Swallowed Fish Bone or Just a Sensation? Your Symptoms - Internal Medicine

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I'm not sure if it's a fish bone?


Hello, doctor.
While eating fried sweet and sour fish, I felt something stuck in my throat after swallowing, and I'm not sure if it was the hard fried skin or a fish bone.
I tried to induce vomiting to see if anything would come out, but nothing did.
However, when I continued eating, I no longer felt that sensation, although I’m unsure if it’s just psychological.
I would like to ask, if a fish bone gets stuck, would there be a persistent feeling of something foreign? Since I don’t feel anything now, I wonder if it would be pointless to see an ENT specialist.
I’m also worried about the possibility of it piercing my esophagus or stomach.
My boyfriend suggested that I eat more vegetables and drink water, saying that it might have already gone into my stomach or that I didn’t actually swallow a fish bone.
I would appreciate your clarification on this matter.
Thank you.

Huihui, 20~29 year old female. Ask Date: 2020/03/31

Dr. Hong Yuanbin reply Internal Medicine


Hello, if a fishbone gets stuck, there is usually a persistent sensation of a foreign body.
Based on your description, if the subsequent symptoms gradually improve, there should be less concern about the fishbone issue.
However, if you still feel very uncomfortable, you can visit an otolaryngology clinic for a laryngoscopy to confirm.
Thank you for your question.

Reply Date: 2020/03/31

More Info


When it comes to swallowing fish bones or experiencing a sensation of something stuck in the throat, it is essential to understand the anatomy and physiology of the esophagus and the potential implications of such an incident. Based on your description, it seems that you had a moment of discomfort while eating fried sweet and sour fish, which could have been caused by either a hard piece of the fish skin or a fish bone.

First, let's address the concern about swallowing a fish bone. If a fish bone does get lodged in the esophagus, it can cause a persistent sensation of something being stuck, which may be accompanied by pain, difficulty swallowing, or even a feeling of tightness in the throat. However, if you no longer feel that sensation and are able to eat without discomfort, it is likely that the bone, if present, has either passed into the stomach or was never lodged in the first place.

The esophagus is a muscular tube that connects the throat (pharynx) with the stomach. It is designed to transport food and liquids, and it has mechanisms to help clear any obstructions. If a foreign object, such as a fish bone, does become lodged, the body may react by inducing a gag reflex or causing discomfort, prompting the individual to try to expel the object. In your case, since you attempted to vomit but did not bring anything up, and since you have since resumed eating without issue, it is possible that the sensation was more psychological than physical.

Your boyfriend's advice to drink water and eat more vegetables is sound. Staying hydrated can help facilitate the movement of food through the digestive tract, and consuming fibrous foods can aid in the natural process of digestion. If a fish bone were to be present, it would typically either be passed through the digestive system or, in rare cases, could cause irritation or injury to the lining of the esophagus or stomach.

However, if you experience any of the following symptoms, it would be prudent to seek medical attention:
1. Persistent pain in the throat or chest.

2. Difficulty swallowing or a sensation of food getting stuck.

3. Vomiting, especially if it contains blood or resembles coffee grounds.

4. Severe abdominal pain or discomfort.

5. Fever or signs of infection.

In such cases, an evaluation by an ear, nose, and throat (ENT) specialist or a gastroenterologist may be warranted. They can perform imaging studies or endoscopic examinations to determine if there is any foreign body present and assess for any potential injuries to the esophagus or stomach.

In summary, while the sensation of something being stuck can be distressing, if you are no longer experiencing discomfort and can eat normally, it is likely that you have not sustained any injury from the incident. However, remain vigilant for any concerning symptoms, and do not hesitate to seek medical advice if you have any doubts or if your symptoms change. Your health and peace of mind are of utmost importance.

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