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Drain opener poisoning

Drain opening agents

 

Drain opening agents are chemicals used to open clogged drains, often in homes. Drain opening agent poisoning can occur if a person accidentally drinks these chemicals, or if someone splashes the poison into the eyes when pouring it or breathes in the fumes of "foaming" drain openers.

This article is for information only. DO NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call the local emergency number (such as 911), or the 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.

Poisonous Ingredient

 

Poisonous ingredients include:

  • Hydrochloric acid
  • Lye (sodium hydroxide or caustic soda)
  • Potassium hydroxide
  • Sulfuric acid

 

Where Found

 

These chemicals are found in drain cleaners or opener products. These agents may also be present in other sources.

 

Symptoms

 

Drain opener poisoning can cause symptoms in many parts of the body.

BLOOD

  • Severe change in acid level of blood (pH balance), which leads to damage in all of the body organs

EYES, EARS, NOSE, AND THROAT

  • Burns to the eyes, which may result in permanent vision loss
  • Severe pain in the throat
  • Severe pain or burning in the nose, eyes, ears, lips, or tongue

GASTROINTESTINAL SYSTEM

  • Blood in the stool
  • Burns and possible holes in the throat (esophagus)
  • Severe abdominal pain
  • Vomiting
  • Vomiting blood

HEART AND CIRCULATORY SYSTEM

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

LUNGS AND AIRWAYS

  • Breathing difficulty (from breathing in drain opening agent)
  • Throat swelling (may also cause breathing difficulty)

SKIN

  • Burns
  • Holes (necrosis) in the skin or tissues underneath
  • Irritation

 

Home Care

 

Seek 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. Do not give water or milk if the person is having symptoms (such as vomiting, convulsions, or a decreased level of alertness) that make it hard to swallow.

If the person breathed in the poison, immediately move them to fresh air.

 

Before Calling Emergency

 

Get the following information:

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

 

Poison Control

 

The 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.

 

What to Expect at the Emergency Room

 

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.

Tests that may be done include:

  • Blood and urine tests
  • Bronchoscopy: camera placed down the throat to see 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 the effects of the poison and other symptoms.
  • Surgery to remove burned skin (debridement).
  • Tube through the mouth into the stomach to wash out the stomach (gastric lavage). 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), every few hours or for several days.

 

Outlook (Prognosis)

 

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.

If this type of poison gets in the eye, it can be very dangerous and difficult to manage. Loss of vision is common.

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 the substance was swallowed. Scar tissue in the affected areas can lead to long-term problems with breathing, swallowing, and digestion.

 

 

Open References

References

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

Kuschner WG, Blanc PD. Acute responses to toxic exposures. In: Broaddus VC, Ernst JD, King TE, et al, eds. Murray and Nadel's Textbook of Respiratory Medicine. 7th ed. Philadelphia, PA: Elsevier; 2022:chap 103.

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

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        A Closer Look

         

          Self Care

           

            Tests for Drain opener poisoning

             
               

              Review Date: 10/14/2025

              Reviewed 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.

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