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What is the problem with escolar and its health risks?

4 min read

According to the Queensland Government, investigations into Australian outbreaks suggest that between 45 and 67 percent of people may become ill after eating escolar. The primary problem with escolar lies in its high concentration of indigestible wax esters, which can lead to a specific type of gastrointestinal distress known as keriorrhea. This issue is compounded by the common practice of mislabeling escolar as other, more expensive types of fish.

Quick Summary

Escolar contains high levels of indigestible wax esters, causing a distinctive, oily diarrhea known as keriorrhea in many consumers. Additionally, it is frequently mislabeled in restaurants and markets as "white tuna," creating deceptive and unsafe dining experiences.

Key Points

  • Indigestible Wax Esters: Escolar contains high levels of wax esters, or gempylotoxin, that humans cannot digest, leading to gastrointestinal issues.

  • Keriorrhea Symptoms: Consumption can cause keriorrhea, characterized by an oily, orange or yellow anal discharge, along with stomach cramps, nausea, and vomiting.

  • Mislabeling is Rampant: The fish is frequently and deceptively mislabeled as "white tuna," "super white tuna," or "butterfish" in restaurants and markets.

  • Cooking Doesn't Help: Frying, grilling, or any other cooking method does not break down or remove the wax esters, offering no protection from the side effects.

  • Consumption Limit: For those who choose to eat it, consuming no more than 6 ounces is recommended to minimize the risk of side effects.

  • International Bans: Escolar is banned for sale in countries like Japan and Italy due to its potential health problems.

  • Be a Vigilant Consumer: Always ask about the specific fish type when ordering menu items like "white tuna" to avoid accidental escolar consumption.

In This Article

The Core Culprit: Indigestible Wax Esters

At the heart of the problem with escolar is its unique physiology. As a deep-water fish belonging to the snake mackerel family, escolar ( scientifically Lepidocybium flavobrunneum) cannot metabolize the wax esters found in its diet. Instead, it stores these waxy oils in its flesh, which can account for up to 20% of its total body weight.

When humans consume escolar, our digestive systems are also unable to process these wax esters. The indigestible oil, known as gempylotoxin, passes through the digestive tract undigested. This triggers a potent laxative effect, resulting in a condition called keriorrhea, or "flow of wax".

The Unpleasant Symptoms of Gempylotoxin Poisoning

Keriorrhea is characterized by a distinctive, oily discharge from the rectum, which is often orange or yellow in color. The onset of symptoms is typically rapid, occurring anywhere from 30 minutes to 36 hours after consumption. While the condition is generally not life-threatening, it can be extremely distressing and embarrassing for those affected.

Common symptoms include:

  • Severe, oily diarrhea
  • Stomach cramps and abdominal pain
  • Nausea and vomiting
  • Headache

Susceptibility to these side effects varies significantly among individuals, and there is no reliable way to predict who will be affected. Pregnant women, people with bowel problems, or those with malabsorption issues may be at higher risk. Critically, cooking the fish does not break down or remove the wax esters, meaning that preparation methods offer no guarantee of safety.

The Dangerous Practice of Escolar Mislabeling

Compounding the health risks of escolar is its frequent misrepresentation in the seafood industry. To increase profits, less reputable restaurants and markets often substitute the cheaper escolar for more expensive, desirable fish.

Common Mislabeling Schemes

  • White Tuna / Super White Tuna: This is one of the most common mislabels. Authentic "white tuna" refers to albacore, which has a pinkish flesh. Escolar, with its stark white color and buttery texture, is an easy and deceptive substitute. A study by ocean conservation group Oceana found that 84% of "white tuna" samples tested were actually escolar.
  • Walu: While walu is another common name for escolar, it is often presented ambiguously on menus to hide its identity.
  • Butterfish: The term "butterfish" can refer to several different edible fish, but is also commonly used to disguise escolar.
  • Sea Bass, Codfish, Orange Roughy: Escolar is sometimes passed off as these other white fish to deceive consumers into thinking they are getting a safer, higher-quality product.

Comparison Table: Escolar vs. True Tuna

Feature Escolar (Mislabeled as 'White Tuna') True Tuna (e.g., Albacore)
Indigestible Content High levels of indigestible wax esters (gempylotoxin) No indigestible wax esters; safe for consumption
Potential Health Effect Keriorrhea (oily discharge), stomach cramps No risk of keriorrhea; other food poisoning possible with improper handling
Appearance Bright, opaque white flesh Pinkish flesh
Texture Distinctly rich and buttery due to high oil content Firm and meaty
Cost Less expensive, making it a target for mislabeling More expensive than escolar
Legality Banned in countries like Japan and Italy Widely consumed and legally sold everywhere

Regulations and Consumer Awareness

In countries like Japan and Italy, the sale of escolar is banned outright due to the public health concerns surrounding its consumption. In other regions, such as Canada and parts of Australia, regulations primarily focus on accurate labeling and consumer warnings. However, the continued practice of mislabeling, especially in restaurants, proves that these regulations are not always sufficient to protect consumers.

As a consumer, your best defense is awareness and vigilance. When dining out, especially at a sushi restaurant, be wary of ambiguous menu items like "white tuna". Ask the chef or server directly what type of fish is being served. Furthermore, always purchase fish from reputable sources that guarantee proper labeling. Since no cooking method effectively eliminates the risk, moderation is key for those who choose to consume it, with many experts recommending a portion size of no more than 6 ounces.

Conclusion

The problem with escolar is twofold: it contains indigestible wax esters that cause distressing gastrointestinal symptoms in many people, and it is frequently mislabeled, deceiving consumers and posing an avoidable health risk. The risk of keriorrhea cannot be eliminated through cooking, and individual susceptibility is unpredictable. By understanding the dangers and being proactive in questioning menu descriptions and purchasing from trustworthy sources, consumers can protect themselves from this unpleasant food-related issue. Ultimately, the safest approach for those with concerns is to avoid escolar entirely and opt for properly identified, safer seafood options.

This article provides information for educational purposes and is not a substitute for professional medical advice. Individuals who experience severe gastrointestinal symptoms after eating fish should consult a healthcare provider.

Frequently Asked Questions

Keriorrhea is the name for the distinctive, oily diarrhea caused by consuming fish like escolar and oilfish. It results from the body's inability to digest the wax esters found in these fish, leading to an oily, yellow or orange discharge.

No, cooking escolar does not make it safe. The wax esters that cause keriorrhea are not broken down or neutralized by heat, so cooking methods like grilling or frying do not eliminate the risk of gastrointestinal symptoms.

No, but it is often substituted. Genuine "white tuna" is albacore, which is safe to eat. Escolar is commonly mislabeled as white tuna because of its appearance and texture. Consumers should be wary of ambiguous labeling and ask their server for clarification.

Some countries, including Japan and Italy, have banned the sale of escolar due to the well-documented gastrointestinal issues it causes. These bans are a protective measure for consumer health.

The best way to avoid accidental consumption is to question menu items that use vague terms like "white tuna" or "butterfish." Always ask for the specific species of fish being served, especially at sushi restaurants.

Many people can consume a small portion of escolar without experiencing symptoms, though it's not guaranteed. Experts recommend limiting consumption to 6 ounces or less per serving to minimize the risk of adverse effects.

If you experience severe gastrointestinal distress after eating escolar, it is recommended to seek medical advice. Symptoms are typically short-lived and not life-threatening, but a professional can rule out other issues.

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Medical Disclaimer

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