Concerns About Ingested Coins: Do You Need Medical Checkups?

Q: Concerns About Ingested Coins: Do You Need Medical Checkups?

Hello Peiyun： You can go to the hospital for an examination.

Gastrointestinal issues

Doctor, I have a question! When I was a child, I accidentally swallowed a five-dollar coin.
At that time, I had an X-ray taken, and the coin was located in my stomach.
After that, I didn't pay attention to whether it was passed out.
Should I undergo some tests? Is it possible for the coin to remain in the intestines?

Pei Yun, 30~39 year old female. Ask Date: 2009/05/26

Dr. Sun Yizhen reply Internal Medicine

Hello Peiyun: You can go to the hospital for an examination.

Reply Date: 2009/05/26

More Info

Ingesting a coin, especially as a child, is a common concern for many parents and caregivers. In your case, since you mentioned that you accidentally swallowed a five-yuan coin and had an X-ray taken at the time, it’s important to understand the typical management and potential risks associated with this situation.

First and foremost, coins and other small, non-sharp objects that are ingested usually pass through the gastrointestinal (GI) tract without causing any significant harm. In most cases, if the coin is not sharp and is of a size that can pass through the esophagus and into the stomach, it will typically move through the intestines and be expelled in the stool within a few days. However, there are several factors to consider:
1. Location of the Coin: If the X-ray confirmed that the coin was in your stomach, it is likely that it would pass into the intestines. However, if it were to become lodged in the esophagus or any part of the intestines, it could lead to complications such as obstruction or perforation.
2. Symptoms to Monitor: It is crucial to monitor for any symptoms that may indicate a problem. These include abdominal pain, vomiting, difficulty swallowing, or changes in bowel habits. If you experience any of these symptoms, it is advisable to seek medical attention promptly.

3. Follow-Up Imaging: If you have not passed the coin and are unsure of its current location, a follow-up X-ray may be warranted. This can help determine whether the coin is still in the stomach or has moved into the intestines. If it is still in the stomach after a few days, or if there are any signs of obstruction, further medical evaluation may be necessary.

4. Time Frame: Generally, if a coin is ingested, it is expected to pass within 1-2 weeks. If it has not passed by then, or if you have any concerns, it is important to consult with a healthcare provider for further evaluation.

5. Potential Risks: While most coins are made of materials that are not toxic, there is still a risk of complications if the coin becomes lodged. In rare cases, coins can cause erosions or ulcers in the GI tract, leading to bleeding or infection.

In conclusion, while many cases of ingested coins resolve without intervention, it is essential to remain vigilant and monitor for any concerning symptoms. If you have not seen any signs of the coin passing or if you have any discomfort, it is advisable to consult with a healthcare professional for further assessment. They may recommend additional imaging or monitoring to ensure that there are no complications. Always prioritize your health and safety, and do not hesitate to seek medical advice if you have any doubts or concerns.

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