Dye remover poisoning
Dye remover is a chemical used to remove dye stains. Dye remover poisoning occurs when someone swallows this substance.
This article is for information only. Do NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call your local emergency number (such as 911), or your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.
Poisonous ingredients include:
- Detergents (including bleach)
- Corrosive alkalis
- Sodium carbonate
- Sodium hydrosulfite
- Thiourea dioxide
Ingredients can be found in various dye removers.
Dye remover poisoning can cause symptoms in many parts of the body.
AIRWAYS AND LUNGS
- Breathing difficulty (from breathing in dye remover)
- Throat swelling (may also cause breathing difficulty)
- Severe change in acid level of blood (pH balance), which leads to damage in all of the body organs
EYES, EARS, NOSE, AND THROAT
- Loss of vision
- Severe pain in the throat
- Severe pain or burning in the nose, eyes, ears, lips, or tongue
- Blood in the stool
- Burns and possible holes (perforations) in the esophagus
- Severe abdominal pain
- Vomiting blood
HEART AND CIRCULATORY SYSTEM
- Low blood pressure that develops rapidly
- Holes (necrosis) in the skin or tissues underneath
Seek medical help right away. Do not make a person throw up unless told to do so by poison control or a health care professional.
If the chemical is on the skin or in the eyes, flush with lots of water for at least 15 minutes.
If the chemical was swallowed, immediately give the person water or milk, unless instructed otherwise by a health care provider. Do not give water or milk if the person is having symptoms (such as vomiting, convulsions, or a decreased level of alertness) that make it hard to swallow.
If the person breathed in the poison, immediately move him or her to fresh air.
Before Calling Emergency
Get the following information:
- Person's age, weight, and condition
- Name of the product (and ingredients and strength, if known)
- Time it was swallowed
- Amount swallowed
Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) 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 United States 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.
What to Expect at the Emergency Room
The health care provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated as appropriate. The person may receive:
- Breathing support, including a tube through the mouth into the lungs, and a breathing machine (ventilator)
- Bronchoscopy: camera down the throat to see burns in the airways and lungs
- Chest x-ray
- EKG (heart tracing)
- Endoscopy: camera down the throat to see burns in the esophagus and the stomach
- Fluids by IV (through the vein)
- Medicines to treat pain
- Surgical removal of burned skin (skin debridement)
- Washing of the skin (irrigation), perhaps every few hours for several days
How well a person does depends on the amount of poison swallowed and how quickly treatment is received. The faster the person gets medical help, the better the chance for recovery.
Swallowing such poisons can have severe effects on many parts of the body. The outcome depends on the extent of this damage. Damage continues to occur to the esophagus and stomach for several weeks after the poison was swallowed.
Wax PM, Young A. Caustics. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 153.
Reviewed By: Jesse Borke, MD, FACEP, FAAEM, Attending Physician at FDR Medical Services/Millard Fillmore Suburban Hospital, Buffalo, NY. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.