Botulism

Also called Food-borne botulism, Wound botulism, or Infant botulism

Botulism is a rare, serious illness caused by a toxin made by Clostridium botulinum bacteria. The toxin attacks the nerves and causes weakness that spreads down the body. It can come from food that has been badly canned or preserved at home, from infected wounds, or in babies from swallowing spores, for example in honey.

Last updated Nov 9, 2026

What it is

It is a medical emergency. Treatment in hospital with antitoxin and support for breathing saves lives, and most people recover fully, though recovery can take weeks or months.

Babies under 12 months should not be given honey. Home-canned and preserved foods should be prepared carefully.

Common signs

  • Drooping eyelids and blurred or double vision
  • Slurred speech and difficulty swallowing
  • Weakness that spreads downwards
  • Difficulty breathing
  • In babies: constipation, weak cry and floppiness

How it is usually diagnosed

  • Diagnosis is based on symptoms; treatment starts before tests come back
  • Blood, stool or food samples tested for the toxin

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Hospital discharge summary
  • Test results
  • Rehabilitation notes

Questions to ask your doctor

  • Where did the toxin likely come from?
  • Should anyone else who ate the same food be checked?
  • What will recovery look like?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Drooping eyelids, double vision, difficulty swallowing or breathing, especially after eating home-preserved food: call 112

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources