SERVICES
Paediatric foreign body ingestion

OVERVIEW

Foreign body ingestion refers to the act of unintentionally swallowing objects that are not meant to be ingested, such as small toys, coins, batteries or sharp objects. This can happen to individuals of all ages, but it is more common in young children who tend to explore their environment by putting objects in their mouths. Foreign body ingestion can cause various health complications, ranging from mild discomfort to life-threatening conditions. It is important to seek immediate medical attention if foreign body ingestion is suspected, as timely intervention can prevent serious consequences.

Signs and symptoms of foreign body ingestion

The symptoms of foreign body ingestion can vary depending on the size, shape, and location of the object swallowed. Some common symptoms include:

Choking or gagging: The individual may experience choking or gagging if the object gets stuck in the throat or windpipe.
Abdominal pain: If a foreign object passes through the throat and into the digestive system, it may cause abdominal pain, cramping, or discomfort.
Difficulty swallowing: The presence of a foreign object in the throat may cause difficulty swallowing, which can lead to drooling or regurgitation.
Vomiting or nausea: Nausea and vomiting can occur if the object irritates the stomach or intestines.
Breathing difficulties: If the object obstructs the airway, it can cause breathing difficulties, wheezing, or shortness of breath.
Bleeding or perforation: Sharp objects can cause bleeding or perforation in the digestive tract, which can lead to severe pain and internal bleeding.

In case of suspecting ingestion of a foreign object, seeking immediate medical attention remains crucial.

Treatment

The treatment for foreign body ingestion depends on the type and location of the object swallowed, as well as the severity of the symptoms. Here are some common treatment options:

Observation and waiting: If the object is small and has passed into the stomach, the doctor may choose to observe and wait for it to pass through the digestive tract naturally. This may involve monitoring the individual's bowel movements to ensure that the object has passed.
Endoscopic removal: If the object is a battery or stuck in the throat or digestive tract, the doctor may use an endoscope to visualise and remove the object. An endoscope is a flexible tube with a camera and light on the end that can be inserted through the mouth or anus.
Surgery: If the object is too large or has caused significant damage to the digestive tract, surgery may be required to remove it. This is typically reserved for cases where there is a risk of serious complications.
Medications: In some cases, the doctor may prescribe medications to help alleviate symptoms such as pain, nausea, or inflammation.

If you suspect that you or someone else has swallowed a foreign object, it is essential to seek medical attention immediately. Delaying treatment can lead to severe complications.

REQUEST A CONSULTATION

Dr Mangray, the founder of KZN Specialised Paediatric Surgical Service, and his associates, Dr Ngobese, Dr Govender and Dr Dube-Zvirikuzhe, have a well-established reputation for caring for children right until late adolescence.

FREQUENTLY ASKED QUESTIONS

FAQ

1How is foreign body ingestion diagnosed?

Diagnosis may involve a physical exam, X-rays, or endoscopy to visualise the object and determine its location.

2Can foreign body ingestion be fatal?

In rare cases, foreign body ingestion can be fatal, especially if the object obstructs the airway or causes significant internal bleeding.

3How long does it take for a swallowed object to pass through the digestive tract?

The time it takes for a swallowed object to pass through the digestive tract can vary depending on the size, diameter and shape of the object. Small objects may pass within a day or two, while larger objects may take several weeks or require medical intervention to remove.