Jewelry cleaner poisoning

Poisonous ingredients include:

• Ammonia
• Corrosive alkali
• Detergent
• Soap

Jewelry cleaners and polishes are sold under various brand names. Some include:

• Goddard's Jewelry Cleaner
• Goddard's Silver Dip
• Hagerty Jewelry Cleaner
• Weiman Silver Polish
• Wright's Silver Cream

Note: This list may not be all-inclusive.

Jewelry cleaner poisoning can cause symptoms in many parts of the body.

AIRWAYS AND LUNGS

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

EYES, EARS, NOSE, AND THROAT

• Severe pain in the throat
• Severe pain or burning in the nose, eyes, ears, lips, or tongue
• Vision loss

GASTROINTESTINAL SYSTEM

• Abdominal pain (severe)
• Bloody stools
• Burns and possible holes of the esophagus (food pipe)
• Vomiting, possibly with blood

HEART AND BLOOD

• Collapse
• Low blood pressure (develops rapidly), leading to shock
• Severe change in blood acid level (leads to organ damage)

SKIN

• Burns
• Holes in the skin or underlying tissues
• Irritation

Get medical help right away. DO NOT make a person throw up unless told to do so by poison control or a health care provider.

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 provider.

Get the following information:

• The person's age, weight, and condition
• The name of the product (ingredients and strength, if known)
• The time it was swallowed
• The 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.

Take the container with you to the hospital, if possible.

The 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:

• Blood and urine tests
• Breathing support, including oxygen through a tube into the lungs, and a breathing machine (ventilator)
• Bronchoscopy -- camera down the throat to look for burns in the airways and lungs (if the poison was aspirated)
• Chest x-ray
• Electrocardiogram (ECG)
• Endoscopy -- camera down the throat to look for burns in the esophagus and the stomach
• Fluids through a vein (by IV)
• Medicine to reverse the effect of the poison and treat symptoms
• Surgical removal of burned skin (skin debridement)
• Tube through the mouth into the stomach to aspirate (suck out) the stomach. This is done only when the person gets medical care within 30 to 45 minutes of the poisoning, and a very large amount of the substance has been swallowed
• 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. Burns in the airway or gastrointestinal tract can lead to tissue death. This may result in infection, shock and death, even several months after substance was swallowed. Scar tissue in the affected areas can lead to long-term problems with breathing, swallowing, and digestion.

Hoyte C. Caustics. In: Walls RM, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 143.

Schoem SR, Rosbe KW, Lee ER. Aerodigestive foreign bodies and caustic ingestions. In: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Head and Neck Surgery. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 211.

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.