Lead poisoning

Lead poisoning occurs when you absorb too much lead by breathing or swallowing a substance with lead in it, such as paint, dust, water, or food. Lead can damage almost every organ system.

In children, too much lead in the body can cause lasting problems with growth and development. These can affect behavior, hearing, and learning and can slow the child's growth.

In adults, lead poisoning can damage the brain and nervous system, the stomach, and the kidneys. It can also cause high blood pressure and other health problems.

Although it isn't normal to have lead in your body, a small amount is present in most people. Environmental laws have reduced lead exposure in the United States, but it is still a health risk, especially for young children.

You may not notice any symptoms at first. The effects of lead poisoning are easy to miss and may seem related to other conditions. The higher the amount of lead in the body, the more severe the symptoms are.

In children, symptoms can include:

• Damage to the brain and nervous system. Children may be smaller than other kids the same age.
• Behavior problems, such as acting angry, moody, or hyperactive.
• Learning problems.
• Lack of energy, and not feeling hungry.
• Vomiting, constipation, or stomach pain.

In adults, lead poisoning can cause:

• Changes in behavior, mood, personality, and sleep patterns.
• Memory loss and trouble thinking clearly.
• Weakness and muscle problems.
• Headaches.
• Vomiting, constipation, or stomach pain.

Severe cases can cause seizures, paralysis, and coma.

The doctor will ask questions and do a physical exam to look for signs of lead poisoning. If your doctor suspects lead poisoning, your doctor will do a blood test to find out the amount of lead in the blood.

Diagnosing lead poisoning is difficult, because the symptoms can be caused by many diseases. Most children with lead poisoning don't have symptoms until their blood lead levels are very high.

There are screening programs to check lead levels in children who are likely to be exposed to lead. Whether your child needs to be tested depends in part on where you live, how old your housing is, and other risk factors. Talk to your child's doctor about whether your child is at risk and should be screened.

Adults usually aren't screened for lead poisoning unless they have a job that involves working with lead. For these workers, companies usually are required to provide testing.

If you are pregnant or trying to get pregnant and have a family member who works with lead, you may want to ask your doctor about your risk for lead poisoning. But in general, experts don't recommend routine testing for lead in pregnant people who don't have symptoms.

Treatment for lead poisoning includes removing the source of lead, getting good nutrition, and, in some cases, having chelation therapy.

Removing the source of lead.

Old paint chips and dirt are the most common sources of lead in the home. Lead-based paint, and the dirt and dust that come along with it, should be removed by professionals. In the workplace, removal usually means removing lead dust that's in the air and making sure that people don't bring contaminated dust or dirt on their clothing into their homes or other places.

Good nutrition.

Eating foods that have enough iron and other vitamins and minerals may be enough to reduce lead levels in the body. A person who eats a balanced, nutritious diet may absorb less lead than someone with a poor diet.

Chelation therapy.

If removing the lead source and getting good nutrition don't work, or if lead levels are very high, you may need to take chelating medicines. These medicines bind to lead in the body and help remove it.

If blood lead levels don't come down with treatment, home and work areas may need to be rechecked. Call your local health department to see what inspection services are offered in your area.

The best way to avoid lead poisoning is to prevent it. Treatment cannot reverse any damage that has already occurred. But there are many ways to reduce your exposure—and your child's—before it causes symptoms.

• If your child takes medicine to remove lead from their body, have your child take the medicine exactly as prescribed. Call your doctor if you think your child is having a problem with a medicine.
• If your home has lead pipes:
  • Do not cook with, drink, or make baby formula with water from the hot-water tap. Hot water pulls more lead out of pipes than cold water does. (It is okay to bathe or shower in hot water. That's because lead usually does not get into the body through the skin.)
  • Let cold water run for a few minutes before you drink it or cook with it.
  • Buy and use a water filter certified to remove lead.
• Feed your child healthy foods with plenty of iron and calcium. A healthy diet makes it harder for lead to get into the body. Yogurt, cheese, and some green vegetables, such as broccoli and kale, have calcium. Iron is found in meats, leafy green vegetables, raisins, peas, beans, lentils, and eggs. Make sure your child gets phosphorus, zinc, and vitamin C in their diet.

To prevent lead poisoning

• Have your home checked for lead. Call the National Lead Information Center at 1-800-424-LEAD (1-800-424-5323) to learn more and to get a list of resources in your area. Have all home remodeling or refinishing projects done by people who have experience in lead removal or control. Keep your family away from the home during the project.
• Wash your child's hands, bottles, toys, and pacifiers often.
• Do not let your child eat dirt or food that falls on the floor.
• Clean windowsills, door frames, and floors without carpet 2 times a week. Use warm, soapy water on a cloth or mop. Clean rugs with a vacuum that has a HEPA filter, if possible. Steam-clean carpets.
• Take off your shoes or wipe dirt off them before you go into your home.
• Do not scrape, sand, or burn painted wood unless you are sure that it does not contain lead.
• If you know paint has lead in it, do not remove it yourself.
• If you have a hobby that uses lead (such as making stained glass), move your work space away from your home. Wash and change your clothes before you get in your car or go home.

Storing and preparing food to lower the chance of lead poisoning

• If you reuse plastic bags to store food, make sure the printing is on the outside.
• Never store food in an opened metal can, especially if the can was not made in the United States. If there is lead in the metal or the solder, it can be released into the food after air gets into the can.
• Do not prepare, serve, or store food or drinks in ceramic pottery or crystal glasses unless you are sure they are lead-free.