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What to know about dish soap

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Dish soap contains ingredients that help with hand-washing dishes, household cleaning, and removing oils from the skin. It can also be helpful when treating poison ivy. If swallowed, it can cause nausea, vomiting, or diarrhea. If splashed in the eyes, it can cause eye irritation. Dish soap should not be mixed with other household products as this can produce dangerous fumes.

Prevention Tips

  • Store household cleaning products, including dish soap, securely and out-of-sight of children.

  • Keep household cleaning products in their original labeled containers.

  • Avoid mixing household cleaning products as dangerous fumes could be produced.

This Really Happened

A 62-year-old woman accidentally swallowed dishwater with dish soap in it. She did not have any symptoms at the time. She contacted her poison center and confirmed that she did not have any trouble breathing, trouble swallowing, or mouth irritation. The poison center advised that she did not swallow a toxic amount, discussed what symptoms to look out for, and recommended taking sips of water to dilute the soap. The poison center contacted her the following day and she reported only some nausea, with no vomiting or diarrhea.

What’s in dish soap?

Dish soaps and detergents can have many different ingredients depending on the manufacturer. They are usually made of surfactants, chemical compounds that break down grease. They also contain enzymes that help break down food residue. They often have added colors, perfumes, dyes, and scrubbing agents. Some dish soaps have ingredients that limit the growth of bacteria.  

What can dish soap be used for? 

Dish soap is often used for cleaning a variety of surfaces and household items. Dish soap has also been used for removing oil from wildlife found near oil spills, since it contains ingredients that help remove oil and grease but is still gentle enough to use on skin, hair, feathers, and fur. 

Dish soap and water can be used in emergency rooms to decontaminate or remove harmful substances from the skin. Dish soap has also been known to be abused, by adding it to urine specimens in the hopes of passing a urine drug test. However, this method is not reliable and has resulted in false-positive results for some drugs and false-negative results for others.

What happens if you drink dish soap water?

Drinking dish soap water or dish soap alone will usually result in minor effects. A person may experience nausea, vomiting, or diarrhea after drinking a small amount. Serious effects are less likely to occur when drinking dish soap water since the soap is diluted. Some people have also reported having allergic reactions to dish soap. Additionally, damage to the lungs might occur if choking occurs and the dish soap becomes trapped in the lungs.

What to do if you get dish soap in your eyes.

Most dish soaps can irritate the eye, causing redness or stinging. It is best to find out the specific product involved, as damage to the eye can be caused by strong acid or base ingredients. These strong ingredients are not usually found in dish soaps, but can be found in many household cleaning products. If dish soap gets into the eye, it is best to rinse the eye immediately with water. You can find instructions for eye irrigation here.

Can you mix bleach and dish soap, or vinegar and dish soap?

Mixing cleaning products can be dangerous. When certain products are mixed, they can create a toxic gas. Many dish soaps contain a variety of ingredients. Some of these ingredients can be acidic, while other ingredients can contain bleach and are considered “basic” or “alkaline.” Mixing bleach and an acid (e.g., vinegar) can create chlorine gas while mixing bleach with ammonia (often found in glass cleaners) can create chloramine gas. These fumes can damage the lungs. It is always best to avoid mixing products, including dish soap.

Can you use Dawn dish soap for treating poison ivy?

Poison ivy contains urushiol, which causes an allergic reaction on the skin. This can be painful, with bumps, intense itching, rash, blisters, and redness often occurring. It is important to wash the skin right away after exposure to poison ivy. Carefully wash to ensure that all areas, including those under the fingernails, are cleaned. A dish soap like Dawn can be used to help remove the oil. Soaps and scrubs made specifically for poison ivy, such as Tecnu®, have been shown to be helpful as well.

What should I do if someone swallows dish soap?

If someone swallows dish soap, rinse the mouth with water and take small sips of water. Then, seek expert guidance immediately. Use the online webPOISONCONTROL® tool for help or contact your poison center by phone at 1-800-222-1222. Whether online or by phone, expert guidance is always free, confidential, and available 24 hours a day.

References

Linke D. Chapter 34 Detergents. In: Methods in Enzymology. Vol 463. Elsevier Science & Technology; 2009:603-617. doi:10.1016/S0076-6879(09)63034-2

Jaffee WB, Trucco E, Levy S, Weiss RD. Is this urine really negative? A systematic review of tampering methods in urine drug screening and testing. J Subst Abuse Treat. 2007;33(1):33-42. doi:10.1016/j.jsat.2006.11.008

Burgess JL, Kirk M, Borron SW, Cisek J. Emergency department hazardous materials protocol for contaminated patients. Ann Emerg Med. 1999;34(2):205-212. doi:10.1016/s0196-0644(99)70230-1

Farber E, Wagner R, Prasa D, Plenert B, Stoletzki S, Stedtler U, Hermanns-Clausen M. Gastrointestinal symptoms after oral ingestion of cleansers and cosmetics containing surfactant: results from a prospective multicenter study in Germany. Clin Toxicol. 2012 50(4): 337 (abstract).

Haring RS, Sheffield ID, Channa R, Canner JK, Schneider EB. Epidemiologic Trends of Chemical Ocular Burns in the United States [published correction appears in JAMA Ophthalmol. 2017 Apr 1;135(4):404]. JAMA Ophthalmol. 2016;134(10):1119-1124. doi:10.1001/jamaophthalmol.2016.2645

Wagoner MD. Chemical injuries of the eye: current concepts in pathophysiology and therapy. Surv Ophthalmol. 1997;41(4):275-313. doi:10.1016/s0039-6257(96)00007-0

Sharma A. Ophthalmic Principles. In: Nelson LS, Howland M, Lewin NA, Smith SW, Goldfrank LR, Hoffman RS. eds. Goldfrank's Toxicologic Emergencies, 11e. McGraw Hill; 2019. Accessed August 24, 2023. https://accessemergencymedicine-mhmedical-com.proxygw.wrlc.org/content.aspx?bookid=2569&sectionid=210269260

Livshits Z. DETERGENTS. In: Olson KR, Smollin CG, Anderson IB, Benowitz NL, Blanc PD, Kim-Katz SY, Lewis JC, Wu AB. eds. Poisoning & Drug Overdose, 8e. McGraw Hill; 2022. Accessed July 11, 2023.  https://accessmedicine-mhmedical-com.proxygw.wrlc.org/content.aspx?bookid=3195&sectionid=266329040

Nelson LS, Odujebe OA. Simple Asphyxiants and Pulmonary Irritants. In: Nelson LS, Howland M, Lewin NA, Smith SW, Goldfrank LR, Hoffman RS. eds. Goldfrank's Toxicologic Emergencies, 11e. McGraw Hill; 2019. Accessed July 11, 2023. https://accessemergencymedicine-mhmedical-com.proxygw.wrlc.org/content.aspx?bookid=2569&sectionid=210264279

Froberg B, Ibrahim D, Furbee RB. Plant poisoning. Emerg Med Clin North Am. 2007 May;25(2):375-433.

Stibich AS, Yagan M, Sharma V, Herndon B, Montgomery C. Cost-effective post-exposure prevention of poison ivy dermatitis. Int J Dermatol. 2000 Jul;39(7):515-8.

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