Bottle Gourd (Lagenaria siceraria) Toxicity Diagnosed in the Emergency Department

Lee, Wey Ting; Ng, Guoyi Geoffrey; Phua, Dong Haur

doi:10.1016/j.jemermed.2022.04.022

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…The bottle gourd is believed to have cardioprotective, diuretic, and nutritive properties by practitioners of alternate therapy. [ 2 3 6 ]…”

Section: Discussionmentioning

confidence: 99%

Health Drink Poisoning – An Unusual Case of Bottle Gourd Toxicity

Varun,

Pandya,

Muniraju

2023

Journal of Emergencies, Trauma, and Shock

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Bottle gourd, popularly known as “Lauki,” is a commonly used vegetable throughout the world including India. Its juice is considered a “health tonic” for chronic ailments by practitioners of alternate therapy and nutritionist. It is essential for emergency physicians to be aware of this toxicity, especially in tropical countries like India, where alternate therapy practices are prevalent. We present the case of a 35-year-old man who consumed concentrated bottle gourd juice and subsequently experienced multiple episodes of vomiting, bloody diarrhea, and giddiness. The patient was resuscitated and stabilized with crystalloid fluids, proton-pump inhibitors, and antiemetics, and admitted to the critical care unit. The patient was discharged in stable condition after 4 days of hospitalization. Bottle gourd toxicity treatment is symptomatic, and there is no specific antidote for this toxicity. It is important to early diagnose bottle gourd toxicity, especially in countries where it is commonly used as a health tonic.

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“…The bottle gourd is believed to have cardioprotective, diuretic, and nutritive properties by practitioners of alternate therapy. [ 2 3 6 ]…”

Section: Discussionmentioning

confidence: 99%

Health Drink Poisoning – An Unusual Case of Bottle Gourd Toxicity

Varun,

Pandya,

Muniraju

2023

Journal of Emergencies, Trauma, and Shock

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“…Upper gastrointestinal symptoms like vomiting, hematemesis, abdominal pain and diarrhoea are the most common symptoms of bottle gourd poisoning [6][7][8][10][11][12][13][14]. In some cases, tachycardia, hypotension, and tachypnoea are also noted.…”

Section: Table 1: a List Of Publications That Reported Toxicity Due T...mentioning

confidence: 99%

Bottle Gourd Juice: Poison or Panacea

Hussain¹,

Saini²,

Varshney³

et al. 2023

Cureus

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Ingestion of toxic bottle gourd juice, particularly the bitter one, may pose a significant risk to life if not treated in time. Notwithstanding its usefulness, people drink it routinely without concern for fruit quality, extraction hygiene, and mixture with other fruits. We report two cases of bottle gourd juice poisoning with severe abdominal pain and hematemesis. On evaluation, patients were hypotensive with associated esophagitis, pangastritis, and duodenitis. After conservative management, both were discharged after five days of hospitalisation. We conclude that the chances of bottle gourd juice poisoning are higher in water-stressed arid regions; hence, care should be taken on quality and quantity while consuming it.

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Bitter bottle gourd poisoning

Pandya

Chavda

Parikh

et al. 2022

Journal of Family Medicine and Primary Care

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Bottle gourd juice is considered a panacea in traditional Indian medicine and used in various chronic diseases. Increased levels of Cucurbitacin can turn it bitter causing toxic effects in gastrointestinal system. We report the case of an elderly female who presented with shock in few hours after consumption of bitter bottle gourd juice. After proper evaluation we considered the possibility of bottle gourd poisoning as a probable diagnosis due to the Naranjo adverse drug reactions probability scale. Since there is no specific antidote available, management is mostly supportive with intravenous fluids, control of bleeding and management of shock.

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Bottle Gourd (Lagenaria siceraria) Toxicity Diagnosed in the Emergency Department

Cited by 3 publications

References 6 publications

Health Drink Poisoning – An Unusual Case of Bottle Gourd Toxicity

Health Drink Poisoning – An Unusual Case of Bottle Gourd Toxicity

Bottle Gourd Juice: Poison or Panacea

Bitter bottle gourd poisoning

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