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Home
What is botulism?
Why does Alaska have more botulism?
What are the symptoms?
What causes botulism?
Who can get botulism?
What treatment is available?
How can you protect your family from getting botulism?
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What are the symptoms?
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What does it feel like to have botulism?



"
My worst fear when I had 
botulism was not getting back
to normal because the vision
was really bad, and my throat
was really tight. My whole body
felt really weak.  I was afraid that
I would not be able to lift my newborn baby again
."

Photo of Marie
Marie
Botulism survivor

"I didnt know what was happening. I had blurred vision and diarrhea and
was thirsty, and the sun seemed hazy even though
it was in the afternoon.
If wed had it worse, we
would have been dead,
from botulism, thats the biggest worry."

Photo of Joe and Lucy
Joe and Lucy
Botulism survivors


What is paralysis?

Animation of how posion flows through the body causing paralysis

Botulism poison, which is also called toxin, attacks the nerves and makes muscles weak and difficult to move.  This is called paralysis. 

The paralysis starts with the head and moves down to the arms and legs.
 

This animation is programmed to repeat 8 times. 
 Refresh your browser to restart animation.

 

 



Because botulism poison causes paralysis, there
can be problems with:

bullet Seeing
bullet Speaking
bullet Swallowing
bullet Breathing

Graphic of man

If patient's breathing muscles stop working, they will need a
breathing machine and will be hospitalized for weeks or months,
or they could die.


What are the symptoms?

Photo of person with blurry vision
Blurry vision

Photo of person with double vision
Double vision

Photo of person with drooping eyelids
Drooping eyelids

Photo of person with dry mouth
Dry mouth

Photo of person with trouble swallowing
Trouble swallowing

Photo of person with slurred vision
Slurred speech

Photo of person with trouble breathing
Trouble breathing

Photo of person with muscle weakness
Muscle  weakness


Symptoms include
bullet Blurry vision
bullet Double vision
bullet Drooping eyelids
bullet Dry mouth
bullet Trouble swallowing
bullet Slurred speech
bullet Trouble breathing
bullet Muscle weakness on both sides of the body, starting at the head and going down to the shoulders, arms, hands, then down to the legs and feet
 
Many people also have
bullet Nausea
bullet Vomiting
bullet Stomach ache 
bullet Diarrhea

Fever is not a symptom of botulism.

Photo of person with other problems



When do symptoms usually begin?

Photo of clock and a calendar indicating when symptons usually begin

Symptoms usually 
begin

18 to 36 hours 
after eating food containing the botulism poison

Symptoms can show up
as early as 

6 hours or as late as 10 days, depending on how much
poison is in the food


Can botulism be treated?
Prompt, quick medical attention can save somebodys life. The sooner people seek medical care, the sooner the botulism disease can be diagnosed and treated.
 

Photo of Anna Merlino  
Anna Merlino   
Community Health Practitioner  
Koliganek, Alaska   

"Usually when we get a scare
of botulism, we come to the 
patient's house and check them.  
If we suspect botulism, we ask for 
the foods that they ate, and we 
ask if anybody else in the house had eaten the same food. If anyone has eaten the same food, then everybody should be checked."
 



"The reason for seeing the
 health aide early on in the
 symptom process is because
she will make a determination
 whether its likely you have
 botulism. There are some
 medications that can be
given that will slow or stop
the progression of the
toxin in your body."

   Photo of Dan O'Connell, MD
Dan O'Connell, MD
Physician, Kanakanak Hospital
Dillingham, Alaska

Photo of Gina Carpenter, RN
Gina Carpenter, RN
   
Nurse, Kanakanak Hospital  
Dillingham, Alaska  

"It is always important to keep 
in mind that the more you know, 
the more you can benefit yourself 
and your family. Things like knowing what the signs and symptoms of botulism are could make the 
difference in someones life."

In the past, about 5 people each year would get botulism. But since about 1985, the number of cases each year has increased. There are probably a number of reasons for this increase. First, doctors and other health care providers may be better at recognizing the symptoms of botulism, so we may be finding more people with mild cases that were not recognized in the past.

A second reason for the increased number of botulism cases is that people are now using plastic or glass containers more often to ferment foods. These types of containers do not allow air to circulate and create an ideal situation for the botulism germs to make their poison. Because there are more people using plastic or glass containers to prepare fermented foods, there may be more people getting sick with botulism.

Remember
bullet Botulism makes muscles weak and difficult to move.
bullet The paralysis starts at the head and moves down to the arms and legs, which causes problems with seeing, speaking, swallowing, and breathing.
bullet Many people also have nausea, vomiting, stomach ache, or diarrhea.
bullet The earlier you recognize the symptoms, and the earlier you receive medical treatment, the better your chances of surviving this deadly disease.
 


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This page last reviewed: October 24, 2001
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