Button Batteries - Neonatal Disorders

What are Button Batteries?

Button batteries are small, disc-shaped batteries commonly found in various household items such as remote controls, hearing aids, toys, and watches. Due to their size and shape, they pose a significant risk when ingested, especially for young children.

Why are Button Batteries Dangerous?

When a button battery is swallowed, it can become lodged in the esophagus, leading to severe and potentially life-threatening injuries. The battery can generate an electric current that produces hydroxide ions, leading to a chemical reaction that can cause tissue damage within two hours. This can result in serious conditions such as esophageal perforation, tracheoesophageal fistula, and even death if not treated promptly.

What are the Symptoms of Button Battery Ingestion?

Symptoms of button battery ingestion can vary, but they often include:
- Difficulty swallowing or refusal to eat
- Drooling
- Vomiting
- Chest pain or discomfort
- Coughing or choking
- Unexplained fever
In some cases, the child may be asymptomatic initially, which can delay diagnosis and treatment, increasing the risk of severe injury.

How is Button Battery Ingestion Diagnosed?

If button battery ingestion is suspected, immediate medical evaluation is necessary. A chest X-ray or abdominal X-ray is typically performed to locate the battery. The X-ray can help determine the size, shape, and exact location of the battery, which is crucial for determining the appropriate treatment.

What Should You Do if a Child Swallows a Button Battery?

If you suspect a child has swallowed a button battery, seek emergency medical care immediately. Do not induce vomiting or give the child anything to eat or drink unless instructed by a healthcare professional. Time is critical, and prompt removal of the battery can prevent serious injuries.

What is the Treatment for Button Battery Ingestion?

The primary treatment for button battery ingestion is the immediate removal of the battery, typically through endoscopy. This procedure should be performed as soon as possible to minimize tissue damage. After removal, the child will require close monitoring for potential complications and may need additional treatments, such as antibiotics or surgery, depending on the extent of the injury.

How Can Button Battery Ingestion be Prevented?

Prevention is key to avoiding the risks associated with button battery ingestion. Here are some preventive measures:
- Keep button batteries out of reach and sight of young children.
- Use devices that require tools to open the battery compartment.
- Dispose of used batteries immediately and properly.
- Educate caregivers and older children about the dangers of button batteries.

What Should Caregivers Know?

Caregivers should be aware of the items in the home that contain button batteries and ensure that these items are stored safely. Additionally, they should know the symptoms of ingestion and the importance of seeking immediate medical attention if ingestion is suspected. Awareness and prompt action can significantly reduce the risk of severe injury or death.

Conclusion

Button batteries pose a significant risk to young children due to their small size and potential for causing severe internal injuries if ingested. Immediate medical attention is crucial for diagnosis and treatment. Prevention through education and proper storage of button batteries can help protect children from these dangerous incidents.

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