Fish bile is poisonous, do not eat indiscriminately

Fish bile is poisonous, do not eat indiscriminately

- Hospital Chronicle 6

Li Qing

Ordinary people will not eat fish bile when eating fish, and they will be careful when handling internal organs, for fear of breaking the fish bile and making the fish meat bitter. However, there are always some people who want to eat raw fish bile and end up eating in the hospital.

In the past few days, my department has admitted a male patient, a northeasterner, more than 40 years old, a big car driver, strong and strong, claiming to never take medicine, let alone enter the hospital. It was such a person who was admitted to the hospital because of eating fish bile.

They have a local folk saying, "fish guts fire", and he firmly believes in this. So usually when you have a cold and are "on fire", you buy a fish, wash the fish gall and swallow it raw. Not only fish bile, he has also eaten chicken bile and snake bile, according to his own words, how to eat 2 to 3 times a year. No, two days ago I felt "on fire", so I bought a big fish of more than 4 pounds, and the fish galls taken out were as big as ham sausages, washed and eaten.

But this time is different, 2 to 3 hours later began to vomit up and down diarrhea, vomiting will pass, did not take it seriously. The next day there was no urine, did not care, the third day still no urine, and began to appear both sides of the waist severe pain, lower limb edema, weakness, can not stand, panic and shortness of breath, breathing difficulties, their own feeling is almost not ok, emergency to the hospital, a check of kidney function, blood creatinine more than 700, is already uremia. Diagnosis of acute tubular necrosis, acute renal failure, metabolic acidosis, etc., emergency dialysis and related treatment, the condition has been stabilized.

Fish bile (not only fish bile, snake bile and other animal gallbladders are the same) contains a large amount of bile acids, a large number of raw eating will damage the liver, kidneys, severe cases of acute large number of necrosis of renal tubular cells, renal tubular lumen is completely blocked by necrotic shedding cells, urine can not come out, and then acute renal failure.

Acute kidney failure caused by raw fish bile has been reported many times, and there are also popular science education on TV, but there are still many people who ignore it, go their own way, and don't care at all. Their belief in folk remedies cures serious diseases, and this ignorance of science and the superstition of folklore is very sad, and they tend to end up eating their own fruits like this benevolent brother.

Spring Festival is coming, it is the season of eating and drinking, and it is the high incidence of food diseases, as a doctor, I solemnly remind everyone here that if you want to eat, eat something serious, don't eat blindly. Believe in science, believe in doctors.