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What are the side effects of black cherries? A complete guide

5 min read

While a popular and healthy fruit, excessive consumption of black cherries can trigger digestive problems in many people. It is crucial to understand what are the side effects of black cherries, from stomach upset to more specific risks for those with underlying conditions.

Quick Summary

Understand the risks of consuming black cherries, including common gastrointestinal issues, potential allergies, and concerns related to kidney function, medication interactions, and toxic pits.

Key Points

  • Digestive Upset: Eating too many black cherries can cause gas, bloating, diarrhea, and cramps due to high fiber and natural sugar alcohols like sorbitol.

  • Allergic Reactions: Allergies, including Oral Allergy Syndrome and more severe reactions, can occur in sensitive individuals, presenting with symptoms like mouth itching, swelling, or hives.

  • Poisonous Pits: The seeds of black cherries contain cyanogenic glycosides, which can release cyanide when crushed. Always discard the pits.

  • Kidney Risks: High potassium content and oxalates in cherries can be a concern for people with pre-existing kidney disease or a history of kidney stones.

  • Medication Interactions: Cherry compounds, particularly in concentrates, can have blood-thinning effects and may interact with anticoagulants or mimic NSAID action.

In This Article

Common Digestive Side Effects

Despite being a delicious and nutrient-rich fruit, eating too many black cherries can lead to a variety of gastrointestinal issues. These symptoms are often the result of the fruit's natural composition, which includes both high fiber and certain types of sugar alcohols and natural chemicals.

The Role of Fiber, Sorbitol, and Salicylates

Cherries contain a significant amount of dietary fiber, which is beneficial for digestion in moderation. However, an overabundance of fiber, especially for those not accustomed to a high-fiber diet, can overwhelm the digestive system, leading to gas, bloating, and diarrhea. Furthermore, cherries contain naturally occurring sugar alcohols like sorbitol, which are known to have a laxative effect. When consumed in large quantities, sorbitol can draw water into the gut, softening stools and potentially causing diarrhea. Lastly, cherries are a source of salicylates, natural plant chemicals that some sensitive individuals may have a food intolerance to. This intolerance can cause significant gastrointestinal upset, including abdominal pain, gas, and bloating.

FODMAP Intolerance and Cherry Consumption

For individuals with Irritable Bowel Syndrome (IBS) or fructose malabsorption, black cherries can be particularly problematic. Cherries are classified as a high-FODMAP (Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols) food. FODMAPs are a group of carbohydrates that are poorly absorbed by the small intestine and can cause digestive distress in susceptible people. While small servings might be tolerated, consuming more can lead to fermentation in the gut, causing gas, pain, and other IBS-like symptoms.

Potential for Allergic Reactions

While not as common as other food allergies, allergic reactions to black cherries can occur, ranging from mild to severe.

Oral Allergy Syndrome

Many cherry allergies are linked to Oral Allergy Syndrome (OAS), a condition where the immune system confuses proteins in cherries with those in certain tree pollens, particularly birch pollen. Symptoms are typically confined to the mouth and throat and include itching, tingling, or swelling of the lips, tongue, and throat. Cooking can often destroy these allergens, meaning some people with OAS can safely consume cooked cherries.

Primary Allergic Reactions

Less common but more severe are primary cherry allergies, which involve a direct sensitivity to the cherry itself. This type of allergy is not linked to pollen allergies and can cause more severe symptoms throughout the body, including hives, severe abdominal pain, and even life-threatening anaphylaxis.

Risks for Specific Health Conditions

Kidney Health Concerns

Individuals with existing kidney disease or those prone to kidney stones should approach black cherry consumption with caution. Cherries contain potassium, which can be problematic for those with compromised kidney function. Additionally, tart cherries, and potentially black cherries, contain oxalates, which can contribute to the formation of kidney stones in susceptible individuals. Multiple case reports have documented acute kidney injury in patients with pre-existing chronic kidney disease after consuming black cherry concentrate, highlighting the potential risk of high-potency cherry products.

Blood Sugar and Diabetes

Despite having a relatively low glycemic index, cherries contain natural sugars. For diabetics, consuming large quantities of cherries, particularly dried cherries or cherry juice, can significantly impact blood glucose levels. Moderation is key for blood sugar management.

Dangerous Parts of the Black Cherry Plant

It is vital to distinguish between the edible fruit and the toxic parts of the plant. The pits of black cherries contain cyanogenic glycosides, which release poisonous hydrogen cyanide when the seed is crushed or chewed. These pits should never be consumed. Likewise, the wilted leaves and twigs of the wild black cherry tree (Prunus serotina) are particularly toxic to livestock and should be avoided by animals.

Medication Interactions to Be Aware Of

Black cherry products, especially concentrated juices and supplements, can interact with certain medications.

  • Blood Thinners: Cherries contain compounds that have a mild blood-thinning effect. This can increase the risk of bleeding for individuals on anticoagulant medications.
  • NSAIDs: The anti-inflammatory properties of cherry compounds, particularly anthocyanins, work by inhibiting cyclooxygenase (COX) enzymes, similar to nonsteroidal anti-inflammatory drugs (NSAIDs). In combination with existing NSAID medication, or for individuals with kidney disease, this can cause problems.
  • Liver Metabolism: Wild cherry and possibly black cherry extract may affect how the liver breaks down certain medications, potentially increasing their effects and side effects.

Comparison: Benefits of Moderate vs. Risks of Excessive Consumption

Feature Moderate Consumption (Standard Serving Size) Excessive Consumption (Multiple Servings)
Digestive Impact Provides healthy dietary fiber, aids in regularity. Causes bloating, gas, stomach cramps, and diarrhea due to fiber and sorbitol overload.
Antioxidant Intake Offers potent anti-inflammatory and antioxidant benefits from anthocyanins. High salicylate content can cause digestive distress in sensitive individuals.
Blood Sugar Low glycemic index fruit, manageable for most diabetics. High natural sugar intake, especially from dried fruit or juice, can spike blood sugar.
Allergy Risk Minimal risk for non-allergic individuals. Can trigger Oral Allergy Syndrome or more severe allergic reactions.
Kidney Risk Low risk for individuals with healthy kidneys. High potassium and oxalates pose a risk to those with kidney disease or stone history.
Caloric Intake Contributes to a balanced, low-calorie diet. Can lead to excessive calorie intake and potential weight gain.

How to Enjoy Black Cherries Safely

To minimize the risk of side effects, consider these tips:

  • Practice Moderation: Stick to a single serving size, typically a half-cup, especially if you have a sensitive stomach.
  • Watch for Allergies: If you have allergies to other stone fruits like peaches, plums, or apricots, be vigilant for cherry-related symptoms due to potential cross-reactivity.
  • Avoid the Pits: Always remove and discard the pits before eating or cooking with black cherries to prevent cyanide exposure.
  • Consult Your Doctor: If you have kidney disease, diabetes, or take anticoagulant medication, discuss your cherry intake with a healthcare provider. This is especially important for concentrated products like cherry juice.

Conclusion

While black cherries are a tasty and nutritious fruit, they are not without potential downsides. The most common issues are digestive, stemming from overconsumption of fiber and natural sugars like sorbitol, particularly for those with IBS or other sensitivities. Allergic reactions, though less frequent, can range from mild oral discomfort to severe anaphylaxis. Individuals with kidney disease, diabetes, or who are on certain medications must be particularly cautious due to potential interactions and nutrient content. The key takeaway is to enjoy black cherries in moderation and be aware of your body’s individual tolerance to maximize their benefits while minimizing the risk of adverse side effects. For more information on cherry safety, consult reputable health sources like the National Institutes of Health.

Frequently Asked Questions

Yes, excessive consumption can cause diarrhea, gas, and bloating due to the high fiber content and natural sugar alcohols (sorbitol) found in the fruit.

Yes, black cherry pits contain a compound called cyanogenic glycoside, which releases toxic cyanide when the pit is crushed or chewed. The pits should never be consumed.

Individuals with known cherry or stone fruit allergies, those with kidney disease, people with IBS sensitive to FODMAPs, and those on specific medications (especially anticoagulants) should be cautious or avoid them.

Yes, an allergy to cherries can trigger reactions ranging from mild oral itching and swelling (Oral Allergy Syndrome) to severe anaphylaxis in sensitive individuals.

For most people, a single serving of fresh black cherries, about a half-cup, is safe. Moderation is key, especially if you have digestive sensitivities. It's best to start with a small amount to assess your body's tolerance.

Yes, concentrated black cherry products can have a mild blood-thinning effect and act as a cyclooxygenase inhibitor, potentially interacting with anticoagulant medications like warfarin. Discuss your intake with a doctor if you are on medication.

While fresh cherries have a low glycemic index, consuming large amounts, especially dried or juiced versions, can impact blood sugar due to their natural sugar content. Diabetics should consume them in moderation.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.