Accidentally Swallowed Fish Bone: What to Do and What to Expect

Accidental ingestion of a fishbone?

On the evening of Sunday, May 27th, I accidentally swallowed a bone from a milkfish during dinner.
I went to a clinic at 8 PM to check if it was lodged in my throat.
They used a nasal endoscope but did not find any fish bone, so the doctor advised me to monitor the situation.
Over the past two days, I haven't felt any significant foreign body sensation in my throat while eating, but I still worry about the possibility of the fish bone being stuck in my esophagus.
Additionally, seeing many cases online has made me even more anxious...

Mr. Hsu, 20~29 year old female. Ask Date: 2018/05/29

Dr. Zheng Jueyi reply Otolaryngology

Hello, if there are no obvious symptoms such as pain while swallowing, a sensation of a foreign body, or fever, it is unlikely that a fishbone is lodged in the esophagus.
You may first observe your condition.
If you experience any discomfort, you can visit a gastroenterologist to assess whether an endoscopy is necessary.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2018/05/29

More Info

Accidentally swallowing a fish bone can be a concerning experience, and it's understandable to feel anxious about the potential complications. Here’s a comprehensive overview of what to do and what to expect after such an incident.

Immediate Steps to Take
1. Stay Calm: Panic can exacerbate the situation. Most of the time, swallowed fish bones pass through the digestive system without causing harm.

2. Monitor Symptoms: Since you’ve already had an examination and no fish bone was found, it’s essential to monitor for any symptoms that may arise. Common symptoms to watch for include:
- Persistent pain in the throat or chest
- Difficulty swallowing
- A sensation of something stuck in the throat
- Vomiting or nausea
- Blood in saliva or stool
3. Dietary Adjustments: For the next few days, consider eating soft foods that are easier to swallow, such as yogurt, mashed potatoes, or smoothies. Avoid hard, crunchy, or sharp foods that could irritate the throat.

4. Hydration: Drink plenty of fluids. Water can help wash down any small particles that may be stuck.

What to Expect
- Passing the Bone: In many cases, if the fish bone is small and smooth, it may pass through the digestive tract without causing any issues. This process can take anywhere from a few hours to a couple of days.

- Follow-Up Care: If you experience any of the symptoms mentioned above, it’s crucial to seek medical attention. A healthcare provider may perform imaging studies, such as an X-ray or ultrasound, to check for any obstructions or injuries.

When to Seek Medical Attention
You should seek immediate medical help if you experience:
- Severe pain that doesn’t subside
- Difficulty breathing or swallowing
- Signs of infection, such as fever or chills
- Any bleeding

Potential Complications
While most swallowed fish bones pass without issue, there are some potential complications to be aware of:
- Esophageal Injury: If a bone gets lodged in the esophagus, it can cause pain, inflammation, or even perforation, which is a medical emergency.

- Infection: If a bone causes a tear or injury, it can lead to infection in the surrounding tissues.

- Abscess Formation: In rare cases, an abscess can form if the bone causes significant damage.

Conclusion
In summary, while swallowing a fish bone can be alarming, most cases resolve without intervention. Continue to monitor your symptoms, adjust your diet, and stay hydrated. If you have any concerns or if symptoms develop, don’t hesitate to contact your healthcare provider for further evaluation. Remember, it’s always better to err on the side of caution when it comes to your health.

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