Why it's dangerous
When zinc-containing objects enter the acidic stomach environment, the metal breaks down and is absorbed into the bloodstream, leading to the destruction of red blood cells and potential organ failure.
Toxic compound: Zinc
How vets treat it
The vet takes X-rays to find the object, though zinc poisoning is still possible when none shows up, and runs blood tests. Until the object comes out, the vet may give an acid reducer such as famotidine to cut zinc absorption. Activated charcoal isn't used, because it doesn't bind zinc. Removing the object is critical: the vet takes it out with an endoscope (a camera tube passed through the mouth) or by surgery, and in a dog with no signs that swallowed a penny recently, making it vomit may bring the penny up. X-rays afterwards check that every piece is out. Care can include a drip (IV fluids), anti-nausea medicine, stomach protectants for 5 to 7 days in a dog without signs or 14 to 21 days in a dog with signs, and blood transfusions for anemia, with blood tests every 24 hours at first to watch the liver and kidneys. In a study of 55 dogs, 67.3% needed blood products. Chelation, a treatment that binds zinc, is controversial because it can also increase zinc absorption from the gut while metal is still there. Vets consider it only if a dog isn't recovering as expected after the object is removed.
Outlook
With early diagnosis and treatment, the outlook is usually good, according to the Merck Veterinary Manual. In a study of 55 dogs poisoned by swallowed metal objects, 45 (81.8%) survived and 10 died or were euthanized, and the median hospital stay was 3 days. Most dogs (83%) reached a stable red blood cell level a median of 24 hours after the object was removed. Dogs can still die from anemia or kidney failure even after the penny is removed, and recovery can take several days to weeks of supportive care. The outlook depends on how severe the signs are and how your dog responds to treatment.
Where pets are exposed
- Coins. Most cases of zinc poisoning in pets come from dogs swallowing pennies. US pennies minted after 1982 have a zinc core under a copper plating: they contain 97.5% zinc, about 2,440 mg of zinc per penny. In a study of 55 dogs poisoned by swallowed metal objects, US pennies minted after 1982 were the most common source (67.3%). The Merck Veterinary Manual adds that other coins in circulation around the world also contain zinc, without naming them.
- Zinc oxide creams and lotions: diaper rash creams (such as Desitin), sunscreens and calamine lotion. Zinc oxide is a less toxic form of zinc, and the Merck Veterinary Manual rates swallowing a cream once as a low risk that rarely causes more than stomach upset, depending on the amount.
- Throat lozenges, some dietary supplements, anti-dandruff shampoos, deodorants and mouthwash, which may contain forms of zinc that Pet Poison Helpline describes as more toxic than zinc oxide. The Merck Veterinary Manual rates a one-time swallow of zinc lozenges or supplements as a low risk that typically causes stomach upset.
- Metal hardware: nuts, bolts, nails, screws, staples, wire and anything galvanized (coated with zinc to stop rust). A cat was poisoned by a nut made mostly of zinc, from a screw used in flat-pack furniture. Zinc is also found in car parts, some soldering products and newer batteries.
- Game pieces, toys and small household items: many-sided game dice, older board game pieces, toys, zippers, jewelry, undergarment hooks, and zinc-coated garland and tinsel.
Prevention
- Keep coins in a closed purse, jar or drawer, and pick up any that fall on the floor.
- Store nuts, bolts, screws and other small hardware, including the parts that come with flat-pack furniture, where pets can't get them.
- Pick up game pieces and dice, jewelry, hair ties and other small objects your pet could swallow.
- Keep diaper rash creams, sunscreens and other zinc oxide products closed and out of reach. A dog can squeeze a tube empty without piercing it.
- Ask your vet before putting a zinc oxide cream on your pet. In one reported case, a Maltese developed anemia after its owners applied a 'max strength' 40% zinc oxide diaper cream to it every day for a week.
Good to know
Ingestion of even a single zinc penny can be fatal without therapy; common sources include galvanized hardware and diaper rash creams containing zinc oxide.
Common questions
My dog swallowed a penny. What should I do?
Call your vet or a pet poison line now, even if your dog seems fine. Pet Poison Helpline says even one US penny could be toxic for a dog, and that a pet that may have swallowed a coin needs an X-ray right away. Removing the penny is critical, according to the ASPCA: the vet takes it out with an endoscope or by surgery, and in a dog with no signs, making it vomit soon after it swallowed the penny may work. Don't give activated charcoal: it doesn't bind zinc.
Why does a swallowed coin or piece of metal have to come out?
Stomach acid releases zinc from the metal, and the longer the object stays in the stomach, the more zinc is absorbed. A penny may sit in the stomach for a long time and keep releasing zinc, and it can take days for that zinc to cause signs. Removing the object is the core of treatment. Drugs that bind zinc (chelation) are controversial, partly because they can increase zinc absorption from the gut while metal is still there.
Is zinc oxide diaper rash cream toxic to dogs?
It is less dangerous than swallowed metal, but call your vet. The Merck Veterinary Manual rates swallowing a zinc oxide cream once as a low risk that rarely causes more than stomach upset. Pet Poison Helpline says zinc poisoning from diaper cream is very rare, because the zinc oxide content is typically low and most pets vomit the cream up on their own. Poisoning has happened with longer exposure: in one dog, swallowed hair ties held cream in its stomach for several days, and in another, a 'max strength' 40% cream applied to it every day for a week caused anemia. Both dogs recovered.
Is every swallowed coin dangerous?
Not every coin causes zinc poisoning, but call your vet whatever the coin. Pet Poison Helpline says some coins pass in the stool a few days later without causing poisoning, while others contain large amounts of zinc, and it advises an X-ray right away for any pet that may have swallowed a coin. The sources we checked focus on US pennies minted after 1982, which contain 97.5% zinc. The Merck Veterinary Manual adds that other coins in circulation around the world also contain zinc, without naming them.
Can cats get zinc poisoning?
Yes, though reports in cats are scarce, possibly because cats are choosier about what they eat. In a published case, a cat swallowed a zinc nut from flat-pack furniture and developed vomiting, loss of appetite, weight loss and anemia, with signs of liver and pancreas involvement. It recovered after the nut was removed with an endoscope. The toxic dose of zinc metal in cats hasn't been established, so call your vet if your cat may have swallowed a coin or a piece of metal.
Sources
- Merck Veterinary Manual — Zinc Toxicosis in Animals
- ASPCA Animal Poison Control Center — Toxicology Brief: Zinc toxicosis from penny ingestion in dogs (Veterinary Medicine, 2002)
- Pet Poison Helpline — Zinc
- Pet Poison Helpline — Zinc Poisoning
- Pet Poison Helpline — Diaper Cream and Hair Ties: A Poisonous Combination (Toxin Tails)
- Journal of Veterinary Emergency and Critical Care (via PubMed, PMID 37846884) — Henke CS, Beal MW, Walton RAL, et al. Retrospective evaluation of the clinical course and outcome of zinc toxicosis due to metallic foreign bodies in dogs (2005-2021): 55 cases (2023, abstract)
- Journal of Veterinary Emergency and Critical Care (via PubMed, PMID 34450683) — Ambar N, Tovar T. Suspected hemolytic anemia secondary to acute zinc toxicity after ingestion of 'max strength' (zinc oxide) diaper rash cream (2022, abstract)
- JFMS Open Reports (via PubMed Central, PMC9685144) — Yu J, Jenkins E, Podadera JM, et al. Zinc toxicosis in a cat associated with ingestion of a metal screw nut (2022)
- Pet Poison Helpline
This page is informational and is not veterinary advice. If your pet has been exposed to something risky, contact your vet or an animal poison control line right away.