Concerns About a Toddler Swallowing Cherimoya Seeds: What to Do? - Pediatrics

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Child accidentally ingests seeds?


Hello, doctor.
I have a little boy who is about 2 years and 8 months old.
He accidentally swallowed a seed from a cherimoya (which is not large) during a meal.
The next day, his bowel movement was normal, and I did not check for the presence of the seed.
Should I take him for an examination, or does the absence of any symptoms indicate that it has likely passed with his stool? I'm a bit worried.
Thank you.

jdhhf, 40~49 year old female. Ask Date: 2013/08/29

Dr. Xiao Kaiwen reply Pediatrics


Statistically, children who accidentally ingest objects smaller than a coin, unless they are toxic or sharp, will typically pass them in their stool.
The size of a cherimoya seed should pass naturally within two to three days, so there is no need for excessive concern.

Reply Date: 2013/08/29

More Info


When it comes to concerns about a toddler swallowing cherimoya seeds, it’s understandable to feel anxious as a parent. Cherimoya seeds are relatively small, and while they are not toxic, they can pose a choking hazard or cause gastrointestinal discomfort if swallowed. Here’s a comprehensive overview of what to consider and the steps you might take.

First and foremost, if your child has swallowed a small number of cherimoya seeds and is otherwise healthy—showing no signs of distress, choking, or gastrointestinal issues—there is a good chance that the seeds have passed through their system without any problems. The fact that your child had a normal bowel movement the following day is a positive sign. Typically, if seeds or small objects are swallowed, they will either pass through the digestive tract or may cause minor discomfort, which usually resolves on its own.

However, it’s important to monitor your child for any unusual symptoms over the next few days. Signs to watch for include:
1. Abdominal Pain: If your child complains of stomach pain or appears unusually fussy, it could indicate that something is stuck or causing irritation.

2. Vomiting: If your child begins to vomit, especially if it is persistent, this could be a sign of an obstruction or irritation in the gastrointestinal tract.

3. Changes in Bowel Movements: While one normal bowel movement is reassuring, if you notice any changes in the frequency, consistency, or color of your child's stools, it may warrant further investigation.

4. Choking or Difficulty Breathing: If your child shows any signs of choking or difficulty breathing, seek immediate medical attention.

If your child exhibits any of these symptoms, it would be prudent to consult with a pediatrician. They may recommend an X-ray or other imaging studies to ensure that the seeds have passed through the digestive system without causing any blockages.

In general, cherimoya seeds are not known to be toxic, but they do contain certain compounds that can be harmful in large quantities. The seeds contain small amounts of alkaloids, which can be toxic if consumed in significant amounts. However, the amount in a few seeds is unlikely to cause harm.

For future reference, it’s a good idea to supervise young children while they are eating, especially with foods that contain seeds or pits. You might also consider removing seeds from fruits before offering them to your child to prevent similar incidents.

In conclusion, if your child is not showing any symptoms of distress and has had a normal bowel movement, it is likely that the seeds have passed without issue. However, keep an eye on them for any changes in behavior or health, and don’t hesitate to reach out to a healthcare professional if you have any concerns. Your vigilance as a parent is key to ensuring your child's safety and well-being.

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