Core Viewpoint - The article discusses the potential health risks associated with consuming small hawthorn fruits, particularly the formation of gastric stones and gastrointestinal discomfort, while emphasizing the importance of moderation in consumption [6][14]. Group 1: Health Risks - Small hawthorn can potentially cause gastric pain, gastric stones, and intestinal obstruction due to its high content of tannins, pectin, and dietary fiber [6]. - Excessive consumption, particularly over 10 small hawthorns at once, may lead to digestive issues or gastric stones, with some cases reporting consumption of 20 or more leading to complications [6][14]. - Individuals with weaker gastric motility or pre-existing gastrointestinal conditions are at a higher risk of experiencing adverse effects from small hawthorn consumption [6]. Group 2: Differences Between Small and Large Hawthorn - The primary difference between small and large hawthorn lies in their size and taste, with small hawthorn being sweeter and large hawthorn being more sour [9]. - Regardless of the variety, overconsumption of either type can lead to gastrointestinal discomfort, highlighting that the issue is not the type but the quantity consumed [9]. Group 3: Consumption Guidelines - It is recommended to consume 3 to 5 small hawthorns at a time, with a maximum of 10 to avoid potential health issues [14]. - Special populations, such as the elderly, children, and those with digestive issues, should avoid consuming hawthorn altogether [14]. - The timing of consumption (whether on an empty stomach or not) does not significantly affect the risk of stone formation; moderation is key [14]. Group 4: Remedies and Misconceptions - There are claims that drinking cola can alleviate discomfort caused by excessive hawthorn consumption, but this should be approached with caution and ideally under medical supervision [13]. - The notion that hawthorn should not be consumed with high-protein foods due to potential interactions is misleading; the primary concern remains the quantity consumed [14].