How to Remove Foreign Objects from the Ear, Nose, and Throat - Otolaryngology

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Foreign bodies in the ear, nose, and throat?


Hello Dr.
Hsu,
Last month, after recovering from a cold, I have been experiencing persistent nasal congestion.
The mucus I expel often contains blood and is accompanied by yellow phlegm.
Since I am studying abroad, I have only been using over-the-counter cold medications and have not sought medical attention.
This situation has lasted for about ten days, and while it has resolved, I now have another issue.

Currently, I feel like there is a foreign object lodged in my nasal cavity.
When I try to expel it by blowing my nose, the object seems to move down into my throat, and sometimes I feel it shifting towards my left ear.
When I apply slight pressure, my left ear feels blocked, and I have been unable to expel it for a while.
I am unsure of what to do, so I am seeking your advice on any methods to remove this foreign object.
Thank you for your response!

Hua Lu Mi, 30~39 year old female. Ask Date: 2012/04/26

Dr. Xu Yingzhuo reply Otolaryngology


Hello, Hualuomi: Post-nasal drip may be the reason for your symptoms.
You should consult an otolaryngologist who can suction out the mucus.
This message is from the Taitung Hospital of the Department of Health, Executive Yuan, with concern for you.
Response provided by Dr.
Hsu Ying-shuo, Head of the Otolaryngology Department.

Reply Date: 2012/04/26

More Info


When dealing with foreign objects in the ear, nose, or throat, it is essential to approach the situation with caution and awareness of potential complications. Based on your description, it seems that you are experiencing a sensation of a foreign object lodged in your nasal cavity, which may have moved to your throat or even your ear. Here are some steps and considerations for safely addressing this issue.


Understanding the Situation
1. Symptoms: You mentioned experiencing nasal congestion, blood-tinged mucus, and a sensation of a foreign object. These symptoms can arise from various conditions, including post-viral rhinitis, sinusitis, or even a foreign body lodged in the nasal passages.

2. Potential Risks: Attempting to remove a foreign object on your own can lead to further complications, such as pushing the object deeper, causing injury to the mucous membranes, or leading to infections. If the object has moved to your throat, it could pose a choking hazard.


Recommended Actions
1. Avoid Forceful Actions: While it may be tempting to try to expel the object by forcefully blowing your nose or coughing, this can often exacerbate the situation. Forceful actions can push the object further back into the nasal cavity or throat.

2. Gentle Techniques: If you feel comfortable, you can try to gently pinch your nostrils closed and breathe out through your nose (known as the Valsalva maneuver). This may help to equalize pressure and potentially dislodge the object. However, do this with caution and stop if you feel any pain or discomfort.

3. Hydration: Staying well-hydrated can help thin mucus and may assist in clearing out any blockages. Warm fluids, such as herbal teas or broths, can be soothing and beneficial.

4. Steam Inhalation: Inhaling steam can help to open up nasal passages. You can do this by taking a hot shower or using a bowl of hot water with a towel over your head to trap the steam. This may help to relieve congestion and facilitate the movement of the foreign object.

5. Seek Medical Attention: Given that you are experiencing persistent symptoms and the sensation of a foreign object, it is advisable to seek medical attention as soon as possible. An ENT (ear, nose, and throat) specialist can safely examine your nasal passages and throat using appropriate tools and techniques. They can also provide treatment for any underlying issues, such as inflammation or infection.


When to Seek Emergency Care
If you experience any of the following symptoms, seek emergency medical care immediately:
- Difficulty breathing or swallowing
- Severe pain in the ear, nose, or throat
- Persistent bleeding from the nose or mouth
- Signs of infection, such as fever or swelling

Conclusion
While it can be concerning to feel a foreign object in your ear, nose, or throat, it is crucial to handle the situation with care. Avoid self-removal attempts that could lead to injury, and consider seeking professional medical help. An ENT specialist will have the necessary tools and expertise to safely remove the object and address any related health issues. Remember, your health and safety should always come first, especially when dealing with potential foreign bodies in sensitive areas like the ear, nose, and throat.

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