A two-year-old child accidentally swallowed a preserved plum?
Hello, doctor.
My child, a boy born in October 2000, accidentally swallowed a whole pickled plum pit, about the size of a five-yen coin, on Wednesday morning (January 8, 2003).
As of this morning (January 10, 2003), he seems fine and has not complained of any discomfort.
I am wondering if he needs to see a doctor, whether this is a concern, and if the plum will naturally break down in the digestive system.
I am also concerned about the sharp edges of the pit and whether it could puncture the gastrointestinal tract.
Thank you for your advice!
kpings, 30~39 year old female. Ask Date: 2003/01/10
Dr. Lin Guoyin reply Pediatrics
It is common for children to accidentally swallow foreign objects (such as coins, buttons, etc.).
Generally, most cases do not require emergency treatment, as the object will naturally pass through the digestive system and be expelled in the stool within a few days.
However, if a sharp object like a paperclip is swallowed, it may puncture the gastrointestinal tract and requires immediate medical intervention to remove it, as it poses a danger! In the case of your child swallowing a dried plum pit, it typically should not cause significant issues.
However, the sharpness of the pit is uncertain.
Reply Date: 2003/01/10
More Info
When a toddler accidentally swallows a plum pit, it can understandably cause concern for parents. Here’s what you need to know about this situation and how to approach it.
First and foremost, it’s important to assess the immediate condition of your child. If your child is not showing any signs of distress, such as difficulty breathing, severe abdominal pain, vomiting, or blood in the stool, it is a positive sign. In many cases, small, smooth objects that are swallowed can pass through the digestive system without causing harm. However, plum pits can be a bit more concerning due to their size and shape.
Plum pits are relatively hard and can have sharp edges. While they are not typically sharp enough to puncture the gastrointestinal tract, there is a risk, especially if the pit gets lodged in a narrow part of the digestive system or if it causes irritation. The digestive system is designed to handle small, non-digestible items, but the risk increases with larger or sharper objects.
In general, if the pit has passed through the esophagus and into the stomach, it is likely to continue through the intestines and be expelled in the stool. The time frame for this can vary, but it usually takes a few days to a week for the body to process and eliminate such objects. It is advisable to monitor your child’s bowel movements during this time. If you notice any changes, such as blood in the stool or if your child experiences abdominal pain, you should seek medical attention immediately.
If your child continues to feel well and shows no signs of discomfort, you may not need to rush to the doctor. However, it is always better to err on the side of caution. If you have any lingering concerns or if your child begins to show any symptoms, it is wise to consult a pediatrician. They may recommend an X-ray to determine the location of the pit and assess whether it poses any risk.
In terms of prevention, it’s crucial to supervise young children while they are eating, especially with foods that contain pits or seeds. Teaching them to be cautious and to avoid putting large items in their mouths can help prevent similar incidents in the future.
In conclusion, while swallowing a plum pit can be concerning, if your child is asymptomatic, they are likely to pass it without issue. However, keep a close eye on their condition and consult a healthcare professional if you have any doubts or if symptoms arise. Your child's health and safety are the top priority, and seeking medical advice when in doubt is always a prudent approach.
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