Carbon monoxide poisoning can be a deadly condition. It results from inhaling carbon monoxide gas. Carbon monoxide is produced when gas, wood, charcoal, or other fuel is burned. It often builds up when fuel-burning heating and cooking devices are faulty or not properly vented. A car engine can also produce carbon monoxide, as can cigarette
smoking. Carbon monoxide is an odorless, tasteless, and colorless gas. People can inhale it without knowing.
Once the gas is inhaled, it is easily absorbed through the lungs. Hemoglobin carries oxygen in the blood to the entire body. Carbon monoxide binds tightly with hemoglobin and takes the place of the oxygen. Tissue then becomes starved for oxygen. Brain tissue is very much at risk.
Carbon Monoxide Binding to Hemoglobin
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Inhaling carbon monoxide gas causes carbon monoxide poisoning.
People can be exposed to the gas when fuel-burning appliances are broken or are not vented properly. For instance: If a vent pipe has a hole, carbon monoxide can escape into the house.Using a barbecue grill or camp stove indoors can cause a build-up.Running a car engine with the garage door closed will cause a build-up.
Factors that may increase of your chance of carbon monoxide poisoning include:
Exposure to carbon monoxide through improperly vented or faulty appliancesUse of portable generators, especially after a natural disaster
is a major source of exposureInfantsOlder adultsSmoking—waterpipe tobacco smoking may put you at an even higher riskCold external enviromentBlood, heart, or lung conditions
Symptoms related to carbon monoxide poisoning are usually vague. They can be split into acute and chronic symptoms.
HeadacheRapid heart rateChest painNausea or vomitingShortness of breathDisturbed visionWheezingCoughHoarse voiceLoss of balanceJoint pain
Rapid heart rateHeadacheNumbness and tinglingDisturbed visionLoss of appetiteDisturbed sleepDizziness or vertigoTirednessMemory lossMood disorder and emotional distressDiarrhea and abdominal painReduced sex drive
The doctor will ask about your symptoms and medical history. A physical exam will be done. You will be asked questions about:
Whether symptoms come and goIf anyone else in the household feels illIf you use fuel-burning appliances
Tests may include:
Blood tests—to measure oxygen level and electrolytesCarboxyhemoglobin
test—to help determine the severity of exposure and monitor treatment
Chest x-ray—to determine if
Electrocardiogram—to check the heart's electrical activity and look for signs of heart damage
Move away from the source of the carbon monoxide. Breathe fresh air outdoors. Mild symptoms usually start to resolve after getting away from the gas.
Seek medical care at the closest emergency room. Explain that you think you may have been exposed to carbon monoxide. The doctor will give you oxygen until your symptoms go away and carbon monoxide levels in your blood drop.
Other therapies may include:
Ventilator—to assist in breathing for people in a coma, or who have serious heart or nerve involvementHyperbaric oxygen therapy—a special chamber in which oxygen is given under greater pressure than normal
Avoiding exposure to carbon monoxide is the key to preventing carbon monoxide poisoning. Since the gas has no odor or color, you will not know if it is present. The following suggestions can reduce your risk of exposure:
Have an expert check your fireplace chimney every year. Debris can block vents, causing a build-up of carbon monoxide.Before the start of the heating season, have a professional check that your gas and kerosene appliances are working properly.Make sure all gas and combustion appliances are vented to the outdoors through pipes with no holes.Do not use your gas stove or oven for heating your house.Do not use a barbecue grill, camp stove, or unvented kerosene heater inside your house or tent.Do not use generators or other gasoline-powered engines indoors.Only buy and use equipment that carries the seal of the American Gas Association or the Underwriters' Laboratory.Do not rely exclusively on a carbon monoxide detector. Use one only as backup, in addition to preventive measures. Follow manufacturer's directions for installation and maintenance.Ask a mechanic to check your car's exhaust system every year.Do not run the car in the garage, especially with the door closed. Start the car and take it outside.Do not leave the door from the garage to the house open when the car engine is running.
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Last reviewed December 2013 by Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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