope to test the hardness of the stone and found that the stone was relatively loose, so he gave Mr. Li a doctor’s order to drink Coke. So Mr. Li drank Coke every day for a week, and when he reviewed the gastroscope, he found that the stones in his stomach had dissolved and disappeared.

So, does that mean Coke is a stomach stone nemesis? Chen Huiting, the chief physician of the Department of Gastroenterology of Guangzhou First People’s Hospital, reminded that “drinking cola to get rid of stomach stones” should be based on the situation and follow the doctor’s advice.

Persimmons are rich in cellulose, and “stomach persimmon stone” is the most common

According to Chen Huiting, gastric calculi are stony lumps formed in the stomach after eating a certain substance. According to the different composition of the calculus, it can be divided into vegetable, hairy, lactic acid, and medicinal calculi . Most seen. Gastrointestinal stones in my country are mainly related to the consumption of persimmon, black dates, hawthorn and other foods, among which “stomach persimmon stone” is the most common.

Because hawthorn, persimmon, and black dates contain a lot of tannic acid, pectin, and gum, they can effectively cohere with dietary fiber under the action of gastric acid to form large gastric stones. Repeated rubbing of gastric mucosa can lead to erosive gastritis, gastric ulcer, Pyloric obstruction, gastrointestinal bleeding, and perforation, which drain into the bowel below, can lead to small bowel obstruction.

Who are the susceptible groups for stomach stones?

The risk factors for gastric stones are relatively clear. Common factors include a history of gastrectomy and excessive intake of fiber-rich foods such as persimmons. Patients with peptic ulcer, chronic gastritis, Crohn’s disease, gastrointestinal tumors, dehydration, hypothyroidism, and difficulty chewing have higher risk of gastric stone formation than normal people. In addition, gastroparesis in diabetic patients and long-term use of acid-suppressing drugs are also important factors for the formation of gastric stones.

But don’t worry, “From the perspective of clinical work, gastric stones are not common, and sometimes there is no case of it in a year.” Chen Huiting introduced.

Can Coke Really Treat Stomach Stones?

The treatment methods for gastric calculi include drug dissolution, endoscopic lithotripsy, surgical treatment and traditional Chinese medicine treatment. “Cola is a type of litholysis treatment. In 2002, it was reported that cola successfully treated gastric stones. At that time, it was found that cola could make the stone smaller and softer. The common treatment plan is to drink three liters of cola within 24 hours, including oral drinking. injection or perfusion through gastroscope.” Chen Huiting introduced.

It is reported that there are no obvious signs of gastric stones in the early stage, and some patients will have symptoms such as epigastric pain, bloating, nausea, and vomiting; patients with gastric stones should not eat persimmons and other foods, drink some cola, sodium bicarbonate, and take acid-suppressing drugs appropriately. If the symptoms worsen, and even black stools and coffee-like objects appear, seek medical attention immediately.

It is worth noting that the mechanism of cola in the treatment of gastric calculi is still unclear, and there is still no unified standard for the timing and dosage of use. Some scholars still question the therapeutic effect of cola. It is worth noting that patients with gastric ulcer should not drink carbonated beverages ! This can result in piercing. According to Chen Huiting, the clinical treatment of gastric calculi can be done by nasogastric lavage, endoscopic perfusion or combination, among which endoscopic stone removal is the main treatment method for gastric calculi.

Can stomach stones cause cancer?

“Gastolithiasis is a relatively rare disease, and there is not much evidence to prove that it has a great relationship with gastric cancer, and gastric stones are usually not found in patients with gastric cancer. Therefore, there is no need to worry too much about gastric cancer.” Chen Huiting explained further.

For early screening of gastric cancer, Chen Huiting believes that it is necessary. According to the latest data from China in 2020, the incidence and mortality of gastric cancer rank third among various malignant tumors. There are about 1.2 million new gastric cancer cases in the world every year, and China accounts for about 40% of them. The proportion of early gastric cancer in my country is very low, only about 20%. Most of them are in the advanced stage when they are discovered, and the overall 5-year survival rate is less than 50%. In recent years, with the popularization of gastroscopy, the proportion of early gastric cancer has increased year by year.

Who needs gastric cancer screening? It is reported that the incidence of gastric cancer in the general population is low (33/100,000), and our country recommends that citizens over 40 years old or with a family history of gastric cancer should consider gastric cancer screening.

Those who meet any of the following items 1 and 2 to 6 should be classified as a high-risk group for gastric cancer, and are recommended as screening objects: ①Age over 40 years old, male or female; ②People in areas with high incidence of gastric cancer; ③Helicobacter pylori infection ④ patients with chronic atrophic gastritis, gastric ulcer, gastric polyps, post-operative remnant stomach, hypertrophic gastritis, pernicious anemia and other precancerous diseases; ⑤ first-degree relatives of patients with gastric cancer; ⑥ other high-risk factors for gastric cancer (high salt, Salted diet, smoking, heavy drinking, etc.)

Gastric cancer screening method

All in all, all the remarks are condensed into one sentence:

Illness comes from the mouth! Although persimmons are sweet, don’t be greedy!

Written by: Southern Metropolis reporter Yang Liyun correspondent Wei Xing Ouyang Pengpeng