Body stuffing - Revision history

Danbot: Strip excess bold

2026-03-22T09:30:22Z

Strip excess bold

Danbot: Expanded with concise EM-focused content: vs body packing, substance-specific toxicity, WBI, management, disposition

2026-03-21T00:37:25Z

Expanded with concise EM-focused content: vs body packing, substance-specific toxicity, WBI, management, disposition

← Older revision		Revision as of 00:37, 21 March 2026
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	==Background==		==Background==
	*Hasty ingestion of illicit substances, usually while ~~running from~~ law enforcement		*Hasty ingestion of illicit substances, usually while fleeing law enforcement
	*Distinct ~~entity~~ from [[~~Body~~ packing]] (~~the~~ deliberate ingestion of ~~usually~~ large ~~amounts of illicit substances~~ for ~~the purposes of~~ smuggling)		*Distinct from [[body packing]] (deliberate ingestion of well-wrapped large quantities for smuggling)
			*Key difference: stuffed packets are '''poorly wrapped''' → higher risk of rupture and acute toxicity
			*Most commonly involves cocaine, heroin, methamphetamine, or cannabis

	==Clinical Features==		==Clinical Features==
			*Often brought by police or EMS; patient may be uncooperative or deny ingestion
			*Symptoms depend on substance and whether packets have ruptured:
	~~==Differential Diagnosis==~~		**'''Cocaine''': agitation, tachycardia, hypertension, hyperthermia, seizures, cardiac arrest
			**'''Heroin/opioids''': altered mental status, respiratory depression, miosis
			**'''Methamphetamine''': similar to cocaine — sympathomimetic toxidrome
			*May be asymptomatic if packets intact

	==Evaluation==		==Evaluation==
			*Vital signs and continuous monitoring
			*[[ECG]]: QRS prolongation and arrhythmias (cocaine), QTc prolongation
			*[[BMP]], [[CBC]]
			*Abdominal X-ray or CT: may visualize packets (sensitivity limited — negative imaging does NOT rule out ingestion)
			*Urine drug screen (positive result does not differentiate recent use from packet leak)
			*Serial observation for developing toxicity

	==Management==		==Management==
			*'''Supportive care''' is mainstay — treat toxicity as it develops
			*'''Whole bowel irrigation''' (GoLYTELY/PEG) if recent ingestion and patient cooperative — 1-2 L/hr until rectal effluent is clear
			*'''Cocaine toxicity''': benzodiazepines for agitation/seizures, avoid beta-blockers (use IV [[nitroglycerin]] or [[phentolamine]] for hypertension); sodium bicarbonate for wide QRS
			*'''Opioid toxicity''': [[naloxone]], titrate to adequate respirations
			*Activated charcoal is generally NOT recommended (poorly wrapped packets, risk of aspiration)
			*'''Surgical retrieval''' is rarely needed (unlike body packing) — consult surgery only if evidence of obstruction or refractory toxicity

	==Disposition==		==Disposition==
			*Observation period: minimum 6-8 hours if asymptomatic
			*Admit: symptomatic patients, evidence of packet rupture, signs of toxicity
			*Discharge: asymptomatic after observation, passed packets, normal vitals and labs
			*Consider social work/legal notification per local protocols

	==See Also==		==See Also==
			*[[Body packing]]
			*[[Cocaine toxicity]]
			*[[Opioid toxicity]]

	==References==		==References==

Mholtz at 22:08, 9 May 2017

2017-05-09T22:08:44Z

← Older revision		Revision as of 22:08, 9 May 2017
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	==Background==		==Background==
			*Hasty ingestion of illicit substances, usually while running from law enforcement
			*Distinct entity from [[Body packing]] (the deliberate ingestion of usually large amounts of illicit substances for the purposes of smuggling)

	==Clinical Features==		==Clinical Features==

Mholtz: Stuffing is a different syndrome than packing - needs separate page

2017-05-09T22:07:01Z

Stuffing is a different syndrome than packing - needs separate page

← Older revision		Revision as of 22:07, 9 May 2017
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	~~#REDIRECT~~[[~~Body packing~~]]		==Background==


			==Clinical Features==


			==Differential Diagnosis==


			==Evaluation==


			==Management==


			==Disposition==


			==See Also==


			==References==
			<references/>

			[[Category:Toxicology]]

Lisayee25: Redirected page to Body packing

2017-05-06T05:01:06Z

Redirected page to Body packing

← Older revision		Revision as of 05:01, 6 May 2017
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	#REDIRECT[[~~Rectal foreign body~~]]		#REDIRECT[[Body packing]]

Rossdonaldson1: Redirected page to Rectal foreign body

2017-02-18T21:20:42Z

Redirected page to Rectal foreign body

New page

#REDIRECT[[Rectal foreign body]]

← Older revision		Revision as of 09:30, 22 March 2026
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	*Hasty ingestion of illicit substances, usually while fleeing law enforcement		*Hasty ingestion of illicit substances, usually while fleeing law enforcement
	*Distinct from [[body packing]] (deliberate ingestion of well-wrapped large quantities for smuggling)		*Distinct from [[body packing]] (deliberate ingestion of well-wrapped large quantities for smuggling)
	*Key difference: stuffed packets are ~~'''~~poorly wrapped~~'''~~ → higher risk of rupture and acute toxicity		*Key difference: stuffed packets are poorly wrapped → higher risk of rupture and acute toxicity
	*Most commonly involves cocaine, heroin, methamphetamine, or cannabis		*Most commonly involves cocaine, heroin, methamphetamine, or cannabis

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	*Often brought by police or EMS; patient may be uncooperative or deny ingestion		*Often brought by police or EMS; patient may be uncooperative or deny ingestion
	*Symptoms depend on substance and whether packets have ruptured:		*Symptoms depend on substance and whether packets have ruptured:
	**~~'''~~Cocaine~~'''~~: agitation, tachycardia, hypertension, hyperthermia, seizures, cardiac arrest		**Cocaine: agitation, tachycardia, hypertension, hyperthermia, seizures, cardiac arrest
	**'''Heroin/opioids''': altered mental status, respiratory depression, miosis		**'''Heroin/opioids''': altered mental status, respiratory depression, miosis
	**~~'''~~Methamphetamine~~'''~~: similar to cocaine — sympathomimetic toxidrome		**Methamphetamine: similar to cocaine — sympathomimetic toxidrome
	*May be asymptomatic if packets intact		*May be asymptomatic if packets intact

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	==Management==		==Management==
	*~~'''~~Supportive care~~'''~~ is mainstay — treat toxicity as it develops		*Supportive care is mainstay — treat toxicity as it develops
	*~~'''~~Whole bowel irrigation~~'''~~ (GoLYTELY/PEG) if recent ingestion and patient cooperative — 1-2 L/hr until rectal effluent is clear		*Whole bowel irrigation (GoLYTELY/PEG) if recent ingestion and patient cooperative — 1-2 L/hr until rectal effluent is clear
	*~~'''~~Cocaine toxicity~~'''~~: benzodiazepines for agitation/seizures, avoid beta-blockers (use IV [[nitroglycerin]] or [[phentolamine]] for hypertension); sodium bicarbonate for wide QRS		*Cocaine toxicity: benzodiazepines for agitation/seizures, avoid beta-blockers (use IV [[nitroglycerin]] or [[phentolamine]] for hypertension); sodium bicarbonate for wide QRS
	*~~'''~~Opioid toxicity~~'''~~: [[naloxone]], titrate to adequate respirations		*Opioid toxicity: [[naloxone]], titrate to adequate respirations
	*Activated charcoal is generally NOT recommended (poorly wrapped packets, risk of aspiration)		*Activated charcoal is generally NOT recommended (poorly wrapped packets, risk of aspiration)
	*~~'''~~Surgical retrieval~~'''~~ is rarely needed (unlike body packing) — consult surgery only if evidence of obstruction or refractory toxicity		*Surgical retrieval is rarely needed (unlike body packing) — consult surgery only if evidence of obstruction or refractory toxicity

	==Disposition==		==Disposition==