Steam iron cleaner poisoning

The harmful chemicals in steam iron cleaner are:

• Chelating agents
• Hydroxyacetic acid
• Phosphoric acid
• Sodium hydroxide (dilute)
• Sulfuric acid

These are the names of some steam iron cleaners:

• CLR Calcium, Lime & Rust Remover
• Faultless Hot Iron Cleaner
• Lime-A-Way
• Whink Steam Iron Cleaner

This list does not include all steam iron cleaner products.

Below are symptoms of steam iron cleaner poisoning in different parts of the body.

EYES, EARS, NOSE, AND THROAT

• Burns and severe pain in the mouth and throat
• Burns, pain and ulcers of the eyes
• Drooling from burns
• Loss of vision

STOMACH AND INTESTINES

• Blood in the stool
• Burns in the esophagus
• Diarrhea
• Nausea and vomiting, sometimes containing blood
• Severe abdominal pain

HEART AND BLOOD

• Collapse (shock)
• Rapid drop in blood pressure

LUNGS AND AIRWAYS

• Breathing difficulty due to throat swelling
• Burns of the breathing tubes (trachea, bronchi and lung tissue)
• Irritation

NERVOUS SYSTEM

• Coma
• Headache
• Seizures

SKIN

• Burns
• Ulcers in the skin or tissues under the skin
• Irritation

Seek medical help right away. Do not make the person throw up unless poison control or a health care provider tells you to. If the chemical is on the skin or in the eyes, flush with lots of water for at least 15 minutes.

If the person swallowed the cleaner, give them water or milk right away, unless a provider tells you not to. Do not give anything to drink if the person has symptoms that make it hard to swallow. These include vomiting, convulsions, or a decreased level of alertness.

Have this information ready:

• Person's age, weight, and condition
• Name of the product (ingredients, if known)
• Time it was swallowed
• Amount swallowed

The local poison control center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. This national hotline will let you talk to experts in poisoning. They will give you further instructions.

This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.

You can also get online poison help now at Poisonhelp.org. Just enter the product, poison, or medicine to get expert help.

Take the container with you to the hospital, if possible.

The provider will measure and monitor the person's vital signs, including temperature, pulse, breathing rate, and blood pressure. Symptoms will be treated.

Tests that may be done include:

• Blood and urine tests
• Bronchoscopy -- camera placed down the throat to look for burns in the airways and lungs
• Chest x-ray
• Electrocardiogram (ECG)
• Endoscopy -- camera placed down the throat to check for burns in the esophagus and stomach

Treatment may include:

• Breathing support, including tube through the mouth into the lungs and connected to a breathing machine (ventilator)
• Fluids through a vein (by IV)
• Medicine to treat symptoms
• Surgery to remove burned skin (debridement)
• Washing of the skin (irrigation), every few hours or for several days

How well someone does depends on how much steam iron cleaner they swallowed and how quickly they receive treatment. The faster medical help is given, the better the chance for recovery. Steam iron cleaner can cause extensive damage to the:

• Esophagus
• Eyes
• Lungs
• Mouth
• Nose
• Stomach
• Throat

Delayed injury may occur, including a hole forming in the throat, esophagus, or stomach. This can lead to severe bleeding and infection. Surgical procedures may be needed to correct these complications.

If the cleaner gets in the eye, ulcers may develop in the cornea, the clear part of the eye. This can cause blindness.

Chelating agent poisoning; Mineral deposit remover poisoning

Haydock S. Poisoning, overdose, antidotes. In: Brown MJ, Sharma P, Mir FA, Bennett PN, eds. Clinical pharmacology. 12th ed. Philadelphia, PA: Elsevier; 2019:chap 10.

Meehan TJ. Care of the poisoned patient. In: Walls RM, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 135.

Nelson LS, Calello DP. Acute poisoning. In: Goldman L, Cooney KA, eds. Goldman-Cecil Medicine. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 96.

Theobald JL, Corcoran JN. Poisoning. In: Kliegman RM, St. Geme JW, Blum NJ, et al, eds. Nelson Textbook of Pediatrics. 22nd ed. Philadelphia, PA: Elsevier; 2025:chap 94.

Updated by: Jesse Borke, MD, CPE, FAAEM, FACEP, Attending Physician at Kaiser Permanente, Orange County, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.