Swallowed Fish Bone: Should You See a Doctor for Chest Pain?

Accidental ingestion of a fish bone?

Hello, a few days ago I got a fish bone stuck in my throat, and it seems I swallowed it.
Since yesterday, I've been experiencing a burning sensation in my chest that has lasted all day.
Should I see a doctor? I'm worried that the fish bone might be lodged in my esophagus, and if it is and goes untreated, it could become more serious.
Thank you, doctor.

You, 20~29 year old female. Ask Date: 2023/03/03

Dr. Hong Yuanbin reply Internal Medicine

Hello, theoretically, the symptoms of accidentally swallowing a fishbone do not typically include a burning sensation, so the likelihood of that is considered low.
However, if the symptoms persist, one should consider esophageal reflux.
If discomfort continues, it is advisable to consult a gastroenterologist.
Thank you for your question.

Reply Date: 2023/03/03

More Info

If you have swallowed a fish bone and are experiencing a burning sensation in your chest, it is advisable to seek medical attention. The symptoms you describe could indicate that the fish bone is lodged in your esophagus or has caused irritation or injury to the lining of the esophagus.
When a foreign object like a fish bone is swallowed, it can sometimes pass through the digestive tract without causing any issues. However, there are instances where it can become stuck, leading to complications. The burning sensation you are feeling could be a sign of esophagitis, which is inflammation of the esophagus, or it could indicate that the bone is indeed lodged in the esophagus, causing pain and discomfort.

In addition to the burning sensation, you should be aware of other symptoms that may indicate a more serious problem. These include:
1. Severe Pain: If you experience severe or worsening pain in your chest or throat.

2. Difficulty Swallowing: If you find it increasingly difficult to swallow food or liquids.

3. Drooling: Excessive drooling can indicate that you are unable to swallow properly.

4. Nausea or Vomiting: If you feel nauseous or vomit, especially if there is blood in the vomit.

5. Fever: A fever may indicate an infection, which could occur if the bone has caused a tear or injury to the esophagus.

If you experience any of these symptoms, it is crucial to seek immediate medical care. A healthcare professional can perform an examination, which may include imaging studies such as X-rays or an endoscopy, to determine if the fish bone is present and whether any damage has occurred to the esophagus.

In the meantime, avoid eating or drinking anything until you have been evaluated by a doctor, as this could exacerbate any potential injury. If the fish bone is indeed lodged in your esophagus, attempting to swallow food or liquids could lead to further complications.

In summary, given your symptoms and the potential risks associated with swallowing a fish bone, it is strongly recommended that you see a doctor for a thorough evaluation. Early intervention can help prevent complications and ensure that any issues are addressed promptly.

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