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Updated: Aug 17, 2026

Comparing the Effects of Electronic Cigarette Vapor and Cigarette Smoke in a Novel In Vivo Exposure System
Published on: May 24, 2017
[Accidental ingestion of cigarettes by children]
C V Hulzebos1, C Walhof, T W de Vries
1Academisch Ziekenhuis, Beatrix Kinderkliniek, Groningen.
Insights
Accidental cigarette ingestion in children is usually benign, with vomiting being the most common symptom. Medical observation for four hours is recommended, with supportive care for significant symptoms.
Area of Science:
- Toxicology
- Pediatrics
Context:
- Accidental ingestion of cigarettes and cigarette butts is a common occurrence primarily affecting young children.
- Nicotine, the primary toxic component, is readily absorbed through oral and intestinal mucosa.
Purpose:
- To outline the clinical presentation, management, and outcomes of pediatric nicotine exposure from cigarette ingestion.
- To provide guidance on appropriate medical interventions and observation protocols.
Summary:
- Nicotine absorption and subsequent toxicity depend on the tobacco product's nicotine content and pH.
- Vomiting is the most frequent symptom, typically manifesting rapidly within four hours post-ingestion.
- While potentially toxic, cigarette ingestion in children is generally associated with benign outcomes.
Impact:
- This information aids healthcare providers in managing pediatric cigarette ingestions effectively.
- It emphasizes the importance of observation and supportive care, while advising against unnecessary interventions like induced emesis or routine gastric lavage.
Abstract:
Accidental ingestion of cigarettes (and butts) is mainly seen in young children. Nicotine in tobacco products is easily absorbed by the oral mucosa and intestines; absorption depends on nicotine content and pH of tobacco. Symptoms are caused by the nicotine component and usually develop rapidly (< 4 hours). The most common symptom is vomiting. Although cigarettes are potentially toxic, their ingestion by children is generally benign. Decontamination of the mouth with water may be useful. Induction of emesis is not advised. Gastric lavage is not needed in asymptomatic patients (with an unreliable history) or after vomiting. Children who ingested cigarettes should receive medical observation for four hours after ingestion. Children with significant symptoms should be admitted and eventually treated by supportive care. In symptomatic children or children with a reliable history of ingestion of large quantities who have not vomited gastric lavage with administration of activated charcoal has to be performed. When after vomiting other symptoms persist activated charcoal can be given via a nasogastric tube.
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