Concerns About Swallowing Small Bones: What You Need to Know

Eating issues?

Hello Doctor, I would like to ask you about something.
I had steak for dinner and I'm not sure if I swallowed a small bone or some burnt meat.
I felt something hard go down my esophagus.
Although it didn't get stuck in my throat, I'm concerned whether it could accidentally perforate my gastrointestinal tract.
Is it possible that the bone could be digested by stomach acid? I read online that some people have had chicken bones puncture their intestines, but it seemed like they swallowed larger pieces.
I think what I swallowed was about 0.3 to 0.4 centimeters or even smaller.
Also, could you please advise me on what symptoms I should watch for? I initially wanted to go to a hospital, but my family said it would come out in my stool, and since I don't have any discomfort right now, I’m hesitant.
I do feel a slight pain above my belly button occasionally when I lie down, but it goes away quickly and seems related to my position.
Should I be overly concerned? Thank you!

Xiao Ke, 20~29 year old female. Ask Date: 2022/11/28

Dr. Hong Yuanbin reply Internal Medicine

Hello, bones do not have sharp spurs, so they are less likely to get stuck in the throat compared to fish bones.
If you are not experiencing any specific discomfort, there is no need to worry unless you later develop a sore throat, in which case you should consult an otolaryngologist.
Thank you for your question.

Reply Date: 2022/11/28

More Info

Swallowing small bones or hard fragments from food can be a concerning experience, but it’s important to understand the potential risks and what to watch for afterward. When you swallow something hard, like a small bone from a steak, it typically passes through the esophagus and into the stomach without causing immediate harm. The esophagus is designed to transport food and liquids to the stomach, and small, smooth objects usually do not cause obstruction.

In your case, since you mentioned that the piece you swallowed was approximately 0.3 to 0.4 centimeters in size, it is relatively small. Most small bones can pass through the gastrointestinal tract without causing any issues. The stomach’s acidic environment can help break down some types of food, but bones are generally not digestible. However, they can be softened somewhat by gastric juices.

While it is true that there are cases where larger bones or sharp fragments can cause perforations or tears in the gastrointestinal tract, the risk is significantly lower with small, rounded pieces. The most critical factor is the size and shape of the object swallowed. Sharp or long bones pose a greater risk of injury than small, rounded ones.

Here are some symptoms to monitor after swallowing a small bone:
1. Abdominal Pain: If you experience persistent or severe abdominal pain, especially if it worsens over time, it could indicate a problem.

2. Nausea or Vomiting: If you feel nauseous or vomit, especially if there is blood in the vomit, seek medical attention immediately.

3. Difficulty Swallowing: If you have trouble swallowing or feel like something is stuck in your throat or chest, this could be a sign of an obstruction.

4. Changes in Bowel Movements: Monitor your bowel movements. If you notice blood in your stool or if you experience constipation or diarrhea that lasts more than a couple of days, consult a healthcare professional.

5. Fever: A fever could indicate an infection, which may occur if there is a perforation.

If you do not experience any of these symptoms, it is likely that the small bone has passed through your digestive system without causing harm. Many people have swallowed small bones without any adverse effects, and they often pass through the body unnoticed.

Regarding your concern about the pain you feel near your belly button, it could be related to your posture or other benign digestive issues. However, if the pain persists or worsens, it would be wise to consult a healthcare provider for further evaluation.

In summary, while swallowing a small bone can be concerning, the likelihood of serious complications is low, especially if you are not experiencing any significant symptoms. It’s always better to err on the side of caution, so if you have any doubts or if symptoms develop, don’t hesitate to seek medical advice.

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