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October 13, 2008 SEARCH drSpock 
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Dr. Lynn Cates
Specializing in pediatric infectious diseases and childhood immunizations.
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Daughter Put Her Hand in the Toilet and then Her Mouth
QUESTION
Dear Dr. Cates,
My daughter put her hand in the toilet, and then put it in her mouth. Will she get sick?

— Frustrated Dad in W.VA

ANSWER
June 22, 2001
Dear Frustrated Dad,
Although I would never go so far as to call toilet water the beverage of choice for toddlers, it is highly unlikely that your daughter will get sick from putting a little in her mouth--particularly if it came from a toilet in your own home. If that is the case, she is likely to have had close contact--and therefore developed some immunity to--the germs on other family members' bodies. If your daughter was on vacation in a developing country and pulled the same trick, I would be much more concerned because there is a higher rate of gastrointestinal germs that she probably has not encountered.

Although we go to great lengths to avoid knowingly eating germs--and drinking toilet water--fortunately the saliva in our mouths is equipped with antibodies and other substances that help kill the vast majority of organisms we eat before they have a chance to make us sick. In addition, stomach acid gets most of the germs that survive our saliva.

This episode is a good reminder that the bathroom is a place where young children can get into a lot of trouble. I am relieved that your inquisitive daughter reached in to touch the water and didn't fall in headfirst. In developed countries like the United States, drowning poses a much greater risk to children than bathroom germs. You can look on this adventure as a great reminder to childproof your bathroom--as well as do a safety check of the rest of your house and yard.

— by Lynn Cates, M.D., F.A.A.P.

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