Foreign body aspiration into the nasal cavity?
In March 2018, I accidentally inhaled a male cone from a Podocarpus tree while passing underneath it.
This caused an immediate and severe coughing fit.
The male cone, measuring only 0.4 cm, could not be removed and has since fragmented throughout my respiratory tract.
I have been suffering from the effects of this toxic plant ever since: my throat feels as if it is being cut with a knife and is bleeding, my tongue feels burned, and I sometimes experience chest pain that makes it difficult to stand upright.
I also have symptoms of dry syndrome (though antibody tests are negative), and the most alarming issue is my arrhythmia.
Due to the complexity of these symptoms and their cross-disciplinary nature, I am unsure where to seek medical attention in Taiwan for an incident of foreign body aspiration.
I hope a doctor can advise me on the appropriate place to seek treatment, where the physician would be more familiar with the necessary interventions and show greater empathy.
Shengwu Laoshi, 40~49 year old female. Ask Date: 2023/02/06
Dr. Huang Yiwen reply Pulmonology
Dear Biology Teacher: The question you raised is indeed a bit challenging.
The pulmonology department can assist with bronchial washing for some examinations, but it is still recommended to visit the toxicology department first to see if there are any relevant concerns from the Changhua Hospital regarding your situation.
Reply Date: 2023/02/06
More Info
Inhalation of foreign objects can lead to a variety of complications, particularly when the object is small and can fragment, as in your case with the male cone of the tree. The symptoms you describe, such as severe throat pain, bleeding, chest pain, and arrhythmias, indicate that you may be experiencing significant irritation or injury to your respiratory tract and possibly other systemic effects.
In Taiwan, if you find yourself in a situation where you have inhaled a foreign object, the first step is to seek immediate medical attention. The best place to go would be an emergency department (ED) at a hospital. In Taiwan, hospitals are generally well-equipped to handle such emergencies, and the staff is trained to manage cases involving foreign body aspiration.
When you arrive at the emergency department, it's important to clearly communicate the nature of your incident. You should inform the medical staff that you inhaled a foreign object and describe your symptoms in detail. This will help them assess your condition more effectively. The medical team may perform a physical examination and order imaging studies, such as a chest X-ray or CT scan, to locate the foreign object and evaluate any damage to your airways or lungs.
If the foreign object is visible and accessible, the medical team may attempt to remove it using bronchoscopy, a procedure that allows doctors to visualize the airways and remove foreign bodies using specialized instruments. If the object has caused significant damage or if there are complications such as infection or inflammation, further treatment may be necessary, which could include medications to manage pain, inflammation, or infection.
Given the complexity of your symptoms, it may also be beneficial to consult with specialists in addition to the emergency department. For example, an otolaryngologist (ear, nose, and throat specialist) can provide further evaluation and management of throat-related symptoms, while a pulmonologist can address any lung-related issues. If you experience cardiac symptoms such as arrhythmias, a cardiologist may also be involved in your care.
In terms of navigating the healthcare system in Taiwan, it is advisable to have a local contact who can assist you with language barriers and help you understand the processes involved in receiving care. Many hospitals in Taiwan have English-speaking staff, especially in larger cities, but having someone who can translate and advocate for you can be invaluable.
Additionally, if you have health insurance, ensure that you bring your insurance card and any relevant medical records to facilitate your treatment. If you do not have insurance, be prepared for the costs associated with emergency care, which can vary depending on the hospital and the extent of the treatment required.
In summary, if you have inhaled a foreign object in Taiwan, seek immediate medical attention at an emergency department. Be prepared to describe your incident and symptoms clearly, and consider consulting with specialists for comprehensive care. The healthcare system in Taiwan is generally efficient and capable of managing such emergencies, so do not hesitate to seek help.
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