Dealing with a Fish Bone Stuck in Your Throat: What to Do? - Otolaryngology

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Fish bone stuck in the throat?


Hello, Dr.
Yeh: I would like to ask you a question.
I accidentally swallowed a small fishbone during dinner the night before last, and I have been experiencing a sharp pain in my left throat for three days.
I usually don't feel much discomfort, but when I drink water, I have the sensation of something poking in my throat.
Can I go to a general clinic for this issue? Additionally, I often feel tightness in my throat and have some difficulty swallowing.
Could this be esophageal narrowing? I would greatly appreciate your guidance! Thank you very much!

kiki, 20~29 year old female. Ask Date: 2005/04/01

Dr. Ye Dawei reply Otolaryngology


Miss, your issue requires a clinical examination to determine your condition.
Please visit the outpatient clinic for evaluation.

Reply Date: 2005/04/01

More Info


Dealing with a fish bone stuck in your throat can be a distressing experience, and it’s important to approach the situation with caution. Based on the information provided, it seems you have been experiencing discomfort for three days after swallowing a small fish bone, particularly on the left side of your throat. You also mentioned a sensation of tightness in your throat and some difficulty swallowing, which can be concerning.

First and foremost, if you are experiencing persistent pain, discomfort, or any difficulty swallowing, it is advisable to seek medical attention. While some fish bones may pass through the digestive tract without causing harm, others can become lodged in the throat or esophagus, leading to complications. Here are some steps you can take and considerations to keep in mind:
1. Do Not Attempt to Remove It Yourself: If you suspect that a fish bone is lodged in your throat, avoid trying to remove it yourself with your fingers or other objects. This can cause further injury or push the bone deeper into the throat or esophagus.

2. Stay Calm: Anxiety can exacerbate the sensation of discomfort. Try to remain calm and avoid panicking, as this can make swallowing more difficult.

3. Hydration: Drinking water can sometimes help dislodge a small fish bone. However, if you feel a sharp pain or if the discomfort worsens, stop drinking and seek medical help.

4. Seek Medical Attention: Given that you have been experiencing discomfort for three days, it is crucial to visit a healthcare provider. An ear, nose, and throat (ENT) specialist can perform a thorough examination, possibly using an endoscope to visualize the throat and esophagus. This will help determine if the fish bone is still present and if any damage has occurred.

5. Watch for Symptoms: Monitor your symptoms closely. If you experience severe pain, difficulty breathing, fever, or any signs of infection (such as swelling or redness), seek emergency medical care immediately.

6. Consider the Risk of Infection: If a fish bone has caused a tear or abrasion in the throat or esophagus, there is a risk of infection. Symptoms of infection may include increased pain, fever, and swelling. If you notice any of these symptoms, it is essential to seek medical attention promptly.

7. Follow-Up Care: After the initial evaluation, your doctor may recommend follow-up care or further imaging studies to ensure that there are no lingering issues. If the bone has passed and there is no damage, you may be advised to monitor your symptoms and return if they persist.

8. Preventive Measures: In the future, to avoid similar incidents, be cautious when eating fish, especially those with small bones. Chewing thoroughly and being mindful of the texture can help prevent swallowing bones.

In summary, while it is possible for small fish bones to pass through the digestive system without causing harm, your ongoing discomfort warrants a visit to a healthcare provider. An ENT specialist will be able to assess your situation accurately and provide the appropriate treatment. Remember, it’s always better to err on the side of caution when it comes to potential foreign objects in the throat.

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