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Outlook

Full recovery is likely for children (or adults) who show no symptoms for at least 6 hours after swallowing pills. Those with symptoms may be ill and require more aggressive treatment.

• Iron poisoning can progress through several stages. A late, or hepatic stage, develops 2-5 days after ingestion. The person may have elevated liver enzymes, possibly ultimately resulting in liver failure.

• Another late stage involves gastrointestinal scarring. Some 4-6 weeks after ingestion, the final stage manifests with early satiety (fullness after eating) or nausea from GI scarring and obstruction.