Introduction to Battery Ingestion Risks and Prevention

Colorful assortment of AA, AAA, button, and lithium-ion batteries scattered together, showcasing various sizes and shapes, including cylindrical and round batteries with vibrant colors like red, blue, silver, and green. Ideal for highlighting different battery types and uses
Colorful mix of AA, AAA, button, and lithium-ion batteries.

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

Demographics of Battery Ingestion Incidents

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.

Common Types of Ingested Batteries

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.

Health Outcomes and Complications of Battery Ingestion

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 in Battery Ingestion Cases Over Time

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.

Risks Associated with Different Types of Batteries

Dangers of Button Batteries

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.

Realistic image of various button cells (button batteries) arranged neatly, featuring small, round, flat batteries with metallic finishes. The image highlights different battery sizes, commonly used in watches, hearing aids, and small electronics, with visible labels and reflective surfaces.
Various button cells (button batteries)

Risks of Alkaline Battery Ingestion: Health Implications and Dangers

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.

What happens if you swallow an AA battery?

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:

Gastrointestinal Transit After AA Battery Ingestion: What to Expect

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.

Serious Complications of AA Battery Ingestion: Burns, Ulcerations, and More

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.

Urgency in AA Battery Removal: When to Seek Emergency Care

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

Severe Toxicity Risks of Lithium-Ion Batteries

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.

Health Risks of NiCd and NiMH Batteries

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.

Detailed image of Nickel Lithium batteries in various sizes, featuring cylindrical metallic designs with distinct labeling. The batteries are shown standing upright and lying flat, with polished reflective surfaces, ideal for devices requiring high-energy storage.
Nickel Lithium batteries.

Recognizing Symptoms and Taking Immediate Action

Key Symptoms of Battery Ingestion

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

Immediate Actions for Battery Ingestion

If you suspect someone has ingested a battery, it is crucial to act quickly. Here are the steps you should take:

  1. Do Not Induce Vomiting: Inducing vomiting can worsen damage to the esophagus and mouth, especially with caustic substances released from the battery

  2. Avoid Giving Food or Drink: Until a medical professional advises otherwise, avoid giving the person food or drink.

  3. 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.

  4. Contact Poison Control: Call the National Poison Control Center at 1-800-222-1222 in the United States for additional guidance.

Critical Medical Interventions for Battery Ingestion

Once at the hospital, medical professionals may perform the following interventions:

  • X-rays: To locate the battery and assess any potential damage.

Realistic X-ray image showing a very small cylindrical battery lodged in the esophagus, highlighting the contrast between the battery and surrounding anatomical structures like the ribs and spine. The image emphasizes the medical emergency posed by the battery's obstruction
Schematic X-ray of a battery in the esophagus
  • Endoscopy: To remove the battery if it is lodged in the esophagus or stomach.

Realistic image of a child undergoing a medical procedure to remove a battery from their esophagus, with a doctor in surgical attire carefully performing the extraction in a sterile hospital setting. The scene highlights the urgency and precision of the battery removal process
Child undergoing battery removal.
  • Surgery: In severe cases, surgery may be necessary to repair any damage caused by the battery.

Long-Term Health Complications from Battery Ingestion

Potential Complications of Ingested Batteries

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.

Preventive Measures for Battery Ingestion

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.

What to Do If a Child Swallows a Button Battery

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:

  1. 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.

  2. 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.

  3. 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.

  4. 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.

Conclusion: Preventing and Responding to 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.

FAQs on Battery Ingestion and Safety

Will battery acid from an AA battery melt through a smartphone screen?

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.

Should you bring your autistic 10-year-old son to the hospital after some bullies at school convinced him to swallow an entire 8-pack of AAA batteries or wait for the batteries to pass naturally?

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.

What would happen if someone chewed a battery?

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.

My friend accidentally swallowed a watch battery. What could happen to her, and what should she be worried about and not worry about?

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.

What is the best way to eliminate accidentally ingested swallowed button batteries or other small objects?

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.

What are the dangers of chewing on batteries, and what are some signs of poisoning if battery acid is ingested?

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.

What are the dangers of an infant swallowing a coin or button battery? What are the symptoms of swallowing these things, and what should be done immediately after ingestion?

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.

What are the symptoms if I eat battery acid?

Symptoms include severe pain in the mouth, throat, and stomach, difficulty swallowing, drooling, vomiting, and potential gastrointestinal perforation. Immediate medical attention is required.

What should you do if you swallow a triple-A battery?

Immediate medical attention is required. Swallowing any battery can cause serious internal injuries, including chemical burns and potential perforation of the gastrointestinal tract.

What should you do if a child swallows a button battery?

Immediate medical evaluation is necessary to locate and potentially remove the battery to prevent severe injury or complications.

How dangerous is a lithium-ion battery acid if it gets on your hand (and you didn’t wash it off) or if a tiny bit is ingested? Are there any chances of brain damage?

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.

How would the contents of nickel lithium batteries affect someone if ingested or absorbed through the skin?

The contents are highly toxic and can cause severe chemical burns and heavy metal poisoning. Immediate medical attention is necessary if ingested.

How many milligrams of lithium are in batteries, and what is dangerous about ingesting it?

The amount varies, but ingestion of lithium can cause severe burns, systemic toxicity, and potentially life-threatening complications.

Do cordless phone batteries pose health risks to humans or animals if ingested?

Yes, they pose similar risks as other batteries, including chemical burns and heavy metal poisoning. Immediate medical attention is required.

What effects does the black powder of nickel lithium battery have on a human if ingested or in contact with skin?

The black powder typically contains toxic heavy metals that can cause chemical burns and systemic toxicity. Immediate medical attention is required if ingested.

Is the white stuff that sometimes comes out of alkaline batteries dangerous? What happens if it comes into contact with one's teeth, is ingested, or gets in one's eyes?

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.

What happens if you ingest the oil from an AA battery? Several years ago (at least five years ago), I licked a tiny amount of oil from an AA battery. Is that bad? Do I need to see a doctor?

A tiny amount likely caused minor harm, but ingestion of larger amounts can cause severe burns and toxicity. If symptoms occur, seek medical attention.

What percentage of battery ingestions pose a risk of significant harm?

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.

I ingested battery corrosion. Should I be worried about lead poisoning?

Yes, battery corrosion can contain lead and other toxic substances. Immediate medical evaluation is necessary.

I ingested a small amount of battery acid. What should I do?

Immediate medical attention is required. Battery acid can cause severe burns and systemic toxicity.

How do button batteries do so much damage if ingested?

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.

What is the healthiest type of battery to ingest?

No batteries are safe to ingest. All pose significant health risks.

I accidentally dropped my AA battery and the back cover from my Xbox controller into my water and immediately pulled them out. Later, I forgot they were in there and drank the water. Is there a possibility I ingested battery acid?

If the battery is intact, the risk is low. However, if there was leakage, seek medical advice to rule out any harm.

How dangerous is dry corrosion from batteries if a small amount is ingested?

Dry corrosion can still cause chemical burns and potential toxicity. Medical advice is recommended.

I was handling an AAA battery, and it was sticky. It had no sign of corrosion. Is this a leaking battery? If so, what would happen if I ingested it?

It might be leaking. Ingestion of leaked contents can cause burns and toxicity. Seek medical attention immediately.

What steps should be taken when a child ingests a button battery?

Immediate medical evaluation is necessary to locate and potentially remove the battery to prevent severe injury or complications.

How quickly will the symptoms of battery acid ingestion occur?

Due to its acidic nature, pain, burning sensation, and difficulty swallowing can occur almost immediately after ingestion. Seek medical attention immediately.

Should poison control be contacted if a child ingests the crystallized crust on the surface of an old battery?

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.

How do you treat a swallowing 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.

What happens if a child swallows an AA battery?

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.

Do swallowed batteries need to be removed?

Remove batteries lodged in the esophagus immediately, as serious burns can develop within 2 hours.

How do you remove the battery from the stomach?

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.

How long does a battery last in the stomach?

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.

How do I know if my battery is stuck in my esophagus?

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

What are the signs that my child has swallowed a button battery?

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

Tags:

Pediatric Toxicology

Emergency Toxicology

Poisoning Prevention

Poisoning Treatment

Clinical Toxicology

Author:

Bio:

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.

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