Concerns About Swallowing Toothbrush Bristles: What You Need to Know - Otolaryngology

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I'm not sure if I accidentally swallowed some bristles while brushing my teeth?


Hello doctor, while brushing my teeth, I felt a bit of resistance with my front teeth, so I used my toothbrush to clean them.
However, I'm not sure if the gap is too small and if I might have accidentally swallowed some bristles when pulling the toothbrush out.
After that, I drank some water and didn't feel any pain, although my family said I probably didn't swallow anything and it might just be a sensation from pulling it out.
I'm still a bit worried and would like to know what symptoms might occur if I did swallow the bristles, and if there are any potential complications.
Although they aren't as hard as bones or fish bones, I still want to consult you, doctor.

Han, 10~19 year old female. Ask Date: 2020/04/06

Dr. Zheng Jueyi reply Otolaryngology


Hello: If accidentally swallowed, it usually passes out with the stool.
It is rare for it to get stuck in the body and cause an infection.
If there are no obvious symptoms such as difficulty swallowing or fever, one can generally observe themselves first.
Wishing you safety and health.
Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare, Zheng Jue-Yi.

Reply Date: 2020/04/06

More Info


Swallowing toothbrush bristles can understandably cause concern, but it’s important to approach this situation with a clear understanding of the potential risks and symptoms associated with such an incident.
First, let’s address the likelihood of swallowing bristles. Toothbrush bristles are typically made from nylon, which is a flexible material. If you accidentally swallow a bristle, it is unlikely to cause immediate harm. The human digestive system is designed to handle small, non-digestible objects, and in most cases, a swallowed bristle will pass through the gastrointestinal tract without causing any issues. However, there are a few important considerations to keep in mind.


Symptoms to Watch For
If you suspect that you have swallowed a toothbrush bristle, it is essential to monitor for any unusual symptoms. While many people may not experience any adverse effects, here are some symptoms that could indicate a problem:
1. Abdominal Pain or Discomfort: If you experience persistent pain in your abdomen, it could be a sign that something is lodged in your digestive tract.


2. Nausea or Vomiting: Feeling nauseous or actually vomiting can be a response to a foreign object in the stomach.

3. Difficulty Swallowing: If you find it hard to swallow or feel like something is stuck in your throat, this could warrant further investigation.

4. Changes in Bowel Movements: If you notice blood in your stool or experience constipation or diarrhea that is unusual for you, it may be worth consulting a healthcare professional.

5. Fever or Chills: These symptoms could indicate an infection, which might occur if a foreign object causes irritation or injury to the digestive tract.


What to Do Next
If you are not experiencing any of the above symptoms, it is likely that you have not swallowed a bristle, or if you did, it is passing through your system without issue. However, if you do start to experience any concerning symptoms, it is advisable to seek medical attention promptly. A healthcare provider can perform an examination and may order imaging tests, such as an X-ray, to determine if there is a blockage or if the bristle is present in your digestive system.


Prevention Tips
To avoid similar situations in the future, consider the following tips:
- Use the Right Toothbrush: Ensure that your toothbrush is the right size for your mouth. A smaller head can help you reach difficult areas without the risk of getting too close to your throat.

- Brush Gently: Avoid applying excessive pressure while brushing, as this can lead to bristles breaking off.

- Regularly Inspect Your Toothbrush: Check your toothbrush for any signs of wear and tear. If you notice any bristles coming loose, it’s time to replace it.

- Be Mindful While Brushing: Focus on your brushing technique and avoid distractions that could lead to accidents.

In conclusion, while swallowing a toothbrush bristle can be concerning, the risks are generally low, and many people pass such objects without issue. However, staying vigilant for symptoms and seeking medical advice if needed is always a wise approach. Remember, maintaining good oral hygiene is essential, but it should be done carefully to avoid any mishaps.

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