Concerns About Accidental Alcohol Ingestion in Toddlers: What to Do?

Infant ingestion accident

My daughter is one year and two months old.
She accidentally got hold of a bottle of alcohol with an unlocked spray nozzle while I was busy at the dining table.
When I noticed, the nozzle was pointed towards her.
I'm not sure if she bit the nozzle and ingested some alcohol, or if it sprayed on her face or eyes.
However, there was a puddle of liquid on the floor next to her chair that smelled like alcohol.
After securing the nozzle, I observed her playing and noticed she was trying to pour the liquid and seemed to want to lick the bottle.
I didn't see her bite or lick the nozzle, which makes me feel a bit more at ease.
😭😭 This has been a lesson for me, and I will immediately store the alcohol safely and not use it around her.
I gave her some water right away and have been observing her.
Is there anything else I should watch for regarding her condition? 🙏🙏 Should I take her to see a doctor?

Hua Hua, 30~39 year old female. Ask Date: 2024/05/17

Dr. Xiao Kaiwen reply Pediatrics

If alcohol accidentally sprays into the eyes, there would likely be a strong irritation, causing immediate crying and distress, so I believe there was no contact with the eyes.
Disinfecting alcohol is also very irritating to the oral cavity and has an unpleasant taste, so if there are no obvious signs of crying, distress, or vomiting, I think it is unlikely that the infant ingested a large amount.
Even if there was some contact in the mouth, it should not lead to significant adverse effects (as long as it is not industrial alcohol containing methanol).
Therefore, I think there is no need to be overly concerned.

Reply Date: 2024/05/17

More Info

Accidental ingestion of alcohol by toddlers is a serious concern, and it's understandable that you are feeling anxious about this incident. Given that your daughter is only 14 months old, it is crucial to take any potential exposure to alcohol seriously. Here’s what you should know and do in this situation.

Immediate Actions to Take
1. Assess the Situation: Since you are unsure whether your daughter ingested any alcohol or just sprayed it on herself, it is essential to monitor her closely. Look for any signs of distress or unusual behavior, such as lethargy, vomiting, or difficulty breathing.

2. Hydration: You mentioned that you gave her water, which is a good step. Keeping her hydrated can help dilute any alcohol that may have been ingested.

3. Observe for Symptoms: Watch for any symptoms of alcohol poisoning, which can include:
- Confusion or stupor
- Vomiting
- Seizures
- Slow or irregular breathing
- Hypothermia (low body temperature)
- Unresponsiveness or difficulty waking up
4. Contact Poison Control: It is advisable to contact your local poison control center for guidance. They can provide specific advice based on the type of alcohol and the amount that may have been ingested.

5. Seek Medical Attention: If you notice any concerning symptoms or if you are still unsure about the situation, it is best to take your daughter to the nearest emergency room or urgent care facility. Medical professionals can perform a thorough evaluation and provide necessary treatment if required.

Prevention for the Future
1. Secure Storage: As you mentioned, it’s crucial to store alcohol and any other potentially harmful substances out of reach of children. Consider using child-proof locks or high cabinets to prevent access.

2. Educate Caregivers: Ensure that anyone who cares for your child is aware of the dangers of alcohol and other hazardous substances. They should also know how to respond in case of an emergency.

3. Childproof Your Home: Beyond alcohol, consider childproofing your home to minimize risks. This includes securing cleaning supplies, medications, and any other items that could pose a danger to your child.

Conclusion
While it’s good that you are monitoring your daughter and have taken steps to ensure her safety, it is always better to err on the side of caution when it comes to potential poisoning. If you have any lingering concerns or if your daughter shows any signs of distress, do not hesitate to seek medical attention. Your child’s health and safety are paramount, and professionals can provide the reassurance and care needed in such situations.

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