What Happens When You Drink Gasoline? Dangers & What to Do

Gasoline is a complex mixture of hydrocarbons, derived from the refining of crude oil. This volatile liquid is never safe for human consumption, as even small quantities are highly toxic and potentially fatal. Gasoline comprises hundreds of different chemical compounds, including substances like benzene, toluene, and xylenes, which contribute to its harmful nature. Ingesting gasoline can severely damage various body systems.

Immediate Health Effects

Ingesting gasoline can immediately cause a range of acute symptoms across multiple body systems. Upon swallowing, a person may experience a burning sensation in the mouth, throat, and esophagus, often accompanied by abdominal pain, nausea, and vomiting. Vomiting can sometimes include blood, indicating irritation or damage to the gastrointestinal lining.

A significant danger following gasoline ingestion is aspiration, where the liquid accidentally enters the lungs. Gasoline is a low-viscosity substance, allowing it to spread rapidly and easily enter the airways, even with minimal inhalation or during a gag reflex. This can lead to chemical pneumonitis, a severe lung irritation characterized by coughing, choking, shortness of breath, and potentially acute respiratory distress. Chemical pneumonitis can develop within hours and may require several weeks for resolution.

Gasoline can also affect the central nervous system (CNS) due to systemic absorption of its hydrocarbon components. Symptoms can include dizziness, headache, confusion, drowsiness, and weakness. In more severe cases, individuals may experience slurred speech, staggering, convulsions, or even a coma. Contact with gasoline can also cause irritation to the skin and eyes.

Emergency Response and Medical Care

The first step is to call for emergency medical help, such as dialing 911 or contacting a local poison control center. In the United States, the national Poison Help hotline at 1-800-222-1222 connects callers directly to experts who can provide specific care instructions. It is important to provide details such as the approximate amount ingested, the person’s age, and any symptoms observed.

Never induce vomiting; this action is highly dangerous and should never be attempted. Forcing vomiting significantly increases the risk of gasoline entering the lungs (aspiration), which worsens lung damage and can lead to severe chemical pneumonia. Medical professionals will focus on supportive care, beginning with an assessment of the person’s airway, breathing, and circulation. Oxygen therapy and, if necessary, breathing support through intubation and mechanical ventilation, may be administered, particularly if aspiration has occurred.

Diagnostic tools such as chest X-rays may be performed to check for lung damage. Intravenous fluids can help support the person’s overall condition. Activated charcoal is generally not recommended for gasoline ingestion, as it does not effectively bind hydrocarbons and can increase the risk of aspiration. Monitoring for potential neurological, cardiac, or kidney complications will also be part of the medical intervention.

Potential Long-Term Health Outcomes

Gasoline ingestion can also lead to long-term health complications, especially if severe aspiration or systemic toxicity occurs. Individuals who experience severe aspiration pneumonitis may develop chronic lung issues, including persistent cough or reduced lung function. Scarring in lung tissues can also be a lasting consequence.

In rare but severe cases, particularly with substantial exposure or oxygen deprivation, lasting neurological damage can occur. This may manifest as memory impairment, attention deficits, chronic confusion, or other cognitive and behavioral changes.

Persistent irritation or scarring of the esophagus or stomach can lead to long-term problems with swallowing and digestion. While less common and often reversible with limited exposure, systemic effects such as kidney or liver damage may also occur. Complete recovery is possible with prompt medical attention, but severe gasoline poisoning can result in lasting complications or even be fatal.