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Oxalic acid poisoning

 

Oxalic acid is a poisonous, colorless substance. This article discusses poisoning from swallowing oxalic acid.

This article is for information only. Do NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call your local emergency number (such as 911), or your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.

Poisonous Ingredient

Oxalic acid

Where Found

 

Oxalic acid may be found in some:

  • Anti-rust products
  • Bleaches
  • Metal cleaners
  • Rhubarb leaves

Note: This list may not be all inclusive.

 

Symptoms

 

Symptoms of oxalic acid poisoning include:

  • Abdominal pain
  • Burns and blisters where the acid contacted the skin
  • Collapse
  • Convulsions
  • Mouth pain
  • Shock
  • Throat pain
  • Tremors (unintentional trembling)
  • Vomiting

 

Home Care

 

Seek immediate medical help. DO NOT make a person throw up unless told to do so by Poison Control or a health care professional.

If the chemical was swallowed, immediately give the person water or milk, unless instructed otherwise by a health care provider. DO NOT give water or milk if the person is having symptoms (such as vomiting, convulsions, or a decreased level of alertness) that make it hard to swallow.

 

Before Calling Emergency

 

The following information is helpful for emergency assistance:

  • Person's age, weight, and condition
  • Name of the product (ingredients and strengths, if known)
  • Time it was swallowed
  • Amount swallowed

However, DO NOT delay calling for help if this information is not immediately available.

 

Poison Control

 

Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. This hotline number will let you talk to experts in poisoning. They will give you further instructions.

This is a free and confidential service. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.

 

What to Expect at the Emergency Room

 

The health care provider will measure and monitor vital signs, including temperature, pulse, breathing rate, and blood pressure. The person may receive:

  • Activated charcoal
  • Airway support, including oxygen, breathing tube through the mouth (intubation), and breathing machine (ventilator)
  • Blood and urine tests
  • Camera down the throat (endoscopy) to see burns in the food pipe (esophagus) and stomach
  • Chest x-ray
  • EKG (electrocardiogram, or heart tracing)
  • Fluids through a vein (intravenous or IV)
  • Medicines to treat symptoms
  • Tube through the mouth into the stomach to wash out the stomach (gastric lavage)

 

Outlook (Prognosis)

 

How well a person does depends on the amount of poison swallowed, how concentrated the poison is, and how quickly treatment was received. The faster a person gets medical help, the better the chance for recovery.

Severe damage to the mouth, gastrointestinal tract, or airway may occur and quickly cause death if not treated.

 

 

References

Caustics. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice . 8th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 153.

 

        A Closer Look

         

          Self Care

           

            Tests for Oxalic acid poisoning

             

               

              Review Date: 1/13/2015

              Reviewed By: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

              The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

               
               
               

               

               

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