bismuth poisoning

Symptoms

Symptoms include metallic taste, foul breath, fever, gastrointestinal irritation, a bluish line at the gum margin, ulcerative process of the gums and mouth, headache, and renal tubular damage.

First Aid

The source of bismuth is removed; gastric lavage and/or activated charcoal are given; respiratory support and chelation therapy with British antilewisite (BAL) are provided.