Poisoning - fish and shellfish


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Alternative Names

Fish poisoning; Dinoflagellate poisoning; Seafood contamination; Paralytic shellfish poisoning; Ciguatera poisoning


Home Treatment

Shellfish Poisoning may be a medical emergency. With sudden or significant symptoms, the person should be taken immediately to an emergency medical facility. You may need to call the local emergency number (such as 911) or Poison Control for appropriate treatment information


Before Calling Emergency

Determine the following information:

  • Patient's age, weight, and condition
  • Type of fish eaten
  • Time it was eaten
  • Amount swallowed

Poison Control, or a local emergency number


The National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions.

This is a free and confidential service. All local poison control centers in the U.S. use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.

See National Poison Control center.


What to expect at the emergency room

If you have Ciguatera poisoning, you may receive:

  • Medicines to stop vomiting
  • Fluids by IV (to replace fluids lost from vomiting and diarrhea)
  • A medication called Mannitol to help reduce neurological symptoms

If you have Scombroid poisoning, you may receive:

  • An antihistamine medication, such as diphenhydramine (Benadryl)
  • Fluids by IV (to replace fluids lost from vomiting and diarrhea)
  • Medicines to stop vomiting
  • Medicines to treat severe allergic reactions (if needed)
  • Breathing tube (in rare cases)

If you have shellfish poisoning, you may receive:

  • Medicines to stop vomiting
  • Fluids by IV (to replace fluids lost from vomiting and diarrhea)

If shellfish poisoning causes paralysis, you may have to remain in the hospital until your symptoms improve.


Expectations (prognosis)

Fish and shellfish poisonings occur on occasion in the United States. You can protect yourself by avoiding fish and seafood caught in and around the areas of a known red tide, and by avoiding clams, mussels, and oysters during the summer months. If you are poisoned, your long-term outcome is usually quite good. Scombroid Poisoning symptoms usually only last for a few hours after medical treatment has begun. Ciguatera Poisoning and the various Shellfish Poisoning symptoms may last from days to weeks depending on the severity of the poisoning. Only very rarely have serious outcomes or death occurred.

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