Ingestion of caustic
Professor Pradeep Bhandari - Gastroenterology
Created on: 11-13-2012
Updated on: 12-08-2023
Edited by: Conor Lynch
What is caustic ingestion?
Caustic ingestion is a serious medical emergency that can cause severe burns to the mouth and digestive tract when swallowed. Caustics are strong acids and alkalis that burn upper gastrointestinal tract tissues, sometimes resulting in oesophageal or gastric perforation.
What are the main symptoms of caustic ingestion?
Symptoms may include drooling, dysphagia, and pain in the mouth, chest, or stomach. Strictures may develop later.
How is it diagnosed?
Diagnostic endoscopy may be required.
How is caustic ingestion treated?
Treatment is supportive. Gastric emptying and activated charcoal are contraindicated. Perforation is treated surgically. Worldwide, 80 per cent of caustic ingestions occur in young children; these are usually accidental ingestions of small amounts and are often benign.
In adults, caustic ingestions are frequently intentional ingestions of large amounts by suicidal people and are life threatening. Common sources of caustics include solid and liquid drain and toilet bowl cleaners. Industrial products are usually more concentrated than household products and thus tend to be more damaging.
How can I prevent accidental poisoning at home?
Accidental poisoning can be prevented by taking some simple precautions. Here are some tips to help you prevent accidental poisoning at home:
- Store hazardous substances safely: Keep hazardous substances such as cleaning products, pesticides, and medications out of reach of children and pets. Store them in a locked cabinet or high shelf.
- Label hazardous substances: Always label hazardous substances clearly and keep them in their original containers. Never store hazardous substances in food or drink containers.
- Dispose of hazardous substances properly: Dispose of hazardous substances properly. Follow the instructions on the label or contact your local waste management facility for guidance.
- Educate yourself and your family: Educate yourself and your family about the dangers of hazardous substances and how to use them safely.
- Be prepared: Keep the phone number for your local poison control center handy in case of an emergency. I hope these tips help you prevent accidental poisoning at home. If you have any further questions, feel free to ask.