Hydrogen Peroxide Induced Colitis: A Case Report and Literature Review

Constipation is a common condition. Hydrogen peroxide enemas have rarely been reported as a home remedy for constipation in the pediatric age group. We present a case report and literature review of hydrogen peroxide induced colitis in pediatric siblings, aged 2 years and 9 years. The siblings prese...

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Main Authors: Dushyant Pawar, Anna Calara, Roy Jacob, Nancy Beck, Alan N. Peiris
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2017/6432063
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author Dushyant Pawar
Anna Calara
Roy Jacob
Nancy Beck
Alan N. Peiris
author_facet Dushyant Pawar
Anna Calara
Roy Jacob
Nancy Beck
Alan N. Peiris
author_sort Dushyant Pawar
collection DOAJ
description Constipation is a common condition. Hydrogen peroxide enemas have rarely been reported as a home remedy for constipation in the pediatric age group. We present a case report and literature review of hydrogen peroxide induced colitis in pediatric siblings, aged 2 years and 9 years. The siblings presented with vomiting and bloody diarrhea an hour following the enema. Physical exam, vital signs, blood, and electrolyte counts were normal, but CT scans showed mucosal thickening of the rectum and colon. Their symptoms resolved after oral intake was curtailed and fluids were replaced intravenously. We discuss existing reports of complications from hydrogen peroxide enemas. Patients may present with abdominal pain and bloody diarrhea. Onset of symptoms varied from minutes to a day and bowel ulceration with necrosis and perforation has occurred, although fatality is rare. Diagnostic tests included computed tomography (CT) scan, sigmoidoscopy, or biopsy. Recovery period ranged from 3 days to 8 months. Public education regarding the dangers of hydrogen peroxide enemas is needed.
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series Case Reports in Gastrointestinal Medicine
spelling doaj-art-57062cc3453543e08d2252cbed66a7792025-02-03T01:11:01ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362017-01-01201710.1155/2017/64320636432063Hydrogen Peroxide Induced Colitis: A Case Report and Literature ReviewDushyant Pawar0Anna Calara1Roy Jacob2Nancy Beck3Alan N. Peiris4School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USASchool of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USADepartment of Radiology, University Medical Center, Lubbock, TX, USADepartment of Pediatrics, Texas Tech University Health Sciences Center, Lubbock, TX, USADepartment of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USAConstipation is a common condition. Hydrogen peroxide enemas have rarely been reported as a home remedy for constipation in the pediatric age group. We present a case report and literature review of hydrogen peroxide induced colitis in pediatric siblings, aged 2 years and 9 years. The siblings presented with vomiting and bloody diarrhea an hour following the enema. Physical exam, vital signs, blood, and electrolyte counts were normal, but CT scans showed mucosal thickening of the rectum and colon. Their symptoms resolved after oral intake was curtailed and fluids were replaced intravenously. We discuss existing reports of complications from hydrogen peroxide enemas. Patients may present with abdominal pain and bloody diarrhea. Onset of symptoms varied from minutes to a day and bowel ulceration with necrosis and perforation has occurred, although fatality is rare. Diagnostic tests included computed tomography (CT) scan, sigmoidoscopy, or biopsy. Recovery period ranged from 3 days to 8 months. Public education regarding the dangers of hydrogen peroxide enemas is needed.http://dx.doi.org/10.1155/2017/6432063
spellingShingle Dushyant Pawar
Anna Calara
Roy Jacob
Nancy Beck
Alan N. Peiris
Hydrogen Peroxide Induced Colitis: A Case Report and Literature Review
Case Reports in Gastrointestinal Medicine
title Hydrogen Peroxide Induced Colitis: A Case Report and Literature Review
title_full Hydrogen Peroxide Induced Colitis: A Case Report and Literature Review
title_fullStr Hydrogen Peroxide Induced Colitis: A Case Report and Literature Review
title_full_unstemmed Hydrogen Peroxide Induced Colitis: A Case Report and Literature Review
title_short Hydrogen Peroxide Induced Colitis: A Case Report and Literature Review
title_sort hydrogen peroxide induced colitis a case report and literature review
url http://dx.doi.org/10.1155/2017/6432063
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