What to Do If a Child Swallowed a Coin Years Ago?

Swallowing a coin?

The child is now in middle school and mentioned yesterday that he swallowed a 10 NT dollar coin one or two years ago, but has not experienced any discomfort since.
What should be done now?

R Ma, 40~49 year old female. Ask Date: 2018/01/25

Dr. Pei Rensheng reply Pediatrics

Hello, in Taiwan, the current circulating 10 NT dollar coins often get lodged in the esophagus or stomach and cannot pass on their own.
Prolonged retention may lead to symptoms such as abdominal pain or chest pain.
It is recommended to perform an X-ray to confirm the location, followed by an endoscopy if necessary...
or it could just be a hoax! Wishing you health and happiness! Sincerely, Dr.
Pei Ren-Sheng, Attending Physician, Pediatrics, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2018/01/25

More Info

If your child swallowed a coin a year or two ago and has not experienced any discomfort or symptoms since, it is likely that the coin passed through their digestive system without causing any harm. Coins typically pass through the gastrointestinal tract and are excreted in the stool within a few days. However, there are a few important considerations and steps you should take to ensure your child's health and safety.

1. Monitor for Symptoms: Although your child has not reported any issues, it is essential to remain vigilant for any signs of complications. Symptoms to watch for include abdominal pain, vomiting, difficulty swallowing, or changes in bowel habits. If any of these symptoms occur, seek medical attention immediately.

2. Consult a Pediatrician: Even if your child is currently asymptomatic, it is advisable to consult a pediatrician. They may recommend an X-ray to confirm whether the coin is still present in the gastrointestinal tract. This imaging can help determine if the coin has passed or if it is lodged somewhere, which could lead to complications.

3. Understanding Potential Risks: While many coins pass through the digestive system without issue, there are risks associated with swallowing foreign objects. Coins can sometimes become lodged in the esophagus, stomach, or intestines, potentially causing blockages or injuries. If the coin is made of certain metals, there may also be concerns about toxicity, especially if the coin has been in the body for an extended period.

4. Follow-Up Care: If the pediatrician determines that the coin is still in the gastrointestinal tract, they will advise on the appropriate course of action. In some cases, they may recommend endoscopic removal if the coin is causing an obstruction or if there are concerns about it being stuck.

5. Educate Your Child: This incident can serve as an opportunity to educate your child about the dangers of swallowing non-food items. Discuss the importance of keeping small objects out of reach and the potential risks associated with swallowing foreign objects.

6. Preventive Measures: To prevent similar incidents in the future, consider implementing safety measures at home. Keep small items, including coins, out of reach of young children, and educate them about the dangers of putting objects in their mouths.

In summary, while it is reassuring that your child has not experienced any discomfort since swallowing the coin, it is still important to consult a healthcare professional for a thorough evaluation. Monitoring for symptoms and seeking medical advice will help ensure your child's continued health and safety.

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