Is It Safe to Eat Leftover Sashimi? Risks and Concerns Explained - Internal Medicine

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Eating leftover sashimi can have effects. Sashimi is raw fish, and if it is not stored properly or consumed within a safe timeframe, it can pose a risk of foodborne illnesses due to bacterial growth or parasites. It is generally recommended to consume sashimi fresh and to refrigerate any leftovers promptly. If the sash


I would like to ask the doctor if eating leftover sashimi from the previous night could have any effects.
Is there a risk of parasites? Thank you.

H, 20~29 year old female. Ask Date: 2023/03/23

Dr. Hong Yuanbin reply Internal Medicine


Hello, the impact of parasites is relatively minor; the main concern is the consumption of raw food that has been left overnight, which can lead to significant bacterial growth.
This increases the risk of bacterial gastroenteritis.
Please be cautious of symptoms such as fever, abdominal pain, or diarrhea.
Thank you for your inquiry.

Reply Date: 2023/03/23

More Info


Eating leftover sashimi can pose certain risks, particularly if the sashimi has not been stored properly. Sashimi, which consists of raw fish, is highly perishable and can harbor bacteria and parasites that may lead to foodborne illnesses. Here are some key points to consider regarding the safety of consuming leftover sashimi:
1. Storage Conditions: The safety of leftover sashimi largely depends on how it has been stored. Sashimi should be kept in the refrigerator at temperatures below 40°F (4°C). If it has been left out at room temperature for more than two hours, it is best to discard it, as bacteria can multiply rapidly in the danger zone (between 40°F and 140°F).

2. Parasites: Raw fish can carry parasites such as Anisakis, which can cause gastrointestinal issues if ingested. Freezing fish at -4°F (-20°C) for at least seven days can kill most parasites, but if the sashimi was not frozen before consumption, there is a risk of parasitic infection. Symptoms of Anisakis infection can include nausea, vomiting, and abdominal pain.

3. Bacterial Contamination: Sashimi can also be contaminated with bacteria such as Salmonella, Listeria, or Vibrio. These bacteria can cause food poisoning, leading to symptoms like diarrhea, fever, and abdominal cramps. The risk of bacterial contamination increases with improper storage and handling.

4. Quality and Freshness: The freshness of the fish is crucial. If the sashimi has an off smell, slimy texture, or discoloration, it is best to avoid eating it. Fresh fish should have a clean, ocean-like smell and a firm texture.

5. Individual Health Considerations: Certain individuals, such as pregnant women, young children, the elderly, and those with weakened immune systems, should be particularly cautious about consuming raw fish due to a higher risk of foodborne illnesses.

6. Symptoms to Watch For: If you consume leftover sashimi and experience symptoms such as nausea, vomiting, diarrhea, or abdominal pain, it is important to seek medical attention. These symptoms may indicate food poisoning or a parasitic infection.

In conclusion, while it is possible to eat leftover sashimi if it has been stored properly and is still fresh, there are inherent risks associated with consuming raw fish. If you are unsure about the safety of the sashimi, it is better to err on the side of caution and avoid eating it. Always prioritize food safety practices, such as proper storage and handling, to minimize the risk of foodborne illnesses. If you have any concerns or experience adverse symptoms after consuming sashimi, consult a healthcare professional for guidance.

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