Accidentally Swallowed a Goose Egg Stone: What to Expect? - Otolaryngology

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Accidental ingestion of pebbles?


Tonight, while drinking with friends, I tried a dish called "stir-fried pebbles." The way to eat it is to put the pebbles in your mouth, suck the sauce, and then spit out the stones.
That day, I forgot to spit out the stones after drinking and accidentally swallowed one.
Later, I drank some water to help swallow it down.
Currently, I have no discomfort, but I am concerned because the stone is relatively large.
I'm worried that it might not pass through and could remain in my stomach or get stuck in the pylorus, duodenum, or other parts of the intestines.
I would like to ask the doctor what symptoms I might experience if a pebble remains in my stomach for a long time or gets stuck in my intestines.

allen, 30~39 year old female. Ask Date: 2024/04/06

Dr. Zheng Jueyi reply Otolaryngology


If you experience abdominal pain, fever, or persistent indigestion, it is recommended to seek medical evaluation from a gastroenterologist.

Reply Date: 2024/04/06

More Info


Accidentally swallowing a goose egg stone can indeed raise concerns about potential gastrointestinal complications, particularly the risk of intestinal obstruction. While you currently report no discomfort, it is essential to understand the possible symptoms and the necessary steps to take should complications arise.

When a foreign object like a stone is ingested, it can pass through the digestive system without causing issues, especially if it is small enough. However, larger objects can lead to obstruction, which may occur at various points in the gastrointestinal tract, including the stomach, pylorus (the opening from the stomach to the small intestine), or the intestines themselves.

If the stone remains in your stomach or gets lodged in your intestines, you might experience a range of symptoms. Common signs of intestinal obstruction include:
1. Abdominal Pain: This can be cramp-like and may come in waves. The pain can be severe and is often localized to the area where the obstruction is occurring.

2. Nausea and Vomiting: As the obstruction prevents food and fluids from passing through, you may feel nauseous and may vomit, which can include bile if the obstruction is severe.

3. Bloating and Distension: You might notice that your abdomen feels swollen or distended due to the buildup of gas and fluids.

4. Constipation or Inability to Pass Gas: If the obstruction is complete, you may not be able to have a bowel movement or pass gas, which is a significant indicator of a blockage.

5. Loss of Appetite: You may find that you have little to no desire to eat due to discomfort or nausea.

6. Fever: If the obstruction leads to complications such as infection or perforation of the intestine, you may develop a fever.

7. Changes in Heart Rate: In severe cases, the body may respond to pain or infection with changes in heart rate, which can be a sign of distress.

If you experience any of these symptoms, it is crucial to seek medical attention promptly. A healthcare provider may perform imaging studies, such as an X-ray or CT scan, to determine the location of the stone and assess the severity of the situation. In some cases, if the stone does not pass naturally, medical intervention may be necessary, which could include endoscopic removal or, in more severe cases, surgery.

In the absence of symptoms, it is still advisable to monitor your condition closely. If you notice any changes or develop any of the symptoms mentioned above, do not hesitate to contact a healthcare professional. It is always better to err on the side of caution when it comes to potential gastrointestinal issues.

In summary, while you may currently feel fine, the risk of complications from swallowing a foreign object like a goose egg stone should not be taken lightly. Understanding the potential symptoms of obstruction and knowing when to seek help can be critical in ensuring your health and safety.

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