2258 Cascara Sagrada: A Dangerous Herbal Stool Softener: A Case Report and Literature Review
Flores E, Mbachi C, Randhawa T, Vohra I, Agrawal R, Mba B. 2258 Cascara Sagrada: A Dangerous Herbal Stool Softener: A Case Report and Literature Review. The American Journal Of Gastroenterology 2019, 114: s1262-s1264. DOI: 10.14309/01.ajg.0000598564.97179.71.Peer-Reviewed Case Reports and Technical NotesLiver injuryTotal bilirubinCascara sagradaHerbal supplementsDrug-induced liver injuryClay-colored stoolsDark-colored urineMild transaminase elevationsBile duct injuryLiver function testsChronic inflammatory infiltrateShort-term treatmentAnabolic steroid useSerum enzyme elevationsAutoimmune panelDuct injuryPortal hypertensionTransaminase elevationStool softenersClose followEnzyme elevationInitial presentationLiver biopsyLiver ultrasoundBiliary dilatation
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