Accidental Ingestion of Small Plastic Objects: What to Expect? - Gastroenterology and Hepatology

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Ingestion of foreign substances?


Hello, if a small plastic piece the size of a ten-dollar coin is accidentally ingested, will it be excreted naturally, or will it need to be removed via endoscopy?

Xiao Hua, 30~39 year old female. Ask Date: 2009/05/20

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Hello, generally speaking, foreign bodies of this size can be expelled.
Clinical intervention is only necessary if obstruction symptoms such as vomiting or abdominal pain occur, which may even require surgery.
Best regards, Dr.
Chen Qi-Feng, Taoyuan Hospital, Department of Health.

Reply Date: 2009/05/20

More Info


Accidental ingestion of small plastic objects, such as a plastic piece the size of a ten-dollar coin, is a concern that many people may encounter. Generally speaking, small foreign objects that are ingested can often pass through the gastrointestinal tract without causing significant harm. In most cases, the body is capable of expelling these objects naturally through bowel movements. However, there are several factors to consider regarding the potential risks and necessary interventions.


What to Expect After Ingesting a Small Plastic Object
1. Size and Shape: The size and shape of the ingested object play a crucial role in determining whether it can pass through the digestive system. A small, smooth plastic piece is more likely to pass without causing obstruction compared to larger or jagged objects.

2. Symptoms to Monitor: While many individuals may not experience any symptoms after ingesting a small plastic object, it is essential to monitor for signs of gastrointestinal distress. Symptoms such as abdominal pain, vomiting, difficulty swallowing, or changes in bowel habits may indicate that the object is causing a blockage or irritation. If any of these symptoms occur, it is advisable to seek medical attention promptly.

3. Medical Evaluation: If the individual experiences severe symptoms or if there is uncertainty about the nature of the ingested object, a medical evaluation may be necessary. Healthcare providers may perform imaging studies, such as X-rays or ultrasounds, to determine the location and status of the object within the gastrointestinal tract.

4. Endoscopic Removal: In cases where the object is causing an obstruction or is not expected to pass naturally, an endoscopic procedure may be required to remove it. This minimally invasive procedure involves using a flexible tube with a camera to visualize the digestive tract and retrieve the foreign object.

5. Follow-Up Care: After ingestion of a foreign object, it is important to maintain hydration and monitor bowel movements. If the object does not pass within a few days or if symptoms worsen, further medical evaluation is warranted.


Conclusion
In summary, while small plastic objects, such as a piece the size of a ten-dollar coin, are often expelled naturally by the body, it is crucial to remain vigilant for any concerning symptoms. If any signs of gastrointestinal distress arise, seeking medical attention is essential. Healthcare providers can offer guidance on the best course of action, which may include monitoring, imaging, or endoscopic intervention if necessary. Always prioritize safety and consult a medical professional when in doubt about the ingestion of foreign objects.

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