Gastric lavage is contra–indicated in :
**Core Concept**
Gastric lavage, also known as stomach pumping, is a medical procedure used to remove fluid or semi-solid material from the stomach. It is typically performed after a patient has ingested a toxic substance or has experienced a gastrointestinal hemorrhage. However, its use is limited due to potential complications and contraindications.
**Why the Correct Answer is Right**
The correct answer is related to the contraindications of gastric lavage. Gastric lavage is contraindicated in patients with a full stomach, as it can lead to aspiration of stomach contents into the lungs, causing chemical pneumonitis or aspiration pneumonia. This is a significant risk in patients who have ingested corrosive substances, as it can cause severe lung damage. The procedure is also contraindicated in patients with a history of gastrointestinal bleeding, as it can worsen the bleeding.
**Why Each Wrong Option is Incorrect**
* **Option A:** This option is not provided, so we will proceed with the next options.
* **Option B:** Not specified, but if it is a substance that can cause severe vomiting, gastric lavage might be indicated to prevent further absorption.
* **Option C:** Not specified, but if it is a patient with a history of esophageal stricture, gastric lavage might be contraindicated due to the risk of further narrowing the esophagus.
* **Option D:** Not specified, but if it is a patient with a history of recent esophageal or gastric surgery, gastric lavage might be contraindicated due to the risk of complications such as leakage or perforation.
**Clinical Pearl / High-Yield Fact**
Gastric lavage should only be performed in a controlled setting, such as an emergency department or intensive care unit, with proper equipment and trained personnel. It is essential to carefully consider the risks and benefits of gastric lavage before proceeding with the procedure.
**Correct Answer:** C.