Swallowed or Inhaled Objects
Swallowed or Inhaled ObjectsSkip to the navigationTopic OverviewWhen you swallow food, liquid, or an object, what is
swallowed passes from your mouth through your throat and
esophagus into your stomach. A swallowed object will
usually pass through the rest of your
digestive tract without problems and show up in your stool in a few days. If food
or a nonfood item gets stuck along the way, a problem may develop that will
require a visit to a doctor. Sometimes when you try to swallow, the
swallowed substance "goes down the wrong way" and gets inhaled into your
windpipe or lungs (aspirated). This occurs most often in children who are
younger than 3 years and in adults who are older than age 50. When you
inhale a substance, coughing is a normal reaction of the body to clear the
throat and windpipe. The cough is helpful and may clear up the problem.
Inhaling a substance into your lungs can cause a lung inflammation and
infection (aspiration pneumonia). The situation may
be more serious when: - Signs of choking (complete airway
obstruction) are present. When the windpipe is blocked, air cannot move in and
out of the lungs and the person cannot talk, cry, breathe, or cough. A blocked windpipe is a
life-threatening emergency.
- Signs of a
partially blocked windpipe are present. When the
windpipe is partially blocked, some air can still move in and out of the lungs.
The person may gag, cough, or have trouble breathing. Coughing will often pop out the food or object and relieve the symptoms. The
choking rescue procedure is not recommended when the
windpipe is partially blocked.
- An
object is stuck in the esophagus.
- A
poisonous object has been swallowed, such as a wild mushroom, a plant, or a chemical. For more information, see the topic
Poisoning.
- A
button disc battery, magnet, or object with lead has been swallowed.
- A
swallowed object doesn't show up in the stool within 7 days.
About 80% to 90% of swallowed objects, like chewing gum, are harmless and pass through the
gastrointestinal tract without problems. But some types of objects can
cause more serious problems when they are swallowed. These include: - Sharp objects, such as open safety pins, bones,
toothpicks, needles, razor blades, or broken thermometers.
- Long
objects.
- Large objects that may get stuck in the digestive
tract and require removal.
Your doctor may recommend tests such as an
X-ray,
endoscopy, or
barium swallow to help find the object if it doesn't
come out in the stool, or if an inhaled object is not coughed out. See an
X-ray of a swallowed object. A special metal detector (not the same kind that
people use in their yards) might be used to locate a metallic object, such as a
coin, inside the body. Your doctor may then recommend a procedure to remove the
object or may simply encourage you to continue to check the stool for the
passage of the object. Check your symptoms to
decide if and when you should see a doctor. Check Your SymptomsHave you swallowed or inhaled an object? Yes Swallowed or inhaled object No Swallowed or inhaled object How old are you? Less than 12 years Less than 12 years 12 years or older 12 years or older Have you swallowed or inhaled something that might be poisonous? Yes Ingested known or suspected poison No Ingested known or suspected poison Did you pass out completely (lose consciousness)? If you are answering for someone else: Is the person unconscious now? (If you are answering this question for yourself, say no.) Are you back to your normal level of alertness? After passing out, it's normal to feel a little confused, weak, or lightheaded when you first wake up or come to. But unless something else is wrong, these symptoms should pass pretty quickly and you should soon feel about as awake and alert as you normally do. Yes Has returned to normal after loss of consciousness No Has returned to normal after loss of consciousness Did the loss of consciousness occur during the past 24 hours? Yes Loss of consciousness in past 24 hours No Loss of consciousness in past 24 hours Are you having trouble breathing (more than a stuffy nose)? Yes Difficulty breathing more than a stuffy nose No Difficulty breathing more than a stuffy nose Would you describe the breathing problem as severe, moderate, or mild? Severe Severe difficulty breathing Moderate Moderate difficulty breathing Mild Mild difficulty breathing Have you swallowed an object that was sharp (like a toothpick, pin, bone, or needle) or long? Long means at least 2 in. (5 cm) for adults and older children and at least 1.25 in. (3 cm) for babies and young children. Yes Swallowed sharp or long object No Swallowed sharp or long object Do you have pain in your throat, chest, or belly after swallowing or inhaling an object? Yes Pain in throat, chest or belly since swallowing or inhaling object No Pain in throat, chest or belly since swallowing or inhaling object How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine? 8 to 10: Severe pain Severe pain 5 to 7: Moderate pain Moderate pain 1 to 4: Mild pain Mild pain Have you had mild pain for more than an hour? Yes Mild pain for more than 1 hour No Mild pain for more than 1 hour Within the past 2 days, did an object get caught in your throat and cause you to choke? Yes Choking episode within past 2 days No Choking episode within past 2 days Are you coughing or wheezing? Yes Coughing or wheezing now No Coughing or wheezing now Are you coughing up blood? This means blood that is coming up from your chest or throat. Blood that is draining down from your nose into your throat (because of a nosebleed, for example) is not the same thing. Were back blows or the Heimlich maneuver used to dislodge the food or object from the throat? Yes Back blows or Heimlich maneuver was used No Back blows or Heimlich maneuver was used Are you gagging or having trouble swallowing? Yes Gagging or having trouble swallowing No Gagging or having trouble swallowing Are you drooling and not able to swallow? Yes Drooling and unable to swallow No Drooling and unable to swallow Do you think an object may be stuck in your throat? Yes Feels like object is stuck in throat No Feels like object is stuck in throat Have you vomited blood or what looks like coffee grounds? If there is only a streak or two of blood that you are sure came from your nose or mouth, you are not vomiting blood. Yes Has vomited blood or what looks like coffee grounds No Has vomited blood or what looks like coffee grounds Have you vomited more than once? Yes Vomited 2 or more times No Vomited less than 2 times Has it felt like something has been stuck in your throat for more than 30 minutes? Yes Object in throat for more than 30 minutes No Object in throat for more than 30 minutes Have you had any changes in your bowel movements after swallowing an object? Yes Changes in bowel movements after swallowing an object No Changes in bowel movements after swallowing an object Have you had: At least 1 stool that is mostly black or bloody? At least 1 stool mostly black or bloody At least 1 stool that is partly black or bloody? At least 1 stool partly black or bloody Streaks of blood in your stool? Streaks of blood in stool Have you swallowed a coin? Did you swallow the coin more than 24 hours ago? Most coins pass through the body without a problem in 24 hours. If you don't pass the coin in this time frame, it's best to follow up with your doctor. Yes Swallowed coin more than 24 hours ago No Swallowed coin more than 24 hours ago Has the coin passed out of your body in your stool? Yes Coin has passed out of body in stool No Coin has passed out of body in stool Do you still have concerns more than a week after swallowing an object? Yes Concerns about object swallowed more than 1 week ago No Concerns about object swallowed more than 1 week ago Many things can affect how your body responds to a symptom and what kind
of care you may need. These include: - Your age. Babies and older
adults tend to get sicker quicker.
- Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart
disease, you may need to pay closer attention to certain symptoms and seek care
sooner.
- Medicines you take. Certain
medicines, herbal remedies, and supplements can cause symptoms or make them
worse.
- Recent health events, such as surgery
or injury. These kinds of events can cause symptoms afterwards or make them
more serious.
- Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug
use, sexual history, and travel.
Try Home TreatmentYou have answered all the questions. Based on your answers, you may be
able to take care of this problem at home. - Try home treatment to relieve the
symptoms.
- Call your doctor if symptoms get worse or you have any
concerns (for example, if symptoms are not getting better as you would expect).
You may need care sooner.
Blood in the stool can come from
anywhere in the digestive tract, such as the stomach or intestines. Depending
on where the blood is coming from and how fast it is moving, it may be bright
red, reddish brown, or black like tar. A little bit of bright red
blood on the stool or on the toilet paper is often caused by mild irritation of
the rectum. For example, this can happen if you have to strain hard to pass a
stool or if you have a hemorrhoid. Certain medicines and foods can affect the color of stool. Diarrhea
medicines (such as Pepto-Bismol) and iron tablets can make the stool black.
Eating lots of beets may turn the stool red. Eating foods with black or dark
blue food coloring can turn the stool black. If you take aspirin or some other medicine (called a blood thinner) that prevents blood clots, it can cause some blood in your stools. If you take a blood thinner and have ongoing blood in your stools, call your doctor to discuss your symptoms. Pain in adults and older children - Severe pain (8 to 10): The pain
is so bad that you can't stand it for more than a few hours, can't sleep, and
can't do anything else except focus on the pain.
- Moderate pain (5 to 7): The pain is bad enough to disrupt your
normal activities and your sleep, but you can tolerate it for hours or days.
Moderate can also mean pain that comes and goes even if it's severe when it's
there.
- Mild pain (1 to 4): You notice the pain,
but it is not bad enough to disrupt your sleep or activities.
Pain in children under 3 years It can be hard to tell how much pain a baby or toddler is in. - Severe pain (8 to 10): The
pain is so bad that the baby cannot sleep, cannot get comfortable, and cries
constantly no matter what you do. The baby may kick, make fists, or
grimace.
- Moderate pain (5 to 7): The baby is
very fussy, clings to you a lot, and may have trouble sleeping but responds
when you try to comfort him or her.
- Mild pain (1 to 4): The baby is a little fussy and clings to you a little but responds
when you try to comfort him or her.
Symptoms of difficulty breathing can range from mild to severe. For example: - You may feel a little out of breath but still be able to talk (mild difficulty breathing), or you may be so out of breath that you cannot talk at all (severe difficulty breathing).
- It may be getting hard to breathe with activity (mild difficulty breathing), or you may have to work very hard to breathe even when you’re at rest (severe difficulty breathing).
Severe trouble breathing means:
- You cannot talk at all.
- You have to
work very hard to breathe.
- You feel like you can't get enough
air.
- You do not feel alert or cannot think clearly.
Moderate trouble breathing means: - It's hard to talk in full
sentences.
- It's hard to breathe with activity.
Mild trouble breathing means: - You feel a little out of breath but can still talk.
- It's becoming hard to breathe with activity.
Severe trouble breathing means: - The child cannot eat or talk because he or she is
breathing so hard.
- The child's nostrils are flaring and the belly
is moving in and out with every breath.
- The child seems to be
tiring out.
- The child seems very sleepy or confused.
Moderate trouble breathing means: - The child is breathing a lot faster than
usual.
- The child has to take breaks from eating or talking to
breathe.
- The nostrils flare or the belly moves in and out at times
when the child breathes.
Mild trouble breathing means: - The child is breathing a little faster than usual.
- The child seems a little out of breath but can still eat or talk.
Disc batteries are small, round
batteries used in toys, cameras, watches, and other devices. Because of the
chemicals they can release, they can cause serious problems if they are
swallowed or get stuck in an ear or the nose. Small magnets used in household items and objects that contain a lot of lead (such as bullets, buckshot, fishing weights and sinkers, and some toys) also can cause problems if
swallowed. - If a disc battery is stuck in the ear or nose:
- The battery needs to be removed right
away—within 1 hour if possible.
- Use tweezers to try to remove the
battery. If you can't remove it, get medical help.
- If you have swallowed a disc battery, magnet, or lead object:
- Get medical help right away.
- Do not try to
vomit.
- Do not eat or drink anything.
Seek Care TodayBased on your answers, you may need care soon. The
problem probably will not get better without medical care. - Call your doctor today to discuss the symptoms
and arrange for care.
- If you cannot reach your doctor or you don't
have one, seek care today.
- If it is evening, watch the symptoms and
seek care in the morning.
- If the symptoms get worse, seek care
sooner.
Call 911 NowBased on your answers, you need
emergency care. Call911or other emergency services now. Seek Care NowBased on your answers, you may need care right away. The problem is likely to get worse without medical care. - Call your doctor now to discuss the symptoms and
arrange for care.
- If you cannot reach your doctor or you don't have
one, seek care in the next hour.
- You do not need to call an
ambulance unless:
- You cannot travel safely either by driving
yourself or by having someone else drive you.
- You are in an area
where heavy traffic or other problems may slow you down.
Poisoning Home TreatmentThe following home treatment may
help relieve discomfort after you swallow an object into your digestive tract. - Do not cause (induce) vomiting unless your doctor
or the poison control center specifically instructs you to do so. Vomiting
could cause you to inhale (aspirate) the object
into your windpipe or lungs.
- Drink liquids. If swallowing liquids
is easy, try eating soft bread or a banana. If eating soft bread or a banana is
easy, try adding other foods. Fruits, vegetables, and whole grains may help
move the swallowed object through the digestive tract.
- Continue to drink more liquids until the
object has passed in your stool. Extra fluid will help the object move through
the digestive tract. The object should pass within 7 days.
- Watch
your stools to see if the object has passed. Do not use a
laxative unless your doctor tells you to.
Note: Do not use syrup of ipecac. It is no
longer used to treat poisonings. If you have syrup of ipecac in your home,
call your pharmacist for instructions on how to dispose of it
and throw away the container. Do not store anything
else in the container. Symptoms to watch for during home treatmentCall your doctor if any of the following occur during home
treatment: - New symptoms develop, such as:
- Shortness of breath,
wheezing, or coughing.
- Pain in the throat, chest, or
belly.
- Vomiting, especially vomit that contains
blood.
- Blood in the stool, such as red, black, or
tarry stools.
- The swallowed object does not pass in the stool
in 7 days.
- Your symptoms become more severe or more
frequent.
PreventionTo prevent children younger than 4 years
from swallowing or inhaling objects: - Carefully supervise young
children.
- Keep small items out of your child's
reach.
- Teach children not to put anything other than food in their
mouths.
- Do not give children
foods that may cause choking. These include hard, smooth, or chewy foods that
must be chewed with a grinding motion or foods that are round and can easily
get stuck in the throat. These types of food are more likely to be swallowed
improperly or inhaled.
- Have children, especially toddlers, sit down
to eat their food.
- Cut food into small pea-sized
pieces.
- Do not feed your child while he or she is crying or
breathing rapidly.
- Discourage talking, laughing, or playing while
your child has food or beverages in his or her mouth.
- Do not give
young children
small objects that may cause choking, such as marbles
or jacks.
- Look for age guidelines when selecting toys for children.
- Do not let your child play with a toy if he
or she is younger than the recommended age for the toy.
- The safest
toys for small children are at least
1.25 in. (3 cm) around or
2.25 in. (6 cm) in length.
For more information about how to prevent accidental
poisoning, see the topic
Poisoning. Keep the poison control center number for
your area readily available. Practice the following suggestions
when eating, and teach them to your children. Children may copy your
behavior. - Cut your food into small pieces.
- Eat
small bites slowly and carefully, and chew your food thoroughly.
- Do
not laugh or talk with food in your mouth.
- Do not eat or drink
while you are involved in another activity, such as driving.
- Do not
hold objects such as pins, nails, and toothpicks in your mouth and
lips.
- Avoid excessive drinking of alcohol while eating.
To be prepared for a choking emergency, take an approved first
aid course such as those that are sponsored by the American Heart Association
or the American Red Cross. Preparing For Your AppointmentTo prepare for your appointment, see the topic Making the Most of Your Appointment. You can help your
doctor diagnose and treat your condition by being prepared to answer the
following questions: - What was swallowed or inhaled? What was the size
of the object?
- When did it happen?
- What are your main
symptoms? How have the symptoms changed since swallowing or inhaling the
object?
- Did your symptoms come on gradually or
suddenly?
- Have you had a change in your bowel habits?
- What home treatment measures have you tried? Did they help?
- Do you have any
health risks?
CreditsByHealthwise Staff Primary Medical ReviewerWilliam H. Blahd, Jr., MD, FACEP - Emergency Medicine Adam Husney, MD - Family Medicine Current as ofMarch 20, 2017 Current as of:
March 20, 2017 Last modified on: 8 September 2017
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