My five-year-old daughter swallowed a whole vitamin C gummy?
Hello Doctor: A week ago, my daughter accidentally swallowed a whole vitamin C gummy while jumping up and down.
She coughed and managed to spit it out, but then accidentally swallowed it again, which may have caused her to choke, leading to persistent coughing at that moment.
After that, the gummy disappeared.
I am concerned that it might have gone into her airway.
Recently, my daughter has been coughing in the morning upon waking and also before bed at night (with phlegm).
Which specialist should I take her to for an examination? Thank you, Doctor.
Ms. Wu, 20~29 year old female. Ask Date: 2022/05/16
Dr. Huang Yiwen reply Pulmonology
Dear Ms.
Wu:
Regarding the foreign body ingestion, since it is a soluble substance, it may be difficult to visualize on X-rays.
It would be advisable to consult a pediatric pulmonologist for further evaluation.
However, in my personal opinion, performing prone positioning and encouraging expectoration should gradually lead to improvement, as it is not an insoluble substance and will not continuously irritate the bronchial passages.
Changhua Hospital cares about your well-being.
Reply Date: 2022/05/16
More Info
It's understandable to be concerned when a child accidentally swallows something, especially a vitamin gummy. In your case, your daughter swallowed a vitamin C gummy, which can raise several questions about potential complications and the best course of action.
First and foremost, it's important to assess whether the gummy has indeed caused any obstruction in her airway. If she was able to cough it out initially, that is a good sign, as it indicates that her airway was not completely blocked. However, the fact that she is now experiencing persistent coughing, especially with phlegm, could suggest that there may be some irritation in her throat or respiratory tract, possibly due to the gummy or from coughing itself.
What to Do Next
1. Monitor Symptoms: Keep a close eye on her symptoms. If she continues to cough, especially if it worsens or if she shows signs of difficulty breathing, wheezing, or if her cough becomes painful, it would be prudent to seek medical attention immediately.
2. Consult a Pediatrician: Given the situation, I recommend taking her to a pediatrician. They can perform a thorough examination to determine if there are any signs of aspiration (where the gummy could have entered the airway) or if there is any irritation in her throat. If necessary, they may refer her to a specialist, such as an otolaryngologist (ear, nose, and throat doctor), for further evaluation.
3. Chest X-ray: In some cases, if there is a suspicion that the gummy may have entered the lungs, a chest X-ray may be performed to check for any signs of aspiration pneumonia or other complications.
4. Hydration and Rest: Ensure that she stays well-hydrated and gets plenty of rest. This can help her body recover from any irritation in her throat.
5. Avoid Further Gummy Vitamins: Until you have consulted with a healthcare provider, it may be wise to avoid giving her gummy vitamins or any similar products that could pose a choking hazard.
Potential Risks
While vitamin C is generally considered safe and non-toxic, the main concern in this scenario is the physical act of swallowing the gummy. If it were to become lodged in the airway, it could lead to choking or respiratory distress. If it were to irritate the throat, it could cause a cough or discomfort.
Conclusion
In summary, while the immediate risk of serious harm may be low if she was able to cough the gummy out initially, the ongoing cough is a concern that warrants medical evaluation. A pediatrician will be able to assess her condition and determine if any further action is needed. Always err on the side of caution when it comes to the health of your child, and don’t hesitate to seek medical advice if you have any doubts or concerns.
Similar Q&A
Concerns About Overconsumption of Children's Vitamins: What Parents Should Know
Hello, my child recently consumed nearly 90 gummy vitamins (like Gummy Bears) at home when adults were not paying attention. Is there any concern regarding such a large intake of vitamins? Should we take her to a doctor for an examination? If an examination is necessary, which de...
Dr. Pei Rensheng reply Pediatrics
Hello! Not only are the well-known fat-soluble vitamins (vitamins A, D, E, K) at risk of toxicity when taken in excess, but water-soluble vitamins can also lead to toxicity when consumed in large amounts, although this is more commonly seen in high-dose treatments for specific co...[Read More] Concerns About Overconsumption of Children's Vitamins: What Parents Should Know
Managing Shoulder Pain: Insights on Pediatric Neurological Concerns
The otolaryngologist conducted a blood test for my son, who is a premature baby. He suggested that my son undergo detoxification for lead for one year and take his supplements for one month. He mentioned that the dosage for epilepsy can be reduced by 1cc; currently, my son is tak...
Dr. Jiang Junyi reply Neurology
Hello: To avoid excessive lead absorption from the environment, consider the following recommendations: 1. Use safe tableware for serving food, avoiding decorative dishes and brightly colored utensils to prevent lead from colored pigments leaching into food. 2. For utensils tha...[Read More] Managing Shoulder Pain: Insights on Pediatric Neurological Concerns
Accidental Ingestion of Shrimp Shells and Vitamin C Tablets: Risks and Concerns
Hello Doctor: The day before yesterday, I accidentally swallowed shrimp shell, which got stuck in my throat at the time and felt sharp. I drank a lot of water to wash it down, and I believe I managed to dislodge it from my throat. I would like to know if the shrimp shell could ha...
Dr. Zheng Jueyi reply Otolaryngology
Hello, if there are no obvious symptoms later, the chances of shrimp shells or vitamin C chewable tablets injuring the esophagus or gastrointestinal tract should be low. However, if symptoms such as abdominal pain, difficulty swallowing, or fever occur, it is advisable to seek me...[Read More] Accidental Ingestion of Shrimp Shells and Vitamin C Tablets: Risks and Concerns
Persistent Lip Itching in Children: Seeking Solutions for Relief
Dear Dr. Zhong, My young son has been experiencing itching and swelling of the lips for about three to four years. We have consulted many dermatologists, but there has been no improvement or resolution. For a long time, we have been using lip balm to alleviate the itching. Some ...
Dr. Zhong Yitun reply Dermatology
Based on your description, the young man is suffering from cheilitis. It can indeed be somewhat challenging to treat, but it's not very difficult; bringing him in for evaluation should suffice, as there are some medications that can be quite helpful. Additionally, proper car...[Read More] Persistent Lip Itching in Children: Seeking Solutions for Relief
Related FAQ
(Pediatrics)
Complementary Foods(Pediatrics)
Cough(Pediatrics)
Pediatric Allergies(Pediatrics)
Oral Thrush(Pediatrics)
Pediatric Vomiting(Pediatrics)
Jaundice(Pediatrics)
Throat(Pulmonology)
Heart(Pediatrics)
Medication Side Effects(Pulmonology)