Burns By Acids Or Alkalis

Strong acids and bases cause, when they are taken orally, for Corrosion of tissues of the upper gastrointestinal tract and sometimes the esophageal or gastric perforation. Symptoms may include salivation, difficulty swallowing and pain in the mouth, chest or epigastric include; Strictures may develop later. A diagnostic endoscopy may be required. Treatment is supportive. Gastric emptying and the administration of activated charcoal are contraindicated. A perforation is treated surgically.

Worldwide 80% of the shots of caustic substances occur in children; these are usually accidental shooting of small amounts and often benign. In adults recordings are corrosive substances are often deliberately and carried in large quantities in suicidal people and are life-threatening. Common sources of acids and bases are liquid toilet or drain cleaner. Industrial products are usually more concentrated than household products and thus lead to more serious damage.

Strong acids and bases cause, when they are taken orally, for Corrosion of tissues of the upper gastrointestinal tract and sometimes the esophageal or gastric perforation. Symptoms may include salivation, difficulty swallowing and pain in the mouth, chest or epigastric include; Strictures may develop later. A diagnostic endoscopy may be required. Treatment is supportive. Gastric emptying and the administration of activated charcoal are contraindicated. A perforation is treated surgically. Worldwide 80% of the shots of caustic substances occur in children; these are usually accidental shooting of small amounts and often benign. In adults recordings are corrosive substances are often deliberately and carried in large quantities in suicidal people and are life-threatening. Common sources of acids and bases are liquid toilet or drain cleaner. Industrial products are usually more concentrated than household products and thus lead to more serious damage. Pathophysiology acids cause coagulation necrosis; the scabbing prevent deeper damage. Acids seem the stomach damaging than the esophagus longer. Bases lead to rapid colliquation necrosis; it does not occur the formation of a Schorfbarriere, so that the damage can penetrate further into the depth until the alkali is neutralized or diluted. Alkalis seem the esophagus damaging stronger than the stomach, large amounts of revenue damage but both equally Solid products often leave particles that adhere to the tissue and cause local damage; they prevent further ingestion. As liquid preparations are not liable to be ingested and lead to severe damage readily larger quantities. Liquids can also be aspirated, which can result in damage to the upper respiratory tract result. Symptoms and signs Initial symptoms at admission corrosive substances manifests itself in salivation and difficulty swallowing. In severe cases, associated with bleeding and vomiting, an immediate onset of pain in the mouth, throat, chest and / or abdomen. The damage to the airways can cause coughing, tachypnea and stridor. In the oral cavity swollen and reddened fabric may be visible; However, liquid acids and alkalis evoke not necessarily visible lesions in the mouth and throat, although it can cause serious damage later in the gastrointestinal tract. An esophageal perforation can lead to mediastinitis with severe chest pain, tachycardia, fever, respiratory distress and shock. A gastric perforation usually leads to peritonitis. A perforation of the esophagus or stomach may occur only after weeks within hours as well. Oesophageal strictures can develop in weeks, even if the initial symptoms easily and the treatment was adequate. Diagnostic endoscopy Because the presence or absence of damage within the oral cavity is no reliable information as to whether damage has occurred in the area of ??the esophagus or stomach, early endoscopy to check for damage to the esophagus or the stomach should be done if the symptoms or a history of suggest relevant income. No therapy gastric emptying times dilution with oral fluids The treatment of burns by acids or alkalis is supportive. (Caution: A gastric emptying by vomiting or gastric lavage is contraindicated because it causes the upper gastrointestinal tract again with the corrosive acid in contact tests, the pH of a corrosive acid to be corrected by an alkaline substance [and vice versa]. are contraindicated since this may result in severe exothermic reactions. also activated charcoal is contraindicated because they infiltrate the burned tissue and interfere with the endoscopic assessment can. Tips) and risks a gastric emptying by emesis or gastric lavage is contraindicated because both a re-exposure the upper gastrointestinal tract relative to the acid or alkali leads. Experiments should be avoided, a corrosive acid with an alkaline substance (and vice versa) to neutralize, since there will be a thermal reaction, which can verschimmern tissue damage. Dilution with milk or water is only useful in the first few minutes after taking a corrosive liquid, but a delayed dilution can be useful after taking a solid caustic substance. Dilution should be avoided if patients suffer from nausea, salivation, wheezing or swelling of the abdomen. The esophageal or gastric perforation is with antibiotics and surgical procedures treated (Acute perforation). Prophylactic administration of antibiotics or intravenous corticosteroids is not recommended. Strictures can be treated with bougies or, if they are not accessible particularly serious, or a treatment, be treated by replacement of the esophagus by means Koloninterponat. Summary Serious consequences can be expected when a large amount of a caustic liquid was taken. Alkalis can cause damage Gewebsverflüssigung, unless they have been sufficiently diluted. Gastric lavage should not be made, and provide the per bit administration of activated carbon or the neutralization of an acid or alkali. Burns of the esophagus and stomach should be adopted, although intra-oral burns are missing. An endoscopy should be initiated. Treat perforation with antibiotics and surgical intervention.

Health Life Media Team

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