Swallowed Fish Bone: Should You See a Doctor?

Q: Swallowed Fish Bone: Should You See a Doctor?

Dear Inquirer： Hello, it is quite common to accidentally swallow fish bones. <br>They will usually be digested in the stomach, unless they get lodged in the throat, causing discomfort, in which case external assistance may be needed to remove them. <br>Sincerely, Dr. <br>Chen Chi

Swallowing a fish bone?

Hello Dr.
Chen: Yesterday, I accidentally swallowed a fishbone while eating.
If I don't feel any sharp sensation when swallowing, does that mean the fishbone has already gone down into my stomach? Or should I see a doctor for an examination? If the fishbone has entered my stomach, will it pass through my system on its own? Thank you.

Tim, 20~29 year old female. Ask Date: 2010/04/28

Dr. Chen Jianzhi reply Otolaryngology

Dear Inquirer: Hello, it is quite common to accidentally swallow fish bones.
They will usually be digested in the stomach, unless they get lodged in the throat, causing discomfort, in which case external assistance may be needed to remove them.
Sincerely, Dr.
Chen Chien-Chih, Physician at Taoyuan Hospital, Department of Health, and Lecturer at Fu Jen Catholic University.

Reply Date: 2010/04/28

More Info

Swallowing a fish bone can be a concerning experience, and it's understandable to feel anxious about the potential complications. If you have swallowed a fish bone and do not feel any sharp sensations while swallowing, it may indicate that the bone has passed into your esophagus or stomach. However, this does not guarantee that it is safe or that it will not cause any issues.

In general, if a fish bone is small and smooth, it is likely to pass through the digestive tract without causing harm. Most fish bones are not large enough to cause a blockage or perforation in the gastrointestinal tract. The body is quite adept at handling small foreign objects, and in many cases, the bone will be excreted naturally through bowel movements within a few days.

However, there are several factors to consider:
1. Symptoms to Monitor: If you experience any of the following symptoms, it is crucial to seek medical attention:
- Persistent pain in the throat or chest
- Difficulty swallowing or a sensation of something stuck in your throat
- Vomiting or nausea
- Fever or chills, which could indicate an infection
- Blood in your stool or rectal bleeding
2. Location of the Bone: If the fish bone has lodged in the throat or esophagus, it can cause irritation, inflammation, or even a tear. If you feel any discomfort or pain in the throat area, it is advisable to see a doctor. An ENT specialist can perform an examination, often using an endoscope, to locate and remove any lodged bones.

3. Self-Assessment: If you are asymptomatic and do not feel any discomfort, it may be reasonable to monitor your condition for a short period. However, if you have any doubts or if symptoms develop, do not hesitate to consult a healthcare professional.

4. When to Seek Help: If you are unsure whether the fish bone has passed or if you have any symptoms that concern you, it is always better to err on the side of caution. Visiting a doctor can provide peace of mind and ensure that any potential issues are addressed promptly.

5. Prevention and Future Considerations: In the future, when eating fish, it can be helpful to be cautious and check for bones before swallowing. Eating slowly and chewing thoroughly can also help minimize the risk of swallowing bones.

In conclusion, while many cases of swallowed fish bones resolve without intervention, it is essential to be vigilant about any symptoms that may arise. If you feel uncertain or uncomfortable, seeking medical advice is always a prudent choice. Your health and well-being should always come first, and healthcare professionals are equipped to provide the necessary care and guidance.

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