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Swallowing Shampoo: Effects, Risks, and What to Do

Shampoo is a liquid used to clean the scalp and hair, and while generally considered relatively non-toxic, accidental or intentional swallowing can raise concerns. This article provides comprehensive information on the effects of swallowing shampoo, potential risks, and appropriate steps to take. This information is intended for educational purposes and should not be used to treat or manage an actual poison exposure. In case of an emergency, always seek immediate medical help.

Is Swallowing Shampoo Dangerous?

Shampoo is generally considered relatively nontoxic. However, the detergents and other chemicals they contain can cause irritation. Most people make a full recovery after swallowing shampoo.

Types of Shampoos and Ingredients

Shampoos are perfumed cosmetic care products used for hair washing, scalp cleaning, and to provide luster to hair. There are many types of shampoos, including:

  • Neutralizing
  • Chelating
  • Keratin
  • Sulfate-free
  • Dry conditioners
  • Medicated shampoos

Shampoos are made from a variety of chemicals that include surfactants (such as sodium lauryl and ammonium laureth sulfate), preservatives, perfumes, and coloring agents. Some of these chemicals may be toxic.

Common Scenarios Leading to Shampoo Ingestion

Most exposures to personal care products occur in the home, but many also occur at salons. A child may get bored while waiting for a parent to get their hair cut or nails done and may go "exploring." Manicurist tables are just the right height for a toddler to be able to reach the top. Few salons are baby-proof.

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Your child may be attracted to these products for a number of reasons:

  • Personal care products are used frequently, which makes them easily accessible.
  • Your child may see you apply makeup, brush your teeth, or use mouthwash and may try to imitate you.
  • Your child may be attracted to the pleasant taste and odor of these products, thinking "if it smells good, it must taste good, too."

Effects of Swallowing Shampoo

The signs and symptoms of shampoo ingestion can vary from one individual to another, ranging from mild to severe.

Common Symptoms

  • Nausea: Feeling an urge to vomit.
  • Vomiting: The act of ejecting stomach contents through the mouth.
  • Diarrhea: Loose, watery stools.
  • Stomach pain: Abdominal discomfort.

Less Common, But Possible Symptoms

  • Temporary breathing difficulties due to shampoo in the nose and throat.
  • Eye irritation and pain, temporary blurred vision (if shampoo gets in the eye).

Allergic Reaction

In rare cases, an allergic reaction may occur, leading to:

  • Wheezing
  • Swollen tongue and throat
  • Speaking difficulties

When to Seek Medical Attention

While swallowing a small amount of shampoo is usually harmless, it's important to know when to seek medical help.

Immediate Medical Help

Seek immediate medical help if an allergic reaction occurs.

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When to Call Poison Control

You should call the national Poison Control hotline (Poisonhelp.org) 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.

Contact Doctor Within 24 Hours

Contact your doctor if your child has a weak immune system (such as sickle cell disease, HIV, cancer, spleen removed, organ transplant, taking oral steroids) and also eaten spoiled food or feces (poop).

Call Your Doctor If:

  • Your child vomits or has diarrhea in the next 5 days.
  • Your child has any symptoms in the next 5 days after swallowing a harmless item.
  • You have other questions or concerns.

What to Do After Swallowing Shampoo

General First Aid

  1. Stay Calm: Most cases of shampoo ingestion are not serious.
  2. Rinse Mouth: Rinse the mouth with water to remove any remaining shampoo.
  3. Drink Water: Encourage the person to drink water to dilute the shampoo.

If Shampoo Gets in the Eye

  • Flush the eye with plenty of water for 15-20 minutes.

When to Induce Vomiting

Do NOT induce vomiting unless instructed by a medical professional or Poison Control.

Medical Treatment

If a visit to the emergency room takes place, the health care provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. Blood and urine tests may be done. The person may receive:

  • Fluids through a vein (IV)
  • Medicines to treat symptoms
  • Airway and breathing support, including oxygen (in case of an allergic reaction). In extreme cases, a tube may be passed through the mouth into the lungs to prevent aspiration.

Related Concerns: Pica and Accidental Ingestion

Pica

Pica is a chronic habit of eating non-food items, common in the age range of 18 months to adulthood. Common items ingested include dirt, clay, paper, ice, and crayons. Complications can include lead poisoning from eating paint chips, other poisoning, and worms from eating animal poop. A major cause is anemia (low red blood cell count) from low iron. Other causes are obsessive-compulsive disorder, stress, or modeling a parent. When iron medicine is started, pica often goes away in 1 week.

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Accidental Ingestion of Other Substances

It is useful to be aware of the management of instances of accidental ingestion of other substances.

Harmless Substances

The products below are harmless if tasted or swallowed:

  • Soaps: Hand soaps (liquid or bar).
  • Skin products: Corn starch baby powder (talcum powder can be harmful if inhaled, but it is harmless if eaten), hand lotions (creams or ointments), petroleum jelly, shaving cream, creams and ointments that have over-the-counter (OTC) medicines in them (antibiotic, steroid, anti-fungal, anti-yeast, and diaper rash creams and ointments), a small taste of sunscreen.
  • Make-up: Lipstick, blush, mascara.
  • Writing products: Chalk, crayons, paper, pen and marker ink, lead pencils (which are really graphite).
  • Paints/Glue: White glue and arts-and-crafts glue, water color paints and water-based paints.
  • Pets: Dog or cat food, cat litter (earth or clay).
  • Other harmless items: Candles, cooking lard or grease, dirt, glow products (glow sticks), play dough, yard grass, mercury in glass thermometers (safe if swallowed, but harmful if inhaled), silica granules (in desiccant packets).

Harmless Products, but Only if Swallowed in Small Amounts

The items listed below when eaten are usually safe and not a problem in small quantities. If a larger amount is swallowed, call the Poison Center.

  • Deodorants: Exception: liquid type deodorant and more than a taste (may have alcohol in it).
  • Hairspray: Exception: more than a taste (often has alcohol in it).
  • Hand sanitizer: Exception: more than a taste (has 60% alcohol in it).
  • Hydrogen peroxide 3%: Exception: more than 3%. Industrial strength solutions use 10 to 30%.
  • Mouth washes: Exception: more than a taste (may have alcohol in it).
  • Paper matches: Exception: 10 or more are eaten.
  • Perfumes: Exception: more than a taste (perfumes have more than 90% alcohol).
  • Sunscreens: Exception: eats more than 1 ounce (2 Tablespoons or 30 mL) (some sunscreens have aspirin-like products in them).
  • Toothpaste: Exception: large amount, such as more than a mouthful (2 ounces or 60 mL).

Spoiled Foods and Mold on Foods

Eating a spoiled food is often harmless, but sometimes, it can cause mild vomiting or diarrhea. Serious symptoms are rare. The safest plan is to throw out spoiled or moldy foods.

Feces (or Poop) Swallowed

Eating your own feces is always harmless, as all of these germs are already in the child's body and digestive tract. Eating another human's feces is probably harmless if that person is healthy now. If the other person has diarrhea, your child may also develop it. Eating feces from an animal is usually harmless, but there's a small risk of getting diarrhea and a very small risk of getting worms.

Dirt or Dirty Water Swallowed

Most all people swallow some dirt, and most children will do fine. There's a very small risk of getting diarrhea.

Prevention Strategies

  • Keep personal care products out of reach of children.
  • Store products in their original containers.
  • Supervise children closely, especially in environments like salons.
  • Teach children that personal care products are not food.

Other Personal Care Products

While you cannot keep these and other products out of the home, it is important to realize their potential dangers to your children.

Hair Care Products

Hair permanents and relaxers are dangerous in very small amounts, even if marked "no lye." They are made of strong bases and are known as caustics which can cause severe burns to your child's mouth, throat and stomach. The burns may not show up immediately, but may develop over a few hours. A child who swallows this type of product may appear fine right after the exposure, but will develop symptoms several hours later.

Most hair coloring products contain a chemical called paraphenylenediamene, which can cause severe vomiting when ingested. Simple skin contact may result in an allergic reaction such as swelling of your child's face, neck and throat.

Hair sprays and gels contain alcohol, but in such small amounts that a taste does not present a problem.

Nail Care Products

Nail primers, which are used to roughen the surface of the fingernail, are among the most dangerous products. They are highly acidic and can cause immediate, severe burns of your child's skin, mouth, throat and stomach.

Nail polishes, nail strengtheners, and nail polish removers are rarely swallowed in large quantities because they have an unpleasant taste and may cause an irritating sensation in the mouth. However, they can be harmful if large quantities are ingested. Choose a nonacetone nail polish remover. The active ingredient in non-acetone nail polish removers is ethyl acetate, which is much less toxic to children than acetone.

Nail glues are not poisonous, but they bind instantly. Large amounts of glue can get stuck in the throat and, if exposed to the eyes, may glue them shut.

Facial products

Creams, lotions, foundation, lipstick, rouge and eye makeup are nontoxic, but they can cause diarrhea if eaten in large quantities.

Astringents, skin cleansers and make-up removers contain alcohol or camphor. They are potentially poisonous, but due to their unpleasant taste they are rarely ingested in large enough amounts to cause concern.

Other personal care products

Deodorants are not poisonous, but they will irritate the mouth and can cause diarrhea when large amounts are eaten. Toothpaste is not poisonous in small quantities, but it may be irritating to the mouth and stomach. Fluoride-containing toothpaste is more of a concern. Use pure cornstarch baby powder rather than powder containing talc.

Conclusion

Swallowing shampoo is usually not a serious issue, but it's important to be aware of the potential effects and when to seek medical attention. By taking preventive measures and knowing how to respond, you can ensure the safety and well-being of yourself and your family.

Disclaimer: This health information is for educational purposes only. Always consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.

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