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Diesel oil

Definition

This poisoning is caused by swallowing diesel oil.

Alternative Names

Oil

Poisonous Ingredient

• Various hydrocarbons

Where Found

• Diesel oil

Symptoms

• Lungs and airways
  • Breathing difficulty
  • Throat swelling (may also cause breathing difficulty)
• Eyes, ears, nose, and throat
  • Severe pain in the throat
  • Severe pain or burning in the nose, eyes, ears, lips, or tongue
  • Loss of vision
• Gastrointestinal
  • Severe abdominal pain
  • Vomiting
  • Burns of the esophagus (food pipe)
  • Vomiting blood
  • Blood in the stool
• Heart and blood vessels
  • Hypotension (low blood pressure) develops rapidly
  • Collapse
• Skin
  • Irritation
  • Burn

Home Treatment

Seek immediate medical help.

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

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

Before Calling Emergency

Determine the following information:

• The patient's age, weight, and condition
• The name of the product (ingredients and strengths, if known)
• The time it was swallowed
• The amount swallowed

Poison Control, or a local emergency number

The National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions.

This is a free and confidential service. All local poison control centers in the U.S. 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.

Take the container with you to the hospital, if possible.

See National Poison Control center.

What to expect at the emergency room

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

• Fluids by IV
• Medicines to treat symptoms
• A nasogastric (NG) tube thru the nose into the stomach to empty the stomach (gastric lavage)
• Endoscopy -- camera down the throat to see burns in the esophagus and the stomach
• Oxygen
• Breathing tube
• Bronchoscopy -- camera down the throat to see burns in the airways and lungs
• Irrigation (washing of the skin) -- perhaps every few hours for several days
• Skin debridment (surgical removal of burned skin)

Expectations (prognosis)

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

Swallowing diesel fuel can cause damage to the linings of the mouth, throat, esophagus, stomach, and intestines. Serious damage can occur if the diesel gets into the lungs. Severe and permanent chemical injury to the lung is possible.

The harsh taste of diesel fuel makes it unlikely that a large amount will be swallowed. However, cases of poisoning have occurred in persons trying to siphon (suck) gas from an automobile tank using their mouth and a garden hose (or similar tube). This practice is extremely dangerous and ill-advised.

Review Date:5/16/2006
Reviewed By:Eric Perez, MD, Department of Emergency Medicine, St. Luke's-Roosevelt Hospital Center, New York, NY. Review provided by VeriMed Healthcare Network.

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