Concerns About Swallowing a Coin: Symptoms to Watch For

Consultation for suspected foreign body ingestion?

Hello, doctor.
I would like to ask you about the symptoms to observe if someone is suspected of accidentally swallowing a one-dollar coin.
The reason I say "suspected" is that I'm not entirely sure if I swallowed it (I was eating while reading, and I noticed that there was one less coin on the table...).
I didn't experience any abnormal swallowing sensations while eating, and currently, I have no pain or difficulty swallowing.
Should I seek immediate medical attention, or can I just monitor for any unusual symptoms? If so, what specific signs should I pay attention to? Thank you!

Archer, 20~29 year old female. Ask Date: 2018/03/25

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, sir.
You can observe for now; most cases can resolve on their own.
If necessary, an X-ray can be taken for evaluation.
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2018/03/25

More Info

If you suspect that you may have accidentally swallowed a coin, such as a one-dollar coin, it is important to monitor your symptoms closely. While it is possible that the coin may have passed through your digestive system without causing any issues, there are specific signs and symptoms you should be aware of that could indicate a problem.

Symptoms to Watch For:
1. Abdominal Pain or Discomfort: If you experience any sudden or severe abdominal pain, it could indicate that the coin is causing a blockage or irritation in your gastrointestinal tract.

2. Nausea or Vomiting: Persistent nausea or vomiting can be a sign that your body is reacting to the presence of the coin. If you vomit and the coin is visible, it is crucial to seek medical attention immediately.

3. Difficulty Swallowing: While you mentioned that you have not experienced any swallowing difficulties, if this symptom develops, it could indicate that the coin is lodged in your esophagus.

4. Changes in Bowel Movements: If you notice blood in your stool, black or tarry stools, or if you are unable to pass stool, these could be signs of a serious issue that requires immediate medical attention.

5. Chest Pain or Discomfort: If you experience any chest pain, especially if it is accompanied by difficulty breathing, this could indicate that the coin is lodged in your esophagus and may require urgent care.

6. Fever: A fever may indicate an infection, which could occur if the coin causes a perforation in the gastrointestinal tract.

When to Seek Medical Attention:
- Immediate Care: If you develop any of the above symptoms, especially severe abdominal pain, difficulty swallowing, or chest pain, you should seek medical attention right away.

- Observation: If you are asymptomatic and do not experience any of the concerning symptoms, you may choose to observe for a few days. Coins typically pass through the digestive system without complications, but it is essential to remain vigilant.

- Follow-Up: If you do not experience any symptoms initially but have concerns or if symptoms develop later, it is advisable to consult with a healthcare provider. They may recommend imaging studies, such as an X-ray, to determine the location of the coin.

Conclusion:
In summary, while it is possible that the coin may have passed without causing any issues, it is crucial to monitor for any concerning symptoms. If you experience any signs of distress or if you have persistent concerns, do not hesitate to seek medical attention. It is always better to err on the side of caution when it comes to potential foreign body ingestion.

Similar Q&A

Swallowed Coins: Are There Oral Health Risks for Children?

If a child accidentally swallows a coin, it can usually pass through the digestive system and be expelled through a bowel movement. However, there may be concerns regarding the oral cavity. The coin has been touched by many people, which raises concerns about potential contaminat...

Dr. Zheng Jueyi reply Otolaryngology
Hello: Generally, normal immune function should not be affected; it is advisable to observe first. Wishing you safety and health. Sincerely, Dr. Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Swallowed Coin: When to Seek X-Ray for Gastrointestinal Concerns?

If you accidentally swallowed a one-dollar coin while eating dumplings, should you go for an X-ray immediately, or can you wait to see if it passes? How long should you wait?

Dr. Lin Minghui reply Gastroenterology and Hepatology
A 48-year-old female accidentally swallowed a one-dollar coin. Generally, if the gastrointestinal tract is structurally normal without any narrowing issues, 95% of foreign objects will typically pass through the stool. This can take 2 to 3 days or up to a week, depending on indiv...

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

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?

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, fo...

Concerns About Ingested Coins: Do You Need Medical Checkups?

Doctor, I have a question! When I was a child, I accidentally swallowed a five-dollar coin. At that time, I had an X-ray taken, and the coin was located in my stomach. After that, I didn't pay attention to whether it was passed out. Should I undergo some tests? Is it possibl...

Dr. Sun Yizhen reply Internal Medicine
Hello Peiyun: You can go to the hospital for an examination.