Accidentally Swallowed a Fish Bone: What You Need to Know - Otolaryngology

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Accidental ingestion of a fish bone?


Hello Dr.
Lee: Two days ago, I accidentally swallowed a fish bone.
The bone was relatively large, but it did not get stuck in my throat, and I do not feel any discomfort in my throat.
However, I am still quite worried.
The next day, I felt a bit uncomfortable around my navel area, but I wouldn't describe it as pain; it has been like this for two consecutive days.
My lower abdomen feels somewhat like the discomfort before my menstrual period, which is indeed approaching.
Later, I experienced intermittent feelings of nausea, and I'm not sure if it's due to my anxiety and worry...
My bowel movements have been normal over the past two days.
I wonder if the fish bone will dissolve in stomach acid and be expelled along with my waste? Thank you, doctor.

Cindy, 20~29 year old female. Ask Date: 2020/12/30

Dr. Li Jiaxuan reply Otolaryngology


It is recommended to go to the hospital for a detailed examination to check for any fishbone that may be lodged in the mouth, throat, or esophagus.
Wishing you safety and well-being.

Reply Date: 2020/12/30

More Info


Accidentally swallowing a fish bone can be a concerning experience, but it’s important to understand the potential risks and how to manage the situation. Based on your description, it seems that you have not experienced any severe symptoms, which is a positive sign. Here’s what you need to know:

Understanding the Risks
1. Size and Type of Fish Bone: The risk associated with swallowing a fish bone largely depends on its size and shape. Small, soft bones are generally less likely to cause harm as they can often pass through the digestive system without issue. However, larger or sharper bones can pose a risk of perforation or obstruction in the gastrointestinal tract.

2. Symptoms to Watch For: After swallowing a fish bone, it’s essential to monitor for any concerning symptoms. These may include:
- Severe abdominal pain
- Difficulty swallowing or a sensation of something stuck in your throat
- Vomiting, especially if it contains blood
- Fever or chills, which could indicate an infection
- Changes in bowel habits, such as constipation or diarrhea
3. Gastrointestinal Response: The human digestive system is quite resilient. In many cases, swallowed fish bones can be broken down by stomach acid and digestive enzymes. If the bone is small enough, it may pass through your system without causing any issues.

What to Do Next
1. Observation: Since you mentioned that you have not experienced significant pain and your bowel movements have been normal, it’s reasonable to continue observing your symptoms. The discomfort you feel around your navel could be related to anxiety or other benign gastrointestinal issues, especially since you noted that your menstrual cycle is approaching.

2. Hydration and Diet: Staying hydrated and consuming a diet rich in fiber can help facilitate the passage of any foreign objects through your digestive tract. Foods like fruits, vegetables, and whole grains can promote healthy digestion.

3. When to Seek Medical Attention: If you start to experience any of the concerning symptoms mentioned earlier, it would be wise to seek medical attention. A healthcare provider may perform imaging studies, such as an X-ray or ultrasound, to determine if the fish bone is still present and if it poses any risk.

4. Anxiety Management: It’s natural to feel anxious after such an incident. However, try to manage your stress levels, as anxiety can exacerbate physical sensations and discomfort. Techniques such as deep breathing, mindfulness, or gentle exercise can help alleviate anxiety.


Conclusion
In summary, while swallowing a fish bone can be alarming, many individuals pass them without complications. Given your current symptoms and the absence of severe pain or discomfort, it seems you are likely in a safe position. However, remain vigilant for any changes in your condition, and don’t hesitate to reach out to a healthcare professional if you have concerns. Remember, your health and peace of mind are paramount, and seeking guidance is always a prudent choice when in doubt.

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