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My dog ate 1 hot hands warmer. Not the bag, only about 3/4…

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My dog ate 1...

My dog ate 1 hot hands warmer. Not the white bag, only about 3/4 of the contents. He weighs 100 pounds. Should i make him vomit or do you think he will be ok

Veterinarian's Assistant: I'll do all I can to help. The Expert will know if your dog will be able to digest that. What is the dog's name and age?

Big Boy. He is about 5

Veterinarian's Assistant: Is there anything else the Veterinarian should be aware of about Big?

No he does not have any health problems

Submitted: 6 months ago.Category: Dog
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Answered in 8 hours by:
1/3/2018
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 6 months ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 34,809
Experience: University of California at Davis graduate veterinarian with 45 years of experience
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You're speaking with Dr. Michael Salkin. Welcome to JustAnswer. I'm currently typing up my reply. Please be patient. This may take a few minutes.

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Dog Specialist: Dr. Michael Salkin, Veterinarian replied 6 months ago

I'm sorry that your question wasn't answered in a timely manner. Big Boy should remain safe. Here's a study concerning people who have ingested the contents of these iron-containing hand warmers. People remained well as do dogs when so little had been ingested:

https://www.ncbi.nlm.nih.gov/pubmed/18787994

Abstract

INTRODUCTION:

The use of hand warmers in Hong Kong during cold weather has become increasingly popular. Iron powder is one of the ingredients. We report the first cases of ingestion of hand warmer contents. CARE REPORTS: Four elderly patients ingested the contents of hand warmers. All had no or mild symptoms, one had radiopaque particles in the stomach, two showed transiently increased serum iron concentrations (within the reference range), and all recovered with only supportive care.

DISCUSSION:

These hand warmers contain a mixture of iron powder, activated charcoal, vermiculite, sodium chloride, and water. Iron powder accounts for about 50% of the weight (range 95-120 g). There are no reports of elemental iron or iron oxides ingestion causing iron toxicity and no published data on the absorption, elimination, adverse effects, or toxicities in humans after unintentional ingestion of hand warmer contents. A single oral dose toxicity test of hand warmer contents (2 g/kg) resulted in no toxicity or deaths in ten rats. Ingestions of one hand warmer packet or less can be treated with observation and supportive care as needed.

CONCLUSIONS:

Although this case series is small, the lack of toxicity is consistent with animal studies. It appears unlikely that significant toxicity will occur after the ingestion of one hand warmer packet. The ingestion of larger amounts might lead to iron-related toxicity and may justify more aggressive management. Proper labeling by local distributors may prevent further unintentional ingestions of these non-food products.

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Dog Specialist: Dr. Michael Salkin, Veterinarian replied 6 months ago
Hi,

I'm just following up on our conversation about your pet. How is everything going?

Dr. Michael Salkin
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