Can fish bones enter the lungs?
Hello, doctor.
I accidentally swallowed a fishbone the night before last.
Yesterday morning, I felt discomfort in my throat, and in the afternoon, I experienced pain below my Adam's apple.
Last night and this morning, I felt discomfort in the upper left part of my chest.
I would like to know if it is possible for the fishbone to have gone into my lungs, and can an X-ray detect it? Additionally, which specialty should I consult? Thank you for your response.
Lin Xiansheng, 30~39 year old female. Ask Date: 2017/04/27
Dr. Zheng Jueyi reply Otolaryngology
Hello: Generally, foreign objects entering the trachea can cause persistent coughing.
If you are concerned, it is advisable to consult an otolaryngologist for an examination.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2017/04/27
More Info
When it comes to the concern of fish bones getting stuck in the lungs, it is important to understand the anatomy and the typical pathways that foreign objects take when ingested. Fish bones, if swallowed, usually pass through the esophagus and into the stomach. However, in some cases, they can become lodged in the throat or esophagus, leading to discomfort or pain.
If a fish bone were to enter the respiratory tract, it would most likely become lodged in the trachea or bronchi rather than the lungs themselves. The trachea is the windpipe that leads to the lungs, and it is lined with cilia and mucus that help trap and expel foreign objects. If a foreign object is inhaled, it can cause coughing, choking, or respiratory distress. In rare cases, if a fish bone were to bypass the protective mechanisms and enter the lungs, it could lead to serious complications such as infection or inflammation.
Regarding your symptoms of throat discomfort and chest pain, it is advisable to seek medical attention. An X-ray can help visualize the presence of foreign objects in the chest area, including the trachea and bronchi. However, it is important to note that not all foreign objects are visible on X-rays, especially if they are small or made of materials that do not absorb X-rays well, such as certain types of fish bones.
If you suspect that a fish bone may be lodged in your throat or respiratory tract, it is best to consult an Ear, Nose, and Throat (ENT) specialist. They have the expertise to examine your throat and airways using specialized tools and techniques. In some cases, they may perform a laryngoscopy or bronchoscopy to directly visualize and potentially remove the foreign object.
In summary, while it is unlikely for fish bones to get stuck in the lungs, it is crucial to monitor your symptoms and seek medical advice. An X-ray can provide valuable information, but a thorough examination by an ENT specialist will be the most effective way to determine the cause of your discomfort and address any potential issues. If you experience worsening symptoms such as difficulty breathing, severe pain, or persistent coughing, do not hesitate to seek emergency medical care.
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