What Parents Should Know: Button Battery Ingestion & Honey

2022-10-15 00:41:00 By : Ms. Sally xie

Earlier this month, a 3-year-old Ohio girl made headlines after she swallowed a button battery and her mom gave her honey while they were on the way to the hospital.

The family finished eating dinner when the girl told her mother, Katie Jacobsen, that she swallowed a button battery that was from a toy. They had extra honey packets on hand, which helped ease the battery through the girl’s stomach.

Button batteries and lithium coin batteries are dangerous for children if ingested. These small, shiny batteries are found in remotes, key fobs, thermometers, toys, and many other devices found in the home.

When a child swallows a button battery, the saliva triggers an electrical current. This causes a chemical reaction that can severely burn the esophagus in as little as two hours, according to Safe Kids Worldwide.

If a battery is ingested, parents should immediately call 911, and seek medical attention at the emergency room. If your child is over 12 months old, Cook Children's experts confirm that parents can offer the child honey, if available.

LaQuatre R. Rhodes, D.O. , says battery ingestions are seen a couple of times per month by the Cook Children’s Gastroenterology team in Prosper.

“Ingestion of button batteries can cause severe complications including respiratory difficulty, injury to the respiratory tract, injury to esophagus, stomach, or intestines, bleeding, and even death so it’s very important to seek immediate medical attention and ultimately prevent ingestion,” Dr. Rhodes said.

She says if a mucosal injury is present, monitoring is required after removal. Repeat endoscopy and imaging are done on the patient to assess for complications. Long-term follow-up may be needed depending on the severity of the injury, Rhodes said.

From 1997 to 2010, an estimated 40,400 children 13 years and under were treated in hospital emergency departments for battery-related injuries, including confirmed or possible battery ingestions, according to the Centers for Disease Control and Prevention. Nearly three-quarters of the injuries involved children 4 years and under; 10% required hospitalization, the CDC said.

Dr. Rhodes answered more questions for us about coin battery ingestions:

Abdominal pain, bleeding, cough, breathing difficulty, sore throat, chest pain, fever, and weight loss are symptoms to look for if a child swallowed a button battery.

Seek medical attention: call 911 or head to the emergency room. For children over 12 months old, give Carafate or honey soon after ingestion. This may help improve injury to the esophagus and stomach, but do not delay seeking medical attention. The National Battery Ingestion Hotline is available at 800-498-8666, 24 hours a day, seven days a week.

Immediately and ideally less than 12 hours of ingestion. However, do not delay seeking medical attention to administer honey.

Honey and Carafate coat the battery, which limits electrode activity and neutralizes generated hydroxide. This prevents damage and perforation to the esophagus and stomach.

Carafate is a prescribed medicine that coats and covers the mucosa of the esophagus and stomach to help protect it from injury.

Recommended doses for both honey and Carafate:

1.    Check vital signs and evaluate to see if stable.

2.    An X-ray is done to identify the location.

3.    If the battery is in the esophagus less than 2 hours after ingestion, then immediate endoscopic removal. It will be removed by Ear-Nose-Throat or GI depending on location.

4.    If the battery is in the esophagus less than 12 hours after ingestion, the child is stable and able to swallow and ingest consider honey (>1 years) or Carafate while waiting for endoscopy. But do not delay endoscopy to give it.

5.    Beyond esophagus and symptomatic (abdominal pain, bleeding, cough, breathing difficulty, sore throat, chest pain, fever, weight loss) or magnet co-ingestion less than 12 hours of ingestion immediate endoscopic removal if in the stomach. Consult surgery if in the small intestine or colon.

6.    Beyond esophagus and asymptomatic less than 12 hours of ingestion repeat X-ray in 7-14 days or sooner if develops symptoms. If no passage, proceed to endoscopic removal.

7.    If it's been more than 12 hours of ingestion, your child may need an endoscopy, CT scan or endoscopic removal.

8.  If it's been more than 12 hours of ingestion, in the small intestines or colon, and asymptomatic repeat X-ray in 7-14 days or sooner of develops symptoms. If no passage, consult surgery.

The presence of an ingested button battery is considered a medical emergency, so do not delay seeking medical attention.

Make sure battery compartments are secured and screwed properly. Button batteries are shiny and attractive to children so avoid leaving loose batteries around.

Crawling infants, toddlers and young children often put things in their mouths. Because of this, there are a few things you can do to reduce the risk of accidents.

If a child ingests a button battery, immediately call for help, either through 911 or the National Battery Ingestion Hotline at 800-498-8666, which is available 24 hours a day, seven days a week.

 Get to know Gastroenterologist LaQuatre Rhodes, D.O.

Dr. LaQuatre Rhodes is a Pediatric Gastroenterologist. At an early age, she had a passion for science and interacting with people which ignited her interest in medicine and aspiration of becoming a Pediatrician. She earned her medical degree from Ohio University Heritage College of Osteopathic Medicine. She then completed her Pediatric Residency training at Louisiana State University Health Sciences Center-Shreveport and Pediatric Gastroenterology fellowship at Louisiana State University Health Sciences Center-New Orleans.  

Dr. Rhodes loves the vast pathology of the GI system and unique structure-function relationships which provides the opportunity to care for patients with a multitude of conditions. She has interests in nutrition, IBD, NASH, and obesity. Each patient encounter is challenging and rewarding and there's not a day she regrets going into this field.

Dr. Rhodes is also a proud member of Delta Sigma Theta, Inc. She is an advocate for the community and is highly involved with service geared toward teens. When not at work, she enjoys playing and watching sports, spending time with family and friends, enjoys the arts (ballet, tap, jazz, etc), and listening to music and attending performances.

Dr. Rhodes is inspired by those who paved the way for the many opportunities she has been afforded to reach her goals of becoming a physician. "Every dream begins with a dreamer. Always remember, you have within you the strength, patience, and the passion to reach for the stars to change the world." This quote by Harriet Tubman continues to motivate and inspire Dr. Rhodes as she continues to pursue her passion in medicine and the challenges that accompany it.!"

To schedule an appointment with Dr. Rhodes, click here.

Checkup Newsroom showcases even more of the kids health news you search for and expect from our health care system. Our newsroom covers trending topics, interesting tidbits, fresh parenting tips and the latest medical advice from our experts.

questions@checkupnewsroom.com 682-885-4000 801 7th Ave Fort Worth, TX 76104

To receive pediatric news and stories right to your inbox, sign up below.

Copyright © Cook Children's Health Care System | Disclaimer | Non-Discrimination Policy Servicios de asistencia linguistica | Sprachunterstützungsdienst | Services de soutien linguistique | 语言支持服务 | Mga Serbisyo ng Suporta para sa Wika | 言語サポートサービス | 언어 지원 서비스 | Các Dịch vụ Hỗ trợ Ngôn ngữ | भाषा सहायता सेवाहरू | भाषा संबंधी सहायता सेवाएं | ભાષાકીય સહાયતા સેવાઓ | Услуги лингвистического обеспечения | خدمات دعم اللغة | خدمات پشتیبانی از زبان | خدمات برائے لسانی معاونت