Severe Abdominal Pain After Accidentally Swallowing a Fish Bone - Surgery

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Severe abdominal pain of unknown origin?


Hello, Dr.
Lin! This is the first time I feel this unwell! I woke up today with severe abdominal pain and bloating! I have no appetite at all, and I feel like vomiting after eating! Yesterday, I accidentally swallowed a fish bone, which was about two centimeters long! For dinner yesterday, I had custard buns, fish, vegetable soup, and tofu! I really feel uncomfortable, and it's not convenient for me to seek medical attention here.
Could you please respond to me quickly? Thank you!

kevin, 10~19 year old female. Ask Date: 2005/08/26

Dr. Lin Kecheng reply Surgery


Hello Kevin: Is the abdominal pain caused by swallowing a fishbone, or is it due to indigestion from the food consumed? It is really difficult to diagnose based solely on an email without the benefit of observation, inquiry, and examination.
I cannot provide you with incorrect information casually, so it is best to visit a hospital for a thorough examination by a physician.
Wishing you a speedy recovery.

Reply Date: 2005/08/26

More Info


Severe abdominal pain following the accidental swallowing of a fish bone can be concerning and warrants careful consideration. When a fish bone is swallowed, it can potentially cause various complications, including obstruction, perforation, or irritation of the gastrointestinal tract. Given your symptoms of severe abdominal pain, bloating, loss of appetite, and nausea, it is essential to understand the possible implications and what steps you can take.

Firstly, the pain you are experiencing could be due to several factors. If the fish bone has lodged itself in the esophagus or gastrointestinal tract, it may cause a blockage, leading to pain and discomfort. Additionally, if the bone has caused any irritation or injury to the lining of the digestive tract, this could also result in significant abdominal pain. The fact that you are feeling bloated and have a lack of appetite further supports the possibility of a gastrointestinal issue.

In general, if you experience severe abdominal pain after swallowing a foreign object, it is advisable to seek medical attention as soon as possible. While you mentioned that you are not in a position to visit a healthcare facility, it is crucial to monitor your symptoms closely. Here are some signs that would necessitate immediate medical attention:
1. Severe or worsening pain: If the pain becomes unbearable or intensifies, it is essential to seek help.

2. Persistent vomiting: If you are unable to keep anything down, this could indicate a blockage or other serious issue.

3. Fever: A fever may suggest an infection or inflammation, which requires prompt evaluation.

4. Blood in vomit or stool: This is a serious symptom that indicates possible internal injury and requires immediate medical intervention.

5. Signs of dehydration: If you are unable to eat or drink and start to feel dizzy or lightheaded, this could be a sign of dehydration.

If you are unable to access medical care immediately, there are a few self-care measures you can consider while monitoring your symptoms:
- Stay hydrated: Drink clear fluids to stay hydrated, but avoid solid foods until you feel better.

- Avoid certain foods: Steer clear of spicy, fatty, or heavy foods that could exacerbate your symptoms.

- Rest: Allow your body to rest and recover, as this can help alleviate some discomfort.

In terms of self-observation, pay attention to the nature of your pain. Is it sharp, dull, cramping, or constant? Does it radiate to other areas, such as your back or shoulders? These details can be helpful for healthcare providers if you do seek medical attention later.

In conclusion, while it is understandable that you may want to avoid a hospital visit, the symptoms you are describing are concerning. If your condition does not improve or worsens, it is crucial to seek medical care. A healthcare professional can perform the necessary examinations, such as imaging studies, to determine if the fish bone has caused any complications and to provide appropriate treatment. Your health and safety should always be the priority, and timely medical intervention can prevent further complications.

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