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Caustic Ingestion — RACP Paediatrics MCQ

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ModerateGastroenterologyCaustic IngestionRACP Paediatrics

A 5-year-old presents with a history of ingesting a caustic household cleaning product 2 hours ago. He has drooling, dysphagia, and oral burns. What should NOT be done?

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Correct answer: B — Induce vomiting or perform gastric lavage

Caustic ingestion: vomiting and gastric lavage are absolutely contraindicated as re-exposure of the oesophagus to the caustic agent worsens injury. Urgent endoscopy within 12-24 hours assesses the degree of oesophageal injury. Activated charcoal is also contraindicated.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Caustic Ingestion