Concerns After 5-Year-Old Swallows Vitamin C Gummy: What to Do? - Pulmonology

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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.

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