Starch poisoning
Cooking starch poisoning; Laundry starch poisoning
Starch is a substance used for cooking. Another kind of starch is used to add firmness and shape to clothing. Starch poisoning occurs when someone swallows starch. This can be by accident or on purpose.
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
Cooking and laundry starch are both made from vegetable products, most commonly:
- Corn
- Potatoes
- Rice
- Wheat
Both are usually considered nonpoisonous (nontoxic), but some older laundry starches may contain:
- Borax
- Magnesium salts
- Polishing agents
Where Found
Starch is found in:
- Cooking starch
- Cosmetic products
- Laundry products (laundry starch)
Cooking starch and laundry starch are different substances. There are many brand names for both. Other products may also contain starch.
Symptoms
Swallowing cooking starch can cause a blockage in the intestines and stomach pain.
Swallowing laundry starch over a very long period of time can cause the symptoms below in different parts of the body:
BLADDER AND KIDNEYS
-
Much less urine output
Much less urine output
Decreased urine output means that you produce less urine than normal. Most adults make at least 500 ml of urine in 24 hours (a little over 2 cups)....
- No urine output
EYES, EARS, NOSE, AND THROAT
- Eyes become yellow (jaundice)
STOMACH AND INTESTINES
- Diarrhea
- Vomiting
HEART AND BLOOD
-
Collapse
Collapse
Fainting is a brief loss of consciousness due to a drop in blood flow to the brain. The episode most often lasts less than a couple of minutes and y...
-
Fever
Fever
Fever is the temporary increase in the body's temperature in response to a disease or illness. A child has a fever when the temperature is at or abov...
-
Low blood pressure
Low blood pressure
Low blood pressure occurs when blood pressure is much lower than normal. This means the heart, brain, and other parts of the body do not get enough ...
SKIN
- Blisters
-
Bluish skin
, lips, or fingernails
Bluish skin
Cyanosis is a bluish color to the skin or mucous membrane that is usually due to a lack of oxygen in the blood.
- Flaking skin
- Yellow skin
NERVOUS SYSTEM
-
Coma
(decreased level of consciousness and lack of responsiveness)
Coma
Decreased alertness is a state of reduced awareness. A coma is a state of decreased alertness from which a person cannot be awakened. A long-term co...
- Convulsions
-
Drowsiness
Drowsiness
Drowsiness refers to feeling abnormally sleepy during the day. People who are drowsy may fall asleep in inappropriate situations or at inappropriate...
- Twitching of the arms, hands, legs, or feet
-
Twitching of the facial muscles
Twitching of the facial muscles
A facial tic is a repeated spasm, often involving the eyes and muscles of the face.
If the starch is inhaled, it may cause wheezing, rapid breathing, shallow breathing, and chest pain.
If the starch contacts the eyes, it may cause redness, tearing, and burning.
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 the person swallowed the starch, 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 starch is on the skin or in the eyes, flush with lots of water for at least 15 minutes.
Before Calling Emergency
Have this information ready:
- Person's age, weight, and condition
- Name of the product (ingredients, 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
Bring the starch with you to the hospital, if possible.
For cooking starch:
The person will probably not need to go to the emergency room, unless they cannot drink fluids or are in severe pain.
For laundry starch:
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:
- Activated charcoal
- Blood and urine tests
- Breathing support, including a tube through the mouth into the lungs and a breathing machine (ventilator)
- Chest x-ray
- EKG (electrocardiogram, or heart tracing)
- Fluids through a vein (by IV)
- Laxatives
- Medicine to treat symptoms
-
Tube from the mouth into the stomach to empty the stomach (
gastric lavage
)
Gastric lavage
Gastric suction is a procedure to empty the contents of your stomach.
Outlook (Prognosis)
How well someone does depends on how much starch they swallowed and how quickly they receive treatment. The faster medical help is given, the better the chance for recovery. Cooking starch is generally not harmful, and recovery is likely. Poisoning from laundry starch is more serious.
References
Sue YJ, Pinkert H. Baby powder, borates, and camphor. 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 99.
Zosel AE. General approach to the poisoned patient. In: Adams JG, ed. Emergency Medicine . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:chap 143.
Review Date: 10/19/2015
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.