Accidentally Choked on Mouthwash: Risks and Safety Concerns - Internal Medicine

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Accidentally choked on mouthwash?


Hello, doctor.
I have a habit of rinsing my mouth with mouthwash when I get home, but just now my sister startled me, and I accidentally inhaled some mouthwash mixed with tap water while trying to respond.
I would like to know if this accidental inhalation could harm my trachea.
Also, it mentions that it should not be ingested, but would a small amount of accidental ingestion cause any toxicity? I'm a bit worried, so I came to ask you.
Thank you! I used this type of mouthwash: https://ibb.co/TrfWsp3

Hsien, 10~19 year old female. Ask Date: 2021/07/25

Dr. Hong Yuanbin reply Internal Medicine


Hello, accidentally ingesting a small amount of mouthwash or tap water is unlikely to cause significant harm to the body.
If there are no subsequent symptoms, there is no need to worry.
Thank you for your question.

Reply Date: 2021/07/25

More Info


Accidentally choking on mouthwash can understandably cause concern, especially if the product is labeled as non-ingestible. The primary ingredients in many mouthwashes, including the one you mentioned, often contain antiseptic agents like chlorhexidine gluconate and alcohol, which are effective in killing bacteria and freshening breath. However, these substances are not intended for ingestion and can lead to potential health risks if consumed in significant amounts.


Risks of Ingesting Mouthwash
1. Toxicity: While swallowing a small amount of mouthwash may not lead to severe toxicity, it can still cause gastrointestinal discomfort. Symptoms may include nausea, vomiting, and diarrhea. The alcohol content can also irritate the stomach lining, leading to further discomfort.

2. Respiratory Issues: If you choked on the mouthwash, there is a risk of aspiration, where the liquid enters the airway instead of the esophagus. This can lead to coughing, choking, or even aspiration pneumonia, a serious condition that occurs when foreign substances enter the lungs.

3. Chemical Burns: Some mouthwashes contain strong antiseptic agents that can cause irritation or burns to the mucous membranes of the mouth and throat if ingested in larger quantities. If you experience a burning sensation or pain in your throat, it is advisable to seek medical attention.


What to Do After Accidental Ingestion
1. Stay Calm: First and foremost, try to remain calm. Most cases of accidental ingestion of small amounts of mouthwash do not result in severe health issues.

2. Drink Water: If you have swallowed mouthwash, drinking water can help dilute the substance in your stomach and may alleviate some discomfort.

3. Monitor Symptoms: Pay attention to any symptoms that may arise, such as nausea, vomiting, or difficulty breathing. If you experience any severe symptoms, such as persistent coughing, chest pain, or difficulty swallowing, seek medical attention immediately.

4. Consult a Healthcare Professional: If you are unsure about the amount ingested or if you experience any concerning symptoms, it is always best to consult a healthcare professional. They can provide guidance based on your specific situation and the ingredients in the mouthwash.


Conclusion
In summary, while accidentally choking on mouthwash can be alarming, the risks associated with ingesting a small amount are generally low. However, it is crucial to monitor for any adverse symptoms and seek medical advice if necessary. In the future, to avoid such incidents, consider being more mindful when using mouthwash, especially in situations where you might be distracted. If you have ongoing concerns about the safety of mouthwash or its ingredients, discussing these with your dentist or healthcare provider can provide additional reassurance and information.

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