Concerns About Swallowing Bone Fragments and Side Pain Explained

Q: Concerns About Swallowing Bone Fragments and Side Pain Explained

Dear Ms. <br>Ann：<br>1. <br>Fish bones, chicken bones, pork bones, or beef bones can potentially get lodged in the throat or esophagus, and sometimes they may need to be removed using an endoscope to alleviate pain or prevent mediastinal infection and inflammation. <br>If they pa

Please consult a doctor?

Hello, doctor.
I would like to ask what might happen if I accidentally swallowed a small piece of bone.
I bit into some while eating pig trotters and swallowed it, but I don't feel like it got stuck in my throat.

Another question is about some pain near the bone on my side.
It hurts a bit, and I haven't bumped into anything, but it feels sore.
A few days ago, I watched something on TV that made me wonder if it could be related to my kidneys, even though they mentioned it was back pain.
Could it also just be due to wearing tight underwear causing muscle soreness? My mom said she sometimes experiences that too.
Thank you for your response!

Ann, 10~19 year old female. Ask Date: 2020/05/09

Dr. Xiao Yongxun reply Family Medicine

Dear Ms.
Ann:
1.
Fish bones, chicken bones, pork bones, or beef bones can potentially get lodged in the throat or esophagus, and sometimes they may need to be removed using an endoscope to alleviate pain or prevent mediastinal infection and inflammation.
If they pass through the throat and esophagus into the stomach, the gastric parietal cells secrete hydrochloric acid, maintaining the stomach pH between 1.8 and 3.5 to aid in the activation of proteolytic enzymes.
In this acidic environment, small bones will be broken down and dissolved.
Therefore, theoretically, you do not need to worry.
2.
The description of "pain near a bony protrusion on the side of the waist" likely refers to the iliac crest or the lower edge of the ribs.
If this is the case, it may be a mild muscle strain or pull; adjusting your posture or reducing local pressure and improper force should lead to improvement in the short term.
Since your description does not indicate symptoms of kidney injury and that area is not where the kidneys are located, theoretically, you do not need to worry.
3.
If you have further questions, please discuss them directly with your family physician for a definitive assessment.

Reply Date: 2020/05/09

More Info

When it comes to swallowing small bone fragments, such as those from pork trotters, it's generally not a cause for alarm if you feel that the fragments have passed through your throat without causing any obstruction. The human digestive system is quite resilient and can handle small, sharp objects to some extent. However, there are a few considerations to keep in mind:
1. Potential for Injury: While small fragments may pass through the esophagus and into the stomach without issue, there is a risk that they could cause irritation or injury to the lining of the esophagus or stomach. If you experience symptoms such as persistent pain, difficulty swallowing, or any signs of bleeding (like blood in your vomit or stool), it is important to seek medical attention promptly.

2. Monitoring Symptoms: After swallowing a small bone fragment, it is advisable to monitor your symptoms closely. If you notice any unusual discomfort, pain, or changes in your digestive habits, consult a healthcare professional. They may recommend imaging studies, such as an X-ray, to ensure that no fragments are lodged in the gastrointestinal tract.

3. Prevention: To avoid such incidents in the future, it is wise to be cautious when eating foods that may contain small bones. Chewing thoroughly and being mindful of the texture of the food can help prevent swallowing bone fragments.

Regarding the pain you are experiencing near your lower back, there are several potential causes to consider:
1. Muscle Strain: If you have not experienced any trauma but are feeling soreness or discomfort in the area, it could be due to muscle strain. This can happen from activities such as lifting, bending, or even prolonged sitting. Tight clothing, like underwear that is too snug, can also contribute to discomfort by restricting movement or circulation.

2. Kidney Issues: While it is possible for kidney problems to cause pain in the lower back or side, this pain is typically more severe and may be accompanied by other symptoms such as changes in urination, fever, or nausea. If you suspect that your pain may be related to kidney issues, it is important to consult a healthcare provider for a thorough evaluation.

3. Other Causes: There are various other conditions that can lead to pain in the lower back area, including herniated discs, sciatica, or even referred pain from other organs. If the pain persists or worsens, it is advisable to seek medical attention for a proper diagnosis.

In summary, swallowing a small bone fragment is usually not a serious issue, but it is important to monitor for any concerning symptoms. As for the pain near your lower back, it could be due to muscle strain or other factors, and if it continues, consulting a healthcare professional would be a prudent step. Always prioritize your health and well-being by seeking medical advice when in doubt.

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