Asphalt cement poisoning

The substances in asphalt that can be harmful are:

• Hydrocarbons
• Industrial glues
• Industrial solvents
• Tar

Asphalt is found in:

• Road paving materials
• Roofing materials
• Tile cements

Asphalt may also be used for other purposes.

Below are symptoms of asphalt poisoning in different parts of the body.

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

HEART AND BLOOD

• Collapse
• Low blood pressure that develops rapidly (shock)

LUNGS AND AIRWAYS

• Breathing difficulty (from breathing in asphalt)
• Throat swelling (which may also cause breathing difficulty)

SKIN

• Burns
• Irritation
• Holes (ulcers) in the skin or tissues under the skin

STOMACH AND INTESTINES

• Blockage in the intestines
• Blood in the stool
• Burns of the food pipe (esophagus)
• Severe abdominal pain
• Vomiting (may contain blood)

Seek medical help right away. Do not make the person throw up unless poison control or a health care provider tells you to.

If the person swallowed asphalt, give them water or milk right away, unless a provider tells you not to. Do not give anything to drink if the person has symptoms that make it hard to swallow. These include vomiting, convulsions, or a decreased level of alertness.

Have this information ready:

• Person's age, weight, and condition
• Name of the product (ingredients, if known)
• Time it was swallowed
• Amount swallowed

Your local poison control 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 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.

You can also get online poison help now at Poisonhelp.org. Just enter the product, poison, or medicine to get expert help.

The provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated.

Tests that may be done include:

• Blood and urine tests
• Bronchoscopy -- camera placed down the throat to look for burns in the airways and lungs
• Chest x-ray
• Electrocardiogram (ECG)
• Endoscopy -- camera placed down the throat to check for burns in the esophagus and stomach

Treatment may include:

• Breathing support, including tube through the mouth into the lungs and connected to a breathing machine (ventilator)
• Fluids through a vein (by IV)
• Medicine to treat symptoms
• Products to dissolve the asphalt.
• Surgery to remove burned skin (debridement)
• Washing of the skin (irrigation), every few hours or for several days

How well someone does depends on how much asphalt they swallowed and how quickly they receive treatment. The faster medical help is given, the better the chance for recovery. Hot asphalt cools very quickly and is difficult to get off the skin. Serious burns can easily occur from the extreme heat. Construction workers who work with asphalt should wear protective clothing.

Asphalt is hard to swallow, but it may cause serious damage.

Delayed injury may occur, including a hole forming in the throat, esophagus, or stomach. This can lead to severe bleeding and infection. Surgical procedures may be needed to treat these complications.

If asphalt gets in the eye, ulcers may develop in the cornea, the clear part of the eye. This can cause blindness.

Asphalt; Pavement

Meehan TJ. Care of the poisoned patient. In: Walls RM, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 135.

Nelson LS, Calello DP. Acute poisoning. In: Goldman L, Cooney KA, eds. Goldman-Cecil Medicine. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 96.

Theobald JL, Corcoran JL. Poisoning. In: Kliegman RM, St. Geme JW, Blum NJ, et al, eds. Nelson Textbook of Pediatrics. 22nd ed. Philadelphia, PA: Elsevier; 2025:chap 94.

Wang GS, Buchanan JA. Hydrocarbons. In: Walls RM, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 147.

Updated by: Jesse Borke, MD, CPE, FAAEM, FACEP, Attending Physician at Kaiser Permanente, Orange County, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.