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Which Fish Has a Laxative Effect? A Look at Escolar and Gut Health

4 min read

According to Health Canada, escolar is a species of fish known to contain an indigestible oil that can have a potent laxative effect on some people. This unique physiological reaction, which has led some to call it the "ex-lax fish," is not a sign of spoilage or illness, but rather a direct result of the fish's natural composition. Understanding which fish has a laxative effect is crucial for consumers, especially those with sensitive digestive systems, to avoid unpleasant gastrointestinal surprises.

Quick Summary

Escolar, a fish sometimes mislabeled as white tuna, contains wax esters that cause a laxative effect called keriorrhea in some individuals. This is due to the body's inability to digest these oils, leading to symptoms like oily, yellow-orange diarrhea. Health authorities advise caution and suggest limiting portion sizes or avoiding the fish if sensitive.

Key Points

  • Escolar is the primary culprit: The fish known as escolar, and sometimes mislabeled as white tuna, is notorious for causing a laxative effect.

  • Caused by indigestible oil: The laxative effect is caused by naturally occurring wax esters (gempylotoxin) in escolar's flesh that the human body cannot digest.

  • The effect is called keriorrhea: This condition results in oily, yellow or orange diarrhea, which is typically harmless but unpleasant.

  • Mislabeling increases risk: Escolar is often fraudulently sold under other names, leading unsuspecting diners to experience its effects.

  • Omega-3s support gut health, but differently: Healthy fatty fish like salmon and mackerel contain omega-3s that are anti-inflammatory and beneficial for digestion, unlike escolar's indigestible oils.

  • Portion control can mitigate effects: Limiting the amount of escolar consumed, or choosing meat from less oily parts of the fish, may reduce the severity of symptoms.

  • Fatty fish can have a lubricating effect: Omega-3s found in fish oil and fatty fish can help lubricate the intestinal walls, which may aid in relieving constipation, but this is different from the potent effect of escolar.

In This Article

The Indigestible Oil of Escolar

Escolar ($Lepidocybium$ $flavobrunneum$) is a deep-water fish, and its notoriety stems from its naturally occurring, indigestible wax esters. The fish's muscle tissue can contain up to 20% of these fatty substances by weight. Unlike common dietary fats, these wax esters are not broken down and absorbed by the human digestive system. Instead, they travel undigested through the intestines, leading to a specific type of gastrointestinal distress known as keriorrhea.

Keriorrhea is characterized by the sudden and involuntary passage of oily, yellow or orange fecal matter. While the symptoms are usually temporary and not life-threatening, they can be highly unpleasant and embarrassing for those affected. The severity of the reaction can vary significantly among individuals, and some people may experience diarrhea, nausea, vomiting, and abdominal pain in addition to the oily stools.

The Problem of Mislabeling

A major issue surrounding escolar is its frequent mislabeling in restaurants and fish markets. It has been sold as more expensive fish varieties, most commonly as "white tuna," but also as butterfish, sea bass, and rudderfish. Consumer advocacy groups have conducted studies confirming this widespread fraud. This misidentification is a primary reason why unsuspecting diners may encounter the fish's potent laxative effect. Many countries, including Japan and Italy, have banned the sale of escolar to prevent these health issues, while others, like Canada, require specific labeling to warn consumers.

Factors Influencing the Laxative Effect

The likelihood and severity of experiencing keriorrhea from escolar can depend on several factors:

  • Portion Size: Consuming smaller portions of escolar generally reduces the risk of side effects. For first-time consumers, a small portion is recommended to test individual sensitivity.
  • Location of Meat: The concentration of wax esters can vary within the fish. It is suggested that meat closer to the tail may have a lower oil content.
  • Cooking Method: While the wax esters are heat-stable, cooking methods that remove some of the oil, such as grilling, may help to reduce the adverse effects.
  • Individual Sensitivity: Not everyone experiences a laxative effect from escolar. Personal tolerance to gempylotoxin, the specific type of wax ester found in the fish, varies considerably.

Escolar vs. Omega-3 Rich Fish

While escolar's effect is due to indigestible oils, other fish, particularly fatty ones, are known for their high content of beneficial omega-3 fatty acids. Omega-3s, found in species like salmon, mackerel, and sardines, are known to support gut health by reducing inflammation and fostering a more diverse gut microbiome.

Comparison: Escolar and Salmon for Gut Health

Feature Escolar (Laxative Fish) Salmon (Omega-3 Rich Fish)
Primary Fat Content Indigestible wax esters (gempylotoxin) Digestible omega-3 fatty acids (DHA/EPA)
Effect on Digestion Potent laxative effect (keriorrhea) in sensitive individuals Supports digestion by reducing inflammation; potential for lubrication
Nutritional Profile Low-fat alternative to other fish; provides some protein Excellent source of high-quality protein, vitamins, and minerals
Health Concerns Risk of digestive distress due to indigestible oils; risk of mislabeling Generally safe; large oily fish can accumulate mercury, but salmon is typically low
Consumption Advice Exercise caution, eat small portions, or avoid if sensitive Recommended as a regular part of a healthy diet (e.g., 2 servings/week)

Managing Potential Side Effects

For those who consume escolar unknowingly, the adverse effects typically start within a few hours and resolve within 24 to 48 hours. Managing symptoms involves staying hydrated and avoiding greasy foods. If symptoms are severe or persistent, medical advice should be sought.

For general digestive wellness, focusing on fish high in omega-3s, such as salmon or sardines, is a better strategy. For example, cod liver oil, a type of fish oil, has also been anecdotally associated with easing constipation, though strong scientific evidence is limited. A balanced diet rich in soluble and insoluble fiber, found in fruits, vegetables, and whole grains, remains the most reliable method for maintaining regular bowel movements and optimal gut health.

Conclusion

While many people turn to dietary changes for digestive health, it is important to distinguish between naturally beneficial foods and those with unintended side effects. Escolar is the primary fish known to have a strong, immediate laxative effect due to its indigestible wax esters, causing keriorrhea in some consumers. Its frequent mislabeling makes it a potential hazard for an unprepared diner. In contrast, fatty fish like salmon and mackerel, rich in omega-3 fatty acids, are known to promote gut health and can aid digestion in a gentle, beneficial way. For anyone concerned about digestive issues, focusing on a high-fiber diet and omega-3 rich fish is a more reliable and healthy strategy than relying on an exotic, and potentially disruptive, species like escolar. For comprehensive advice on dietary choices and digestive health, consulting a healthcare professional is always the best approach.

For more information on the health implications of seafood consumption, see the guidance provided by the FDA on eating fish.

Additional Tips for Promoting Digestive Health

  • Stay Hydrated: Drinking sufficient water is crucial for softening stool and aiding digestion.
  • Increase Fiber Intake: Incorporate a variety of fibrous foods, like fruits, vegetables, and whole grains, into your diet.
  • Regular Exercise: Physical activity helps stimulate the muscles in the digestive system and promotes regularity.
  • Consider Probiotics: Yogurt and other fermented foods can support a healthy gut microbiome.

Frequently Asked Questions

Certain types of fish, most notably escolar, contain indigestible compounds called wax esters, or gempylotoxin. These oily substances are not broken down during digestion and pass through the system, leading to a laxative effect in susceptible individuals.

Keriorrhea is a specific type of gastrointestinal distress caused by eating fish with high levels of indigestible wax esters. The condition is characterized by the involuntary passage of oily, orange or yellow stool.

The laxative effect from escolar is generally not considered dangerous and the symptoms, while uncomfortable, usually resolve within 24 to 48 hours. However, it can cause significant discomfort and dehydration, so caution is advised, particularly for sensitive groups like pregnant women, children, and the elderly.

The best way to avoid the laxative effect is to confirm the type of fish you are eating, especially when ordering "white tuna" or butterfish at restaurants. Purchase seafood from reputable sources and, if trying escolar for the first time, eat only a very small portion to gauge your sensitivity.

Yes, unlike escolar, many fish are beneficial for digestive health. Fatty fish like salmon and mackerel contain omega-3 fatty acids, which can help reduce inflammation and support a healthy gut microbiome. Additionally, fish oil supplements may have a lubricating effect on the intestines.

No, the wax esters in escolar are heat-stable and are not destroyed by cooking. While grilling may allow some oil to drip away, it will not completely eliminate the risk of a laxative effect.

If you experience keriorrhea or other digestive issues after consuming escolar, it is important to stay hydrated by drinking plenty of water. The symptoms should pass within a couple of days. If they are severe or persist, it is advisable to seek medical attention.

References

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Medical Disclaimer

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