Boric acid suppositories are a medication used for vaginal health issues like yeast infections and bacterial vaginosis. Designed for vaginal insertion, they dissolve to release boric acid and restore vaginal balance. These products are strictly for vaginal use, not oral consumption. Swallowing boric acid suppositories can lead to various adverse health effects.
Signs and Symptoms of Ingestion
Ingesting boric acid suppositories can lead to a range of symptoms, varying in severity based on the amount consumed and individual sensitivity. Initially, symptoms often involve the gastrointestinal system. These can include nausea, vomiting, abdominal pain, and diarrhea. In some instances, the vomit may appear blue-green.
As the body absorbs more of the substance, more widespread effects can develop. Individuals might experience headaches, lethargy, drowsiness, or general weakness. Skin manifestations are also possible, such as a bright red rash, or even blistering and sloughing of the skin in more severe cases.
More serious systemic effects can occur with significant ingestion, impacting vital organ systems. These can include kidney damage, characterized by decreased or absent urine output, and liver injury. Central nervous system effects, such as restlessness, tremors, seizures, or even coma, have been reported in severe poisoning instances. Low blood pressure and fever may also be present.
When to Seek Urgent Medical Care
Contact a poison control center right away if boric acid suppositories are swallowed, regardless of whether symptoms have appeared. The national toll-free Poison Help hotline (1-800-222-1222) is available across the United States.
Seek urgent medical attention if any symptoms develop after ingestion, even if mild. This includes any gastrointestinal upset like nausea or vomiting. Prompt care is especially important if a child has ingested the suppositories, or if a large quantity is known or suspected. Do not wait for severe symptoms to appear before seeking professional help.
Medical Response and Treatment
Upon arrival at a medical facility after boric acid ingestion, healthcare providers will conduct a thorough assessment. This involves monitoring vital signs like temperature, pulse, breathing rate, and blood pressure to gauge the body’s response. Blood and urine tests are often performed to check kidney function and determine boric acid levels.
Treatment for boric acid poisoning is primarily supportive, focusing on managing symptoms and helping the body eliminate the substance. Intravenous fluids may be administered to maintain hydration and support kidney function. In some cases, if the ingestion was recent, gastric lavage (stomach pumping) might be considered, though activated charcoal is generally not effective for boric acid poisoning.
For severe cases, more intensive interventions may be required. This can include airway support with oxygen or mechanical ventilation if breathing is compromised. Hemodialysis, a procedure that filters waste and toxins from the blood, can be very effective in accelerating the removal of boric acid from the body, especially when blood concentrations are high. In rare instances where the corrosive nature of boric acid causes tissue damage, such as a perforation in the esophagus or stomach, surgery might be necessary.
Preventing Accidental Ingestion
Proper storage and handling are essential to prevent accidental ingestion of boric acid suppositories. Always keep these products in their original, clearly labeled packaging. This helps avoid confusion with oral medications, as suppositories can sometimes resemble pills or capsules.
Store boric acid suppositories in a secure location, out of reach and sight of children and pets. A cool, dry place at room temperature is generally suitable, but avoid storing them in areas where food or other medications are kept. Never transfer the suppositories to unlabeled containers, as this increases the risk of mistaken identity.
Adults should also exercise caution when handling the suppositories. Always read the product label carefully before use to confirm it is the correct product for vaginal insertion. Washing hands thoroughly after handling the suppositories is also a good practice to ensure no residue is transferred to the mouth or other surfaces.