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Sodium hypochlorite poisoning

Alternative Names

Bleach; Clorox; Carrel-Dakin solution

Symptoms

Watered-down (diluted) sodium hypochlorite generally causes only mild stomach irritation. Swallowing larger amounts can cause more serious symptoms. 

NEVER mix ammonia with sodium hypochlorite (bleach or bleach-containing products). This common household error produces a toxic gas that can cause choking and serious breathing problems.  

Symptoms of sodium hypochlorite poisoning may include:

  • Body as a whole
    • Pain in the mouth
    • Possible burns on esophagus
  • Respiratory
    • Coughing (from the fumes)
    • Possible aspiration into lungs
  • Eyes, ears, nose, and throat
    • Pain in the throat
    • Burning, red eyes
    • Gagging sensation
  • Skin
    • Irritation of the exposed area
    • Burns
    • Blistering
  • Gastrointestinal
    • Stomach or abdominal pain
    • Vomiting
  • Heart and blood vessels
    • Low blood pressure
    • Bradycardia (slow heartbeat)
    • Chest pain
    • Shock
  • Nervous system

References

Ford MD, Clinical Toxicology. 1st ed. Philadelphia, Pa: WB Saunders; 2001:753.

Agabiti N, Ancona C, Forastiere F, et al. Short term respiratory effects of acute exposure to chlorine due to a swimming pool accident. Occup Environ Med. 2001 Jun;58(6):399-404.

Lambert H, Manel J, Gabrion I. Poisoning by household products. Rev Prat. 2000 Feb 15;50(4):365-71.

Review Date: 8/9/2007
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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