Presentation
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]
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]
Esophageal Injuries- Iatrogenic and others Presented By- Dr Sachin Katyal PG Student,Department of Gen.Surgery, M.K.C.G.MCH,Brahmapur 1 2. [slideshare.net]
Wheezing may also be present. Severe vomiting or retching can present with chest pain or blood in the vomit depending on the extent and depth of injury. [eapsa.org]
It is also important to note that only six patients presented early enough for early endoscopy. The corollary here is that most of our patients either presented late in the acute phase or they came with established strictures. [cardiothoracicsurgery.biomedcentral.com]
Entire Body System
- Weakness
First aid for chemical burn of the esophagus: early and copious lavage with warm water antidote - weak alkali when you burn acid, a weak acid (for example, citric, tartaric) with alkali burns. [medicalency.com]
This is a weak acid, and, in dilute form, it will not cause immediate burning or pain on contact. [emedicine.medscape.com]
Low-concentration solutions and the weak thermal effect usually causes catarrhal inflammation (erythema) of the mucous membrane of the pharynx and esophagus, which usually results in complete recovery without scarring formations. [eurodoctor.ucoz.com]
They usually occur in people with a weak immune system. Esophagitis from infections is common in people who have HIV infection, use steroid medicines long-term, have had organ transplants, or have been treated with chemotherapy for cancer. [drugs.com]
Predilection sites are the following weak spots in the esophageal muscles: Bild : “Pulsionsdivertikel des mittleren Ösophagus.” von Hellerhoff. [lecturio.com]
- Weight Loss
loss, night sweat, and decreased stress resistance. [lecturio.com]
Respiratoric
- Pneumonia
Burns of the esophagus is not rarely associated with complications such as laryngitis, bronchitis, esophagus, mediastenit, esophageal tracheal fistula, pneumonia, sepsis, and malnutrition. With this material are reading... [eurodoctor.ucoz.com]
These can cause partial blockage Pneumonia—infection of the lug Eosinophilic esophagitis—inflammation of the esophagus because of allergies Treatment (“What will be done to make my child better?”) [eapsa.org]
Especially when lying down, regurgitation of food accompanied by bad breath occurs, which harbors the potential complications of aspiration pneumonia and esophagitis. [lecturio.com]
No early complication such as mediastinitis, pneumonia, upper gastrointestinal bleeding, or perforation was observed in either group. [pediatrics.aappublications.org]
- Sore Throat
In the meanwhile you could try doing things you would normally do when you have a sore throat. Look for food and drink options that soothe your throat and provide relief. Herbal teas can do wonders for burned throats. [home-remedies-for-you.com]
Prolonged inflammation in your throat is called esophagitis. Symptoms include painful swallowing, difficulty swallowing, hoarseness, sore throat and heartburn, also known as gastroesophageal reflux disease. [livestrong.com]
Viral or Bacterial Infection Everyone has experienced a sore throat, a painful inflammation of the back part of the throat, at some point in their lives, with the most common cause being a virus. [verywell.com]
Gastrointestinal
- 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]
Either circumstance causes severe chest pain, fever, rapid heart rate, rapid breathing, very low blood pressure, and the need for surgery. Peritonitis results in severe abdominal pain when the stomach perforates. [msdmanuals.com]
[…] tongue Vision loss ESOPHAGUS, STOMACH, AND INTESTINES Blood in the stool Burns of the esophagus (food pipe) and stomach Severe abdominal pain Vomiting, possibly with blood HEART AND BLOOD Collapse Low blood pressure (develops rapidly) Severe change in [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]
These are the signs and symptoms most commonly linked to esophagitis: abdominal pain pain and difficulty when swallowing food becoming stuck in the esophagus lack of appetite nausea and possibly vomiting cough pain in the chest when eating, heartburn [medicalnewstoday.com]
- Odynophagia
The patient developed odynophagia, and after 19 days the patient was referred for an endoscopic examination. [tropicalgastro.com]
Patients in both groups were also monitored through the outpatient clinic for complaints including abdominal pain, dysphagia, odynophagia, vomiting, or food impaction. [pediatrics.aappublications.org]
Dysphagia (mainly) and ““odynophagia were the most common symptoms of these cases. Chemical nature of ingested substances were strong alkali in 64%, weak alkali in 20%, and strong acids in 16%. [ispub.com]
Esophagitis Symptoms of esophagitis Symptoms include dysphagia, odynophagia, and retrosternal pain. Infectious esophagitis A severe general disease can be accompanied by esophagitis. [lecturio.com]
Cardiovascular
- Chest Pain
Moderate or severe chest pain that may worsen upon breathing or swallowing following an episode of retching or vomiting Fever Rapid, shallow breathing, difficulty breathing (dyspnea) Excessive sweating Subcutaneous emphysema Abdominal or back pain Difficulty [healthcommunities.com]
Symptoms The main symptoms of esophagitis are: Pain in the chest (behind the breastbone) or throat. The pain can be burning, heavy or sharp. If acid reflux is the cause of esophagitis, the pain may be worse after meals or when you lie flat. [drugs.com]
Severe vomiting or retching can present with chest pain or blood in the vomit depending on the extent and depth of injury. [eapsa.org]
Either circumstance causes severe chest pain, fever, rapid heart rate, rapid breathing, very low blood pressure, and the need for surgery. Peritonitis results in severe abdominal pain when the stomach perforates. [msdmanuals.com]
If the damage thoracic appear chest pain when swallowing, blood vomiting, mediastinal emphysema and subcutaneous emphysema in supraclavicular pits, high temperatures. The rapidly evolving phenomenon of mediastinitis, pleurisy, pericarditis. [medicalency.com]
Musculoskeletal
- Muscle Twitch
twitches Your healthcare provider will make a diagnosis based on several factors. [healthline.com]
twitching or seizures Irregular heartbeat Cardiac arrest Chemical burns can be very unpredictable. [webmd.com]
twitching or seizures Cardiac arrest or irregular heartbeat Chemical burns can be very unpredictable. [emedicinehealth.com]
Neurologic
- 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]
[…] black dead skin at the contact site Vision changes if the chemical gets into your eyes Cough or shortness of breath In severe cases, you may develop any of the following: Low blood pressure Faintness, weakness, dizziness Shortness of breath Severe cough Headache [webmd.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]
- Dizziness
[…] 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 low blood pressure cardiac arrest or heart attack shortness of breath coughing seizures dizziness [healthline.com]
Immediately call 911 if you have a severe injury, any shortness of breath, chest pain, dizziness, or other symptoms throughout your body. If you are aiding an injured person with these symptoms, lay the person down and immediately call 911. [webmd.com]
Immediately call 911 if a person has a severe injury, any shortness of breath, chest pain, dizziness, or other symptoms throughout the body. If you are aiding an injured person with these symptoms, lay the person down and immediately call 911. [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]
Chemical Burn Medical Treatment Specific medical treatment depends on the chemical that the patient was exposed to. [emedicinehealth.com]
Treatment Treatment depends on the cause of esophagitis. [drugs.com]
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]
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]
Prognosis for esophagitis is normally good. Esophagitis can be caused by certain allergies. Being overweight increases the risk of esophagitis. Depending on the cause of esophagitis, there are various possible treatments. [medicalnewstoday.com]
Prognosis Almost all cases of esophagitis can be cured. Some causes, such as acid reflux, may require long-term treatment. External resources American College of Gastroenterology P.O. [drugs.com]
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]
Overall, prognosis is rather bad since the first noticeable symptom of the disease, dysphagia, is a late symptom already. At the time the diagnosis is made, for 95 % of the tumors, palliative treatment is the only treatment option left. [lecturio.com]
Etiology
Nitrosamines, aflatoxins, concentrated alcohol, and smoking are etiological factors that can lead to squamous epithelial carcinoma in the area of the esophagus. The esophageal carcinoma is usually detected early due to its specific symptoms. [lecturio.com]
Epidemiology
Update on the epidemiology of gastro-oesophageal reflux disease: a systematic review. El-Serag HB1,http://www.ncbi.nlm.nih.gov/pubmed/23853213?dopt=Abstract 8. Minerva Pediatr. 2012 Feb;64(1):101-19. [passeportsante.net]
Epidemiology: In 2014, 2.1 million caustic ingestions occurred in the US. 48% occurred in children younger than five years of age. In the younger age group, most swallowing incidents are accidental. [eapsa.org]
Pathophysiology
Sleisenger and Fordtran’sgastrointestinal and liver disease: pathophysiology, diagnosis, management. 7th ed. Philadelphia: W.B. Saunders Co; 2002.p. 399–407. Material safety data sheet. Sodium metal. [tropicalgastro.com]
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]
Moore W.P., 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: http://www.webmd.com/a-to-z-guides/first-aid-for-chemical-burns-topic-overview [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]
Do corticosteroids prevent oesophageal stricture after corrosive ingestion? Toxicol Rev [online] 2005, 24(2):125-9 [viewed 30 September 2014] Available from: http://www.ncbi.nlm.nih.gov/pubmed/16180932 9. [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]