Concerns About Swallowing Nail Clippings: When to Seek Medical Help - Otolaryngology

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Suspected ingestion of nail clippings?


Hello Doctor, the day before yesterday while trimming my nails, a nail fragment flew up and I wasn't sure if it went into my mouth and was swallowed.
I'm a bit worried now.
Could you please answer the following questions: 1.
What happens if I swallow a nail fragment? 2.
Under what circumstances should I seek medical attention? Thank you for your help.

KEN, 20~29 year old female. Ask Date: 2020/01/13

Dr. Zheng Jueyi reply Otolaryngology


Hello, if there are no obvious symptoms such as throat pain or fever, you can start by self-monitoring.
Most ingested items will typically pass through the digestive system and be excreted without causing symptoms.
However, if you experience any discomfort, it is advisable to seek medical evaluation for confirmation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2020/01/13

More Info


Swallowing nail clippings can understandably cause concern, but in most cases, it is not a cause for alarm. Here’s a detailed explanation of what happens when you swallow nail clippings, and when you should seek medical help.


What Happens When You Swallow Nail Clippings?
Nail clippings are composed primarily of keratin, a protein that is also found in hair and skin. When swallowed, they typically pass through the digestive system without causing any harm. The human body is generally capable of handling small, indigestible objects, and nail clippings are usually small enough to be processed by the gastrointestinal tract.
In most cases, the clippings will either be excreted in your stool or will pass through your system without any noticeable effects. However, there are a few considerations to keep in mind:
1. Size and Sharpness: If the nail clipping is particularly sharp or large, there is a slight risk that it could cause irritation or injury to the lining of the esophagus or intestines. However, this is rare with typical nail clippings.

2. Hygiene Concerns: Nail clippings can harbor bacteria or fungi, especially if the nails were not clean. While swallowing a small amount is unlikely to cause infection, it’s always good practice to maintain proper hygiene when grooming.


When to Seek Medical Help
While swallowing nail clippings is usually harmless, there are specific situations where you should consider seeking medical attention:
1. Persistent Pain or Discomfort: If you experience ongoing pain in your throat, chest, or abdomen after swallowing nail clippings, it could indicate that something is stuck or causing irritation.

2. Difficulty Swallowing: If you find it hard to swallow or feel like something is lodged in your throat, this could be a sign of an obstruction.

3. Nausea or Vomiting: If you experience nausea, vomiting, or any gastrointestinal distress following the incident, it’s advisable to consult a healthcare provider.

4. Signs of Infection: If you develop a fever, chills, or any signs of infection, you should seek medical attention promptly.

5. Unusual Symptoms: Any other unusual symptoms, such as coughing up blood or experiencing severe abdominal pain, warrant immediate medical evaluation.


Conclusion
In summary, swallowing nail clippings is generally not harmful, and most people will pass them without any issues. However, if you experience any concerning symptoms or discomfort, it’s important to consult a healthcare professional. They can provide a thorough evaluation and determine if any further action is necessary. Always remember that maintaining good hygiene during nail care can help minimize any potential risks associated with nail clippings. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider for personalized advice.

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