Benzene poisoning
Benzene is a clear, liquid, petroleum-based chemical that has a sweet smell. Benzene poisoning occurs when someone swallows, breathes in, or touches benzene.
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
Benzene can be harmful if it is swallowed, inhaled, or touched.
Where Found
People may be exposed to benzene in factories, refineries, and other industrial settings. Benzene may be found in:
- Additives to gasoline and diesel fuel
- Many industrial solvents
-
Various paint,
lacquer
, and
varnish
removers
Lacquer
Lacquer is a clear or colored coating (called a varnish) that is often used to give wooden surfaces a glossy look. Lacquer is dangerous to swallow. ...
Varnish
Varnish is a clear liquid that is used as coating on woodwork and other products. Varnish poisoning occurs when someone swallows varnish. This artic...
Other products may also contain benzene.
Symptoms
Below are symptoms of benzene poisoning in different parts of the body.
EYES, EARS, NOSE, AND THROAT
-
Blurred vision
Blurred vision
There are many types of eye problems and vision disturbances, such as: HalosBlurred vision (the loss of sharpness of vision and the inability to see ...
- Burning sensation in the nose and throat
STOMACH AND INTESTINES
-
Loss of appetite
Loss of appetite
A decreased appetite is when your desire to eat is reduced. The medical term for a loss of appetite is anorexia.
-
Nausea
and vomiting
Nausea
Nausea is feeling an urge to vomit. It is often called "being sick to your stomach. "Vomiting or throwing-up is forcing the contents of the stomach ...
HEART AND BLOOD
-
Irregular heartbeat
Irregular heartbeat
Palpitations are feelings or sensations that your heart is pounding or racing. They can be felt in your chest, throat, or neck. You may:Have an unpl...
- Rapid heartbeat
- Shock and collapse
LUNGS AND CHEST
-
Rapid, shallow breathing
Rapid, shallow breathing
Breathing difficulty may involve:Difficult breathingUncomfortable breathingFeeling like you are not getting enough air
-
Tightness in the chest
Tightness in the chest
Chest pain is discomfort or pain that you feel anywhere along the front of your body between your neck and upper abdomen.
NERVOUS SYSTEM
-
Dizziness
Dizziness
Dizziness is a term that is often used to describe 2 different symptoms: lightheadedness and vertigo. Lightheadedness is a feeling that you might fai...
-
Drowsiness
Drowsiness
Drowsiness refers to feeling abnormally sleepy during the day. People who are drowsy may fall asleep in inappropriate situations or at inappropriate...
- Nervousness
-
Convulsions
Convulsions
A seizure is the physical findings or changes in behavior that occur after an episode of abnormal electrical activity in the brain. The term "seizure...
- Euphoria (feeling of being drunk)
-
Headache
Headache
A headache is pain or discomfort in the head, scalp, or neck. Serious causes of headaches are rare. Most people with headaches can feel much better...
-
Staggering
Staggering
Walking abnormalities are unusual and uncontrollable walking patterns. They are usually due to diseases or injuries to the legs, feet, brain, spinal...
- Tremors
-
Unconsciousness
Unconsciousness
Unconsciousness is when a person is unable to respond to people and activities. Doctors often call this a coma or being in a comatose state. Other c...
- Weakness
SKIN
-
Pale
skin
Pale
Paleness is an abnormal loss of color from normal skin or mucous membranes.
-
Small red dots
on skin
Small red dots
Bleeding into the skin can occur from broken blood vessels that form tiny red dots (called petechiae). Blood also can collect under the tissue in la...
Home Care
Seek medical help right away. DO NOT make the person throw up unless poison control or a health care provider tells you to. If benzene is on the skin or in the eyes, flush with lots of water for at least 15 minutes.
If the person swallowed benzene, give them water or milk right away, unless a provider tells you not to. DO NOT give anything to drink if the person has symptoms that make it hard to swallow. These include vomiting, convulsions, or a decreased level of alertness. If the person breathed in the benzene, move them to fresh air right away.
Before Calling Emergency
Have this information ready:
- Person's age, weight, and condition
- Name of the product (ingredients and strength, if known)
- Time it was swallowed
- Amount swallowed
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.
Poison Help hotline
For a POISON EMERGENCY call:1-800-222-1222ANYWHERE IN THE UNITED STATESThis national hotline number will let you talk to experts in poisoning. This ...
This is a free and confidential service. All local poison control centers in the United States use this national number. 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 provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated.
The person may receive:
- Blood and urine tests
- Breathing support, including a tube through the mouth into the lungs, and a breathing machine (ventilator).
- Chest x-ray
- Endoscopy. Camera placed down the throat to see burns in the esophagus and the stomach.
- Fluids through the vein (by IV)
- Medicines to treat an allergic reaction and other symptoms
- Washing of the skin (irrigation). Perhaps every few hours for several days.
The person may be admitted to the hospital if the poisoning is severe.
Outlook (Prognosis)
How well someone does depends on how much benzene they swallowed and how quickly they receive treatment. The faster medical help is given, the better the chance for recovery. Benzene is very poisonous. Poisoning can cause rapid death. However, deaths have occurred as long as 3 days after the poisoning. This happens because:
- Permanent brain damage occurs
- The heart stops
- The lungs stop working
People who have regular exposure to low levels of benzene can also become sick. The most common problems are blood diseases, including:
-
Leukemia
Leukemia
Leukemia is a type of blood cancer that begins in the bone marrow. Bone marrow is the soft tissue in the center of the bones, where blood cells are ...
- Lymphoma
- Severe anemia
People who work with benzene products should only do so in areas with good air flow. They should also wear protective gloves and eye glasses.
References
Agency for Toxic Substances and Disease Registry (ATSDR). Toxicological profile for benzene. Updated January 21, 2015. Public Health Service, U.S. Department of Health and Human Services, Atlanta, GA.
Mirkin DB. Benzene and related aromatic hydrocarbons. In: Shannon MW, Borron SW, Burns MJ, eds. Haddad and Winchester's Clinical Management of Poisoning and Drug Overdose . 4th ed. Philadelphia, PA: Elsevier Saunders; 2007:chap 94.
Lee DC. Hydrocarbons. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice . 8th ed. Philadelphia, PA: Elsevier Mosby; 2014:chap 158.
Review Date: 10/18/2015
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.