Edit concept Question Editor Create issue ticket

Chemical Burn of the Esophagus

Chemical Burns of Esophagus


Presentation

  • Case Presentation The Authors present a case of a 48-year-old married man, found dead in his parents’ apartment. The corpse was slumped on the kitchen floor, in a crouched position, near to the boiler, wearing only pants and socks.[austinpublishinggroup.com]
  • Generally speaking, although the mechanism of injury differs between acids and alkalis, the clinical presentation is often similar. Clinical Presentation The clinical presentation may vary among patients.[clinicaladvisor.com]
  • If after 20 minutes, the burning sensation is still present, then flush the area with flowing water for an additional of 10 to 15 minutes. Chemical Burns not rinsed with Water Some chemical burns worsen when flushed with water.[valleyoccupationalmedcenter.wordpress.com]
  • Presentation [ edit ] The exact symptoms of a chemical burn depend on the chemical involved. Symptoms include itching, bleaching or darkening of skin, burning sensations, trouble breathing, coughing blood and/or tissue necrosis.[en.wikipedia.org]
  • These may include: the level of pain in the affected area the amount of damage to the area the depth of the burn signs of possible infection the amount of swelling present Your doctor will classify the burn according to the extent of the injury and the[healthline.com]
Abdominal Pain
  • If you eat a ghost pepper, there’s a pretty good chance you’ll find yourself suffering from “nausea, vomiting, abdominal pain, and burning diarrhea” produced by ingesting ghost peppers. There’s no question that ghost peppers really, really burn.[snopes.com]
  • pain Vomiting, possibly with blood HEART AND BLOOD Collapse Low blood pressure (develops rapidly) Severe change in pH (too much or too little acid in the blood, which leads to damage in all of the body organs) SKIN Burns Holes in skin tissue Irritation[medlineplus.gov]
  • Clinical signs such as abdominal pain, dysphagia, or aglutition were observed in 21.6% of the study group and 40% of the control group.[pediatrics.aappublications.org]
  • Some patients may be asymptomatic, whereas others may complain of nausea, vomiting, dysphagia, stridor, abdominal pain, or chest pain.[clinicaladvisor.com]
Drooling
  • Endoscopy should be performed within the first 24 hours in all patients with an unintentional ingestion of an alkali in the presence of pain or a combination of drooling, stridor, and vomiting.[clinicaladvisor.com]
Muscle Twitch
  • twitches Your healthcare provider will make a diagnosis based on several factors.[healthline.com]
  • twitching or seizures Cardiac arrest or irregular heartbeat Chemical burns can be very unpredictable.[emedicinehealth.com]
Headache
  • […] burning in the affected area numbness or pain in the affected area a loss of vision or changes in vision if chemicals have come into contact with your eyes Some of the following symptoms may also occur if you’ve swallowed a chemical: irregular heartbeat headache[healthline.com]
  • […] contact site Vision changes if the chemical gets into the eyes Cough or shortness of breath Vomiting In severe cases, a person may develop any of the following symptoms: Low blood pressure Faintness, weakness, dizziness Shortness of breath or severe cough Headache[emedicinehealth.com]

Treatment

  • The treatment of the average burn has been fairly well standardized, but the serious injuries require prompt recognition of complications and appropriate therapy.[ncbi.nlm.nih.gov]
  • Treatments Treatment depends on the cause of the condition.[cedars-sinai.edu]
  • Oral cavity burn can heal after 7-10 days’ treatment with MEBT, and symptom of esophagus burn can be relieved obviously after 25-30 days’ treatment without esophagus stenosis and other resid.[mebo.chinaherbstore.com]
  • Chemical Burn Medical Treatment Specific medical treatment depends on the chemical that the patient was exposed to.[emedicinehealth.com]
  • For more serious burns, treatment may be needed to clean the wound, replace the skin, and make sure the patient has enough fluids and nutrition.[icdlist.com]

Prognosis

  • What This Study Adds: High doses of methylprednisolone therapy lead to less frequent stricture formation in grade IIb esophageal burns in children who ingested caustic substances and may improve prognosis.[pediatrics.aappublications.org]
  • Chemical Burns Prognosis Most chemical burns are minor and can be treated without causing long-term problems. Some burns, however, cause significant scarring or other medical complications.[emedicinehealth.com]

Epidemiology

  • Woven throughout the content is new and updated material that reflects key practice differences in Canada, ranging from the healthcare system, to cultural considerations, epidemiology, pharmacology, Web resources, and more.[books.google.com]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology of Alkalis and Acids The severity of injury after a caustic ingestion is due to multiple factors, including the pH of the agent and the titratable acid or alkaline reserve (TAR).[clinicaladvisor.com]
  • ., Caustic ingestion: Pathophysiology, diagnosis, and treatment. Clin. Pediatr., 25 192-196 1986. 2. Kennedy A.P., et al, Colon patch esophagoplasty for caustic esophageal stricture. J. Pediatr. Surg., 30(8); 1242-1245,1995. 3.[ispub.com]

Prevention

  • Treatment usually involves surgery to repair the tear and remove esophageal contents from the chest cavity, combined with antibiotics to prevent or treat a bacterial infection.[healthcommunities.com]
  • Doing so may prevent serious eye damage. Resource:[valleyoccupationalmedcenter.wordpress.com]
  • The cost of preventing these injuries by the food and beverage industry is small. Most can be prevented through simple vigilance and the exercise of regular care.[lexology.com]
  • Corrosive oesophageal injuries: a preventable menace Pan Afr Med J [online] :11 [viewed 29 September 2014] Available from: doi:10.11604/pamj.2013.15.11.2495 3. MOWRY JAMES B., SPYKER DANIEL A., CANTILENA LOUIS R., BAILEY J.[clinicalsenseapp.com]
  • The role of corticosteroids in preventing corrosive-induced strictures is controversial. Our aim was to study the influence of high doses of corticosteroids in preventing esophageal strictures.[pediatrics.aappublications.org]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!