Battery Ingestion and Exposure: Essential Prevention and Treatment Tips
Omid Mehrpour
Post on 02 Jul 2024 . Read 19 min read
Omid Mehrpour
Post on 02 Jul 2024 . Read 19 min read
Batteries are a common part of modern life, powering various devices, from remote controls to children's toys. However, their small size and attractive appearance can make them dangerous when swallowed, particularly for young children. Ensuring battery safety for children is essential, especially with button batteries, which pose a significant risk due to their potential to cause rapid and severe tissue damage. According to the National Capital Poison Center, thousands of cases of button battery ingestion are reported annually in the United States, many resulting in serious injuries. This report emphasizes the need for greater public awareness and education on the dangers of battery ingestion and the necessary steps to take if an incident occurs.
This guide will explore the types of batteries most commonly involved in ingestion incidents, the physical effects of battery ingestion, and the urgent medical responses required. Additionally, we will discuss strategies to prevent battery ingestion, particularly in homes with children or other vulnerable individuals. Common misconceptions will be addressed, and evidence-based information will be provided to ensure readers receive accurate, actionable advice.
Battery ingestion isn't just a parental concern—it's a broader public health issue. Proper battery ingestion management ensures timely medical intervention and improves outcomes. By increasing awareness of the risks and knowing how to respond, we can help reduce the number of severe injuries and fatalities caused by battery ingestion. This blog post aims to provide valuable insights for anyone looking to protect themselves and their loved ones from the hidden dangers of everyday batteries
The demographic data indicates that the majority of battery ingestion cases involve young children, particularly those under the age of 5. Children aged 1 to 3 are at the highest risk in this age group due to their natural curiosity and tendency to put objects in their mouths. Furthermore, boys are slightly more likely than girls to ingest batteries, aligning with general patterns of exploratory behavior in young children.
When examining the commonly ingested battery types, button batteries emerge as the culprit. These small, round batteries are frequently used in everyday items such as hearing aids, remote controls, and toys, making them easily accessible to children. Among button batteries, the 20-mm lithium coin cell battery is particularly concerning. Its larger size and higher voltage increase the risk of severe injury if ingested.
The outcomes and complications from battery ingestion can be severe. A considerable number of button battery ingestion cases can result in serious injuries, including esophageal perforation and tracheoesophageal fistula, which require urgent medical intervention. These injuries can include esophageal perforation, tracheoesophageal fistula, and vocal cord paralysis, all of which require urgent medical intervention. While fatalities are rare, they do occur. A study published in the Journal of the American Medical Association (JAMA) identified 13 deaths in children due to button battery ingestion from 1977 to 2009. This statistic, though small in number, emphasizes the potentially fatal consequences of such incidents.
Trends indicate that button battery ingestion has increased, particularly with the increasing use of lithium coin cell batteries in various household devices. This rise correlates with a notable increase in severe outcomes, including major injuries and fatalities, over the past decade. The growing prevalence of these batteries in common items underscores the need for heightened awareness and preventive measures to protect vulnerable populations, especially young children.
Button batteries, also known as coin batteries, are small, round batteries commonly found in watches, hearing aids, toys, and remote controls. Due to their size and shape, they are easily swallowed, particularly by young children. Button batteries can lodge in the esophagus and cause rapid tissue damage through electrical current generation, creating an alkaline environment and chemical burns. Significant harm can occur within two hours of ingestion, including tissue necrosis and perforation.
Alkaline batteries can cause chemical burns if they leak, but the ingestion risk is generally lower than button batteries unless the battery becomes damaged or lodged in the gastrointestinal tract. However, ingestion typically poses less immediate risk than button batteries unless the battery is damaged or remains lodged in the body. Although larger and less likely to be swallowed whole, ingestion incidents do occur, particularly among individuals with pica or developmental disabilities. Ingestion of these batteries can result in internal burns, leakage of corrosive substances, and potential gastrointestinal blockages or perforations. If AA battery leakage in the mouth is suspected, immediately rinse with water and seek medical attention to prevent possible chemical burns and further complications.
Swallowing an AA battery can have significant health implications, particularly its size and chemical properties. AA battery ingestion can lead to various complications, depending on how the battery moves through the body. Here are some key points from the literature on what happens if you swallow an AA battery:
Sometimes, a swallowed AA battery can pass through the gastrointestinal tract without complications. For example, a case involving a 26-year-old male showed that the battery moved through the digestive system without causing issues when monitored carefully. However, monitoring is crucial to prevent ingested battery complications, particularly if the battery becomes lodged in the throat or digestive system. Understanding the potential dangers of swallowing an AA battery and knowing how long it takes to pass it is essential.
Ingesting an AA battery can lead to severe complications if it becomes stuck in the esophagus or stomach. The battery's chemical properties can cause caustic burns and injuries to the gastrointestinal lining. One case study highlighted a patient who ingested 12 AA batteries, resulting in ulcerations and erythema in the stomach. This situation underscores the dangers of swallowing an AA battery and the importance of understanding the health risks of ingesting cylindrical batteries, particularly when considering foreign body ingestion and battery ingestion emergency scenarios.
If a swallowed AA battery becomes lodged in the upper gastrointestinal tract, emergency care for battery ingestion is recommended immediately. Gastrointestinal battery removal is crucial, particularly if the battery has remained in place for more than 48 hours or is causing significant caustic damage. The urgency is even higher in pediatric battery ingestion cases due to the potential for more severe outcomes. Understanding how to treat a swallowed AA battery in children is vital.
Swallowing an AA battery can be benign if it passes through the gastrointestinal tract. Still, it carries a risk of severe caustic injury, particularly if lodged in the esophagus or stomach. Urgent medical intervention is necessary if the battery does not move through the system promptly or if complications arise, such as symptoms of battery ingestion, foreign body in esophagus treatment, or chemical burns from batteries. Knowing what to do if you or someone else swallows an AA battery can make a critical difference in outcomes, and addressing the situation quickly can prevent life-threatening complications.
Related Blog: The Shocking Truth: What Occurs When You Accidentally Swallow an AAA Battery
Cylindrical lithium-ion batteries
Lithium-ion batteries are found in many rechargeable devices, such as smartphones, laptops, and tablets. They contain toxic chemicals and heavy metals that can cause serious injury if ingested or if the battery leaks. Symptoms of lithium-ion battery ingestion in kids include severe pain, difficulty swallowing, and gastrointestinal bleeding. Lithium-ion battery ingestion requires immediate medical attention due to the high risk of severe localized burns, tissue damage, and potential systemic toxicity particularly if the battery leaks or remains lodged in the esophagus.
Nickel-cadmium (NiCd) and nickel-metal hydride (NiMH) batteries are used in various electronic devices. Ingestion of these batteries poses a risk of heavy metal poisoning and chemical burns. The contents of these batteries are highly toxic and can cause significant harm if ingested or if the battery leaks.
The symptoms of battery ingestion can vary depending on the type and size of the battery, as well as the location of the battery in the gastrointestinal tract. Common symptoms include:
Pain in the mouth, throat, chest, or abdomen
Difficulty swallowing or breathing
Drooling and vomiting
Fever and lethargy
Gastrointestinal bleeding
If you suspect someone has ingested a battery, it is crucial to act quickly. Here are the steps you should take:
Do Not Induce Vomiting: Inducing vomiting can worsen damage to the esophagus and mouth, especially with caustic substances released from the battery
Avoid Giving Food or Drink: Until a medical professional advises otherwise, avoid giving the person food or drink.
Seek Immediate Medical Attention: Call emergency services or the nearest emergency room. Provide as much information as possible about the battery and the time of ingestion.
Contact Poison Control: Call the National Poison Control Center at 1-800-222-1222 in the United States for additional guidance.
Once at the hospital, medical professionals may perform the following interventions:
X-rays: To locate the battery and assess any potential damage.
Endoscopy: To remove the battery if it is lodged in the esophagus or stomach.
Surgery: In severe cases, surgery may be necessary to repair any damage caused by the battery.
Battery ingestion can lead to several severe complications, including:
Esophageal perforation: A tear in the esophagus that can lead to infection and other complications.
Tracheoesophageal fistula: An abnormal connection between the trachea and esophagus.
Stricture formation: Narrowing of the esophagus due to scar tissue.
Heavy metal poisoning: Though rare, heavy metal poisoning can occur from battery leakage or fragmentation, especially in older or damaged batteries.
Preventing battery ingestion involves several strategies, particularly in homes with young children or vulnerable individuals:
Secure Battery Compartments: Ensure that battery compartments on all devices are safe and require a tool to open.
Store Batteries Safely: Keep spare batteries out of reach of children and in a locked container.
Educate: Teach children about the dangers of batteries and why they should never be put in the mouth.
Regular Checks: Regularly inspect toys and devices to ensure batteries are securely in place and not damaged.
Button battery ingestion is a serious medical emergency that requires immediate action. Here’s a step-by-step guide on what to do if a child swallows a button battery:
Do Not Induce Vomiting:
Why: Inducing vomiting can cause the battery to get lodged in the esophagus or cause further damage to the mouth, throat, and esophagus.
Action: Keep the child calm and prevent any attempts to induce vomiting.
Avoid Giving Food or Drink:
Why: Ingesting food or drink can increase the risk of the battery causing more harm by generating an electric current and causing burns.
Action: Do not give the child food or drink until a medical professional advises.
Seek Immediate Medical Attention:
Why: Time is critical as button batteries can cause severe tissue damage within hours.
Action: Go to the nearest emergency room or urgent care facility immediately. Inform the medical staff that the child has ingested a button battery.
Contact Poison Control:
Why: Poison control centers can provide specific instructions and support while you go to the hospital.
Action: Call the National Poison Control Center in the United States at 1-800-222-1222. Be prepared to provide information about the type of battery (if known) and the time of ingestion.
Additional Tips:
Stay Calm: Keeping calm helps you to act quickly and efficiently.
Provide Information: When you reach the hospital, provide as much information as possible, including the type of battery and when it was ingested.
Follow Medical Advice: Follow all instructions given by medical professionals. Depending on the battery's location and any potential damage, they may need to perform X-rays, endoscopy, or surgery.
Important Note:
Do not wait for symptoms to appear before seeking medical attention. Button batteries can quickly cause internal burns and severe damage, so immediate action is crucial.
By taking these steps, you can help ensure the child receives the urgent medical care needed to prevent serious complications from button battery ingestion.
Battery ingestion is a serious medical emergency that requires immediate attention and action. Understanding the types of batteries, recognizing the symptoms of ingestion, and knowing the appropriate steps can save lives and prevent severe injuries. As batteries become increasingly integrated into our daily lives, raising awareness and implementing preventive measures is essential to protect vulnerable individuals, particularly children.
By following the guidelines outlined in this blog, you can be better prepared to handle battery ingestion incidents and take swift, effective action. Remember, the key to preventing severe complications is prompt medical intervention and education on the dangers of battery ingestion.
No, the acid in AA batteries, typically potassium hydroxide or other alkaline substances, will not melt through a smartphone screen. However, if it leaks, it can cause significant damage to the screen and internal components.
Take your son to the emergency room immediately. Swallowing multiple batteries poses serious risks, including internal burns, corrosive leakage, and potential blockages or perforations in the digestive tract. AA battery acid in the mouth can also cause chemical burns and tissue damage, requiring urgent medical care.
Chewing a battery can cause it to leak or rupture, releasing harmful chemicals that can cause burns to the mouth, esophagus, and stomach. The battery’s contents are highly acidic and can cause serious injury, requiring immediate medical attention.
Swallowing a button battery is dangerous because it can lodge in the esophagus and cause tissue burns rapidly. An immediate medical evaluation is necessary to locate the battery and potentially remove it to prevent severe injury or complications.
Do not attempt to induce vomiting or give any food or drink. Seek immediate medical attention. Button batteries, in particular, can cause significant damage and must be removed immediately under medical supervision.
Dangers include chemical burns, tissue damage, and poisoning from heavy metals. Signs of battery acid ingestion include mouth and throat pain, difficulty swallowing, drooling, vomiting, and abdominal pain.
Button batteries are particularly dangerous and can cause rapid burns in the esophagus. Symptoms include drooling, vomiting, chest pain, and difficulty swallowing. Immediate medical attention is required to locate and potentially remove the object.
Symptoms include severe pain in the mouth, throat, and stomach, difficulty swallowing, drooling, vomiting, and potential gastrointestinal perforation. Immediate medical attention is required.
Immediate medical attention is required. Swallowing any battery can cause serious internal injuries, including chemical burns and potential perforation of the gastrointestinal tract.
Immediate medical evaluation is necessary to locate and potentially remove the battery to prevent severe injury or complications.
Lithium-ion battery contents can cause burns to the skin and mucous membranes. Washing off the acid immediately is crucial. Ingestion can cause severe burns and toxicity. Brain damage is unlikely unless there is significant ingestion and subsequent systemic toxicity.
The contents are highly toxic and can cause severe chemical burns and heavy metal poisoning. Immediate medical attention is necessary if ingested.
The amount varies, but ingestion of lithium can cause severe burns, systemic toxicity, and potentially life-threatening complications.
Yes, they pose similar risks as other batteries, including chemical burns and heavy metal poisoning. Immediate medical attention is required.
The black powder typically contains toxic heavy metals that can cause chemical burns and systemic toxicity. Immediate medical attention is required if ingested.
The white substance is usually potassium hydroxide or other caustic chemicals. It can cause burns to the skin, eyes, and mucous membranes. If ingested or comes into contact with the eyes, rinse immediately with water and seek medical attention.
A tiny amount likely caused minor harm, but ingestion of larger amounts can cause severe burns and toxicity. If symptoms occur, seek medical attention.
Significant harm can occur in many cases, especially with button batteries in children. Exact percentages depend on the type and size of the battery and the individual's age and health status.
Yes, battery corrosion can contain lead and other toxic substances. Immediate medical evaluation is necessary.
Immediate medical attention is required. Battery acid can cause severe burns and systemic toxicity.
Button batteries can create an electric current when they come into contact with bodily fluids, leading to rapid and severe burns in the esophagus or gastrointestinal tract.
No batteries are safe to ingest. All pose significant health risks.
If the battery is intact, the risk is low. However, if there was leakage, seek medical advice to rule out any harm.
Dry corrosion can still cause chemical burns and potential toxicity. Medical advice is recommended.
It might be leaking. Ingestion of leaked contents can cause burns and toxicity. Seek medical attention immediately.
Immediate medical evaluation is necessary to locate and potentially remove the battery to prevent severe injury or complications.
Due to its acidic nature, pain, burning sensation, and difficulty swallowing can occur almost immediately after ingestion. Seek medical attention immediately.
Yes, contact poison control immediately. The crust is likely potassium hydroxide or another caustic substance and can cause burns and toxicity if ingested.
By being informed and prepared, you can ensure your safety and that of your loved ones in the event of battery ingestion. Stay vigilant, educate others, and take immediate action if you suspect someone has swallowed a battery.
If an X-ray indicates that the battery is lodged in the esophagus, immediate removal via endoscopy will be necessary. However, if the X-ray shows the battery is in the stomach, medical treatment may not be required as the battery is expected to pass naturally through the stool.
AA batteries usually contain a blend of toxic heavy metals, such as zinc and manganese dioxide, which can cause harm if they leak. Because of their corrosive properties, these metals can also significantly harm the gastrointestinal tract.
Remove batteries lodged in the esophagus immediately, as serious burns can develop within 2 hours.
Endoscopy is typically used to remove a battery lodged in the esophagus. Still, it may also be employed for stomach batteries if complications arise or if the battery has not passed naturally. Other treatments include administering fluids intravenously, providing medications to alleviate symptoms, and conducting blood and urine tests.
The transit time for disk batteries through the digestive tract can vary from 12 hours to 14 days, with most passing in the stool within 72 hours. It is important to strain stools at home to check for the battery's passage. Periodic abdominal X-rays should be taken to confirm that the battery is moving forward through the digestive tract.
If a battery is stuck in your esophagus, you may experience symptoms such as:
Difficulty swallowing
Gagging, coughing, or choking when eating or drinking
Sore throat
Drooling
Pain in the chest or throat
Signs that a child may have swallowed a button battery include:
Sudden onset of crying (some children may not be in pain)
Noisy breathing
Coughing
Drooling
Decreased appetite or refusal to eat or drink
Difficulty swallowing
Gagging, coughing, or choking while eating or drinking
Sore throat
© All copyright of this material is absolute to Medical toxicology
Dr. Omid Mehrpour is a distinguished medical toxicologist known for his extensive clinical and research expertise. He focuses on understanding and treating toxic exposures. Renowned for his ability to diagnose and manage poisoning cases, Dr. Mehrpour has authored numerous impactful publications and is dedicated to educating future medical toxicologists. His innovative approach and commitment to patient care make him a leading figure in medical toxicology.