Register
Toxic substances: dog and cat
Metals and objects

Button (disc) batteries

lithium coin cells, alkaline batteries

A professional reference for veterinary specialists. It does not replace clinical judgement.

If an animal has ingested this, contact a veterinarian immediately.

Species and toxic dose

SpeciesRiskToxic dose
Dog Toxic Not established in the open sources
Cat Toxic Not established in the open sources

Toxic principle

A disc battery lodged in the oesophagus burns tissue by electrical current even when intact; a chewed or leaking alkaline battery releases potassium hydroxide (deep liquefactive necrosis). Obstruction is possible.

Onset

Ulcers within 1-2 hours; the full extent of injury by up to 24 hours; the perforation risk peaks 3-14 days later; strictures at 4-6 weeks.

Clinical signs

Drooling, difficulty swallowing, grey-white or red oral burns, vomiting, pain in the mouth or abdomen, stridor, dyspnoea, loss of appetite.

Organs affected

Mouth, oesophagus, stomach and intestine; trachea if inhaled.

Treatment principle (for veterinarians)

Radiograph the neck, chest and abdomen. Endoscopic removal from the oesophagus, and of any leaking battery. Activated charcoal is not indicated. Omeprazole and sucralfate, opioid analgesia, no NSAIDs; antibiotics for ulceration; a feeding tube if needed. Emesis is contraindicated with corrosive (leaking) contents; for an intact battery already in the stomach the decision rests with the veterinarian.

A summary of the principles in the sources, not a protocol: doses and the plan are the treating veterinarian's decision.

Sources

All of this shows in vetman as you prescribe

The dose for the patient's weight, registration in Georgia and controlled status, right on the prescription.