Orogastric lavage, or pumping of the stomach, can be considered, but it is generally only helpful if performed within 1 hour of swallowing the pills. Insertion of the tube can cause complications, and many pills may not fit through the ports of a lavage tube if they are not disintegrated. If ingestion of other medications is suspected, the physician may give the child activated charcoal to drink. Activated charcoal does not bind to iron but may be useful in absorbing other medications. Those with symptoms may be ill and require more aggressive treatment.
Iron poisoning can progress through several stages.
A late, or hepatic stage, develops 2-5 days after ingestion. The person may have elevated liver enzymes, possibly ultimately resulting in liver failure. Another late stage involves gastrointestinal scarring. Childproof caps are not a guarantee that children are safe. Educate your children that unknown pills are not candy and can be harmful.