Children poisoned with oral iron present with biphasic symptomatology.
Initially gastroenteritis, with vomiting, abdominal pain, and bloody diarrhea followed by shock, weakness, and dyspnea.
The second phase preceded by apparent recovery is characterized by severe metabolic acidosis, coma, and death.
Emergency treatment is necessary to preserve life.
The residual tabs in the gut is flushed out by whole bowel irrigation using polyethylene glycol electrolyte solution; circulating iron is chelated and it's excretion enhanced by deferoxamine
Finally, appropriate supportive measures including arresting gastrointestinal bleeding, metabolic acidosis, and shock is beneficial.
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