When is gastric lavage contraindicated?

Gastric lavage is contraindicated in patients with an unprotected airway, with ingestions of substances that carry a high risk of aspiration (e.g., hydrocarbons) or that are corrosive, with ingestion of sharp objects, with an underlying pathologic condition that increases the risk of hemorrhage or gastric perforation.

What are the contraindications of gastric lavage?

Contraindications include loss of protective airway reflexes (unless the patient is first intubated tracheally), ingestion of a strong acid or alkali, ingestion of a hydrocarbon with a high aspiration potential, or risk of GI hemorrhage due to an underlying medical or surgical condition.

Is gastric lavage painful?

Does it hurt? The amount of pain felt will vary among patients. More often than feeling pain, a person might feel like they need to gag or start retching. During the procedure, your eyes will probably water, and it will probably be irritating.

What is gastric lavage indication?

Indications. Life-threatening poisoning (or history is not available) and unconscious presentation (eg Colchicine) Life-threatening poisoning and presentation within 1 hour. Life-threatening poisoning with drug with anticholinergic effects and presentation within 4 hours.

How do I wash my stomach?

Gastric lavage involves the passage of a tube (such as an Ewald tube) via the mouth or nose down into the stomach followed by sequential administration and removal of small volumes of liquid. The placement of the tube in the stomach must be confirmed by pH testing a small amount of aspirated stomach contents, or x-ray.

What do you need for gastric lavage?

What equipment is needed to perform gastric lavage for…

  • Nasogastric tube.
  • Ice water.
  • Endotracheal intubation equipment, if airway needs to be protected (see Rapid Sequence Intubation)
  • Y connector.
  • Lavage bag.

What are the complications of gastric lavage?


  • Incomplete decontamination leading to severe intoxication despite the procedure.
  • Pulmonary aspiration.
  • Hypoxia.
  • Laryngospasm.
  • Mechanical injury to the gastrointestinal tract.
  • Water intoxication (especially in children)
  • Hypothermia.
  • Distraction of staff from resuscitation and supportive care priorities.

What are the contraindications for activated charcoal?

When is Activated Charcoal contraindicated?

  • Acid,and Alkalis / corrosives.
  • Cyanide.
  • Ethanol/methanol/glycols.
  • Eucalyptus and Essential Oils.
  • Fluoride.
  • Hydrocarbons.
  • Metals – including Lithium, Iron compounds, potassium, lead.
  • Mineral acids – Boric acid.

Why do doctors knock on your stomach?

Your healthcare provider is trained to examine the human body to help find problems. When your provider presses on your belly, he or she may get clues to possible problems. This exam with the hands gives healthcare providers information about important parts of the body.

What is a stomach wash out?

Gastric lavage, also commonly called stomach pumping or gastric irrigation, is the process of cleaning out the contents of the stomach. Since its first recorded use in early 19th century, it has become one of the most routine means of eliminating poisons from the stomach.

How do you remove gas from your stomach?

Here are some quick ways to expel trapped gas, either by burping or passing gas.

  1. Move. Walk around.
  2. Massage. Try gently massaging the painful spot.
  3. Yoga poses. Specific yoga poses can help your body relax to aid the passing of gas.
  4. Liquids. Drink noncarbonated liquids.
  5. Herbs.
  6. Bicarbonate of soda.
  7. Apple cider vinegar.

Which tablet is best for cleaning stomach?

Bisacodyl is used to treat constipation. It may also be used to clean out the intestines before a bowel examination/surgery. Bisacodyl is known as a stimulant laxative. It works by increasing the movement of the intestines, helping the stool to come out.

When do you need a gastric lavage procedure?

Gastric lavage is usually performed on a patient who has swallowed a significant amount of poison or household chemical like phenyl, over consumed alcohol, and has overdosed on the drug.

How much food should you eat after a gastrectomy?

General Diet Guidelines After Your Gastrectomy After your surgery, your stomach won’t be able to hold as much as it did before surgery. You will need to have 6 or more small meals a day instead of 3 main meals. This will help you eat the right amount of food, even though your stomach is smaller or gone.

Do you have to fast for gastric lavage?

There’s no preparation if it’s an emergency, for it needs to be performed immediately to get rid of the toxins as soon as possible. If it’s a part of the surgery, you may be asked to fast the whole night. Let your doctor know the medicines you are taking as certain drugs need to be stopped before undergoing gastric lavage.

How are toxicants removed from the stomach lavage?

Gastric lavage involves placing a tube through the mouth (orogastric) or through the nose (nasogastric) into the stomach. Toxicants are removed by flushing saline solutions into the stomach, followed by suction of gastric contents. Endotracheal placement (into the trachea and thus into the lungs) of gastric tube