What Happens When You Swallow Shampoo?

Shampoo is a detergent-based cleaning product formulated to remove oil, dirt, and residue from hair and the scalp. Accidental ingestion, which often occurs when small children mistake it for a beverage or during showering, is a common concern. While swallowing even a small amount can be alarming, most standard household shampoos are classified as low-toxicity irritants rather than true poisons. The primary risks stem from the components designed to break down grease and create a lather, which can irritate sensitive internal tissues.

Common Ingredients and Their Effects

The core mechanism of injury from swallowing shampoo involves its primary cleaning agents, known as surfactants. Compounds like Sodium Lauryl Sulfate (SLS) and Sodium Laureth Sulfate (SLES) are detergents engineered to lower the surface tension between the product and the oily components on the hair. Their function is to emulsify oils and generate the foam that most consumers associate with cleaning power.

When ingested, these powerful surfactants disrupt the protective barrier of the body’s mucous membranes lining the mouth, throat, and digestive tract. This chemical action causes localized irritation and inflammation of the tissue. Additional components, such as synthetic fragrances and pH-adjusting agents, further contribute to this irritating effect on the delicate digestive lining. Although safe for external use, their detergent properties are the reason they cause a reaction when swallowed.

Immediate Physiological Reactions

The body’s immediate response to ingesting shampoo is centered on the irritation of the mucosal tissue. A person will typically experience a burning or stinging sensation localized in the mouth and the back of the throat right after swallowing. This discomfort is a direct result of the surfactants interacting with and stripping the natural oils from the mucous membranes.

Swallowing the product often triggers gastrointestinal distress, which manifests as mild nausea, an upset stomach, and potential vomiting or diarrhea. Furthermore, the sudsing agents can create a hazard if the person coughs, gags, or tries to vomit forcefully. The excessive foam produced can potentially be aspirated (inhaled into the lungs), which can lead to chemical pneumonitis, a serious inflammatory condition.

When to Seek Emergency Assistance

While most instances of accidental, small-volume ingestion cause only temporary irritation, immediate action is recommended. The first step is to rinse the mouth thoroughly with water to remove any lingering residue. Following this, drinking a small amount of milk or plain water can help dilute the shampoo in the stomach and soothe the irritated lining of the esophagus.

It is advised to contact Poison Control at 1-800-222-1222 for specific guidance, especially if a large amount was swallowed or if the product was a specialized formula. Shampoos containing medicated ingredients, such as selenium sulfide or coal tar for dandruff treatment, may pose a greater risk than standard varieties. Do not attempt to induce vomiting unless instructed by a medical professional, as this increases the risk of aspirating the foamy contents into the lungs.

Criteria for seeking immediate emergency medical attention, such as calling 911, include the development of severe symptoms. These symptoms include a persistent inability to keep fluids down, uncontrollable vomiting, difficulty breathing, wheezing, or visible swelling of the tongue or throat. Lethargy, confusion, or a change in consciousness after ingestion also warrants an immediate call for emergency assistance. When contacting Poison Control or emergency services, be prepared to provide the individual’s age, weight, the name of the product, and the estimated amount swallowed.