Concerns About Swallowing Foreign Objects: What to Know After Biting Down - Internal Medicine

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Biting a black stone?


Hello, doctor.
While I was having dinner, I bit into a mouthful of rice and suddenly heard a small cracking sound, thinking I had broken a tooth.
I quickly spat it out and found a small black object that looked like a stone.
Initially, my family thought it was quinoa mixed in with the rice, but upon closer inspection, they said it didn’t seem to be that.
Although I believe I hadn’t swallowed it since I spat it out right away, I did bite into it, which is why I heard the sound.
I’m concerned that I might have accidentally crushed it and that it could have gone into my esophagus and down into my stomach.
My family reassured me that it was likely just a sound from biting it and that it didn’t break, telling me not to worry, as stones aren’t that soft.
I just simulated pinching it hard with my fingernail, and it sounded similar to the noise I heard while eating.
My brother joked that it was like a small bone and that swallowing it wouldn’t cause any harm, calling me silly for worrying.
As long as it didn’t get stuck in my throat, I should be fine.
However, if it did happen to break and went into my stomach, I’m worried it could lead to gastric bleeding.
My family insists that I don’t need to see a doctor and that I’m overreacting, saying that if it were really there, it would be expelled with food.
Currently, I don’t feel any discomfort.
I’d like to ask the doctor if I’m being too anxious.
Although the likelihood of it going down is greater, would drinking more milk help protect my stomach? Thank you.

Xiao Tong, 10~19 year old female. Ask Date: 2020/11/19

Dr. Hong Yuanbin reply Internal Medicine


Hello, as long as it is not a sharp object, such as a fishbone or small stones, it is unlikely to cause any issues since most of it will pass through the digestive system and be excreted in the stool.
Therefore, if there are no specific symptoms, you can observe the situation with peace of mind, and it should not lead to gastric bleeding.
Regarding drinking milk, it may have limited benefits; instead, drinking a bit more water might be more helpful.
Thank you for your question.

Reply Date: 2020/11/19

More Info


It sounds like you had a concerning experience while eating, and it's completely understandable to feel anxious about the possibility of swallowing a foreign object. Let's break down your situation and address your concerns.

First and foremost, it’s important to note that if you did not swallow the object and were able to spit it out immediately, the risk of it causing harm is significantly reduced. The sound you heard when biting down could have been the object itself, and if it was indeed a hard object like a small stone or something similar, it’s unlikely that it would have broken into smaller pieces upon biting. Most foreign objects that are accidentally ingested will either pass through the digestive system without causing harm or will be expelled naturally.

Ingesting a small, hard object can be concerning, but the human body is quite resilient. If the object is small and smooth, it is likely to pass through your gastrointestinal tract without causing any issues. However, if the object is sharp or large, there could be a risk of it causing an obstruction or injury to the digestive tract, which could lead to complications such as bleeding or perforation.
Given that you are currently feeling fine and have no symptoms such as pain, difficulty swallowing, or gastrointestinal distress, it is a good sign. However, it’s always wise to monitor your condition. If you start to experience any unusual symptoms, such as abdominal pain, vomiting, or blood in your stool, you should seek medical attention immediately.

As for your question about drinking milk to protect your stomach, while milk can provide a soothing effect for some people, it does not specifically prevent or protect against the ingestion of foreign objects. It’s more important to stay hydrated and maintain a balanced diet. If you are feeling anxious, practicing relaxation techniques or talking to someone about your concerns can also be helpful.

In summary, while it’s natural to feel worried after such an incident, the likelihood of serious complications from swallowing a small, hard object is low, especially if you are not experiencing any symptoms. However, if you have any lingering concerns or if your symptoms change, it’s always best to consult with a healthcare professional for peace of mind and appropriate care.

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