Concern Over Fish Bone In Throat: When to Seek Further Medical Attention? - Otolaryngology

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Fishbone issues


Hello Dr.
Zheng,
On the afternoon of November 21, I ate fish, and it wasn't until the last bite that I noticed discomfort in my throat after swallowing.
At that moment, I didn't vomit anything and felt okay, so I didn't think much of it.
However, after dinner that evening, I felt very uncomfortable and went to the emergency room.
They performed an X-ray and a laryngoscopy but found no fishbone, so they advised me to monitor the situation for a few days without medication.
Yesterday, on November 23, I still felt like something was stuck in my throat, so I went to an ENT clinic.
The doctor used a scope to examine my throat and also found nothing, only noting slight inflammation.
They prescribed medication and suggested I observe my condition for another three days.
I am worried that a fishbone might be lodged in my esophagus and could lead to serious complications.
Should I undergo an esophageal examination? Eating and drinking are not extremely painful, but there is a persistent uncomfortable sensation of something being stuck.
I'm unsure if there is actually a fishbone present.
If I can tolerate the situation, could ignoring a fishbone lodged in the esophagus lead to inflammation? Would it potentially damage other organs or arteries? Could this lead to other serious issues?
I read online that lodged fishbones can be severe and even fatal, which has made me quite anxious.
I would appreciate your guidance on this matter.
Thank you!

mmyy, 30~39 year old female. Ask Date: 2015/11/24

Dr. Zheng Jueyi reply Otolaryngology


Hello: Most cases of discomfort that feel more like a sensation of something stuck rather than sharp pain are usually due to inflammation.
If the symptoms persist without improvement or if you are concerned about a foreign object lodged in the esophagus, you may visit the gastroenterology department or the emergency room for an evaluation to determine if an endoscopy is necessary.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/11/24

More Info


When it comes to concerns about a fish bone stuck in the throat, it is understandable to feel anxious, especially after experiencing discomfort and undergoing medical evaluations without a definitive resolution. Based on your description, you have already taken appropriate initial steps by seeking medical attention, including X-rays and an endoscopic examination, both of which did not reveal any foreign objects. However, your ongoing discomfort and anxiety about potential complications warrant further discussion.

Firstly, it is essential to recognize that while fish bones can cause irritation and discomfort, they do not always lead to severe complications. In many cases, if a fish bone is small and has passed into the esophagus or stomach, it may not cause any significant issues and can be naturally expelled from the body. However, if a bone is larger or has sharp edges, it could potentially cause injury to the lining of the esophagus or throat, leading to inflammation or infection.

Given that you are still experiencing a sensation of something being stuck in your throat, it is advisable to continue monitoring your symptoms closely. Here are some key points to consider:
1. Symptoms to Watch For: If you experience worsening pain, difficulty swallowing, or any signs of infection (such as fever, increased swelling, or pus), you should seek immediate medical attention. These symptoms could indicate that the bone has caused an injury or that an infection is developing.

2. Follow-Up Care: Since you have already been prescribed medication for inflammation, it is essential to follow your doctor's advice and take the medication as directed. If your symptoms do not improve within the next few days, or if they worsen, you should return to your healthcare provider for further evaluation.
3. Further Investigations: If your discomfort persists despite treatment, it may be reasonable to discuss with your doctor the possibility of further imaging studies, such as a CT scan, which can provide a more detailed view of the throat and esophagus. This can help rule out any hidden issues that may not have been visible on the initial X-ray or endoscopy.

4. Risk of Complications: While the risk of a fish bone causing severe complications is relatively low, it is not zero. If a bone were to become lodged in the esophagus, it could lead to perforation, which is a medical emergency. However, this is rare, especially if you have already had two evaluations that did not show any foreign body.

5. Self-Care Measures: In the meantime, you can try some home remedies to soothe your throat. Drinking warm liquids, such as herbal tea or warm water with honey, may help alleviate the sensation of discomfort. Soft foods may also be easier to swallow and less irritating to your throat.

6. Psychological Aspect: It is natural to feel anxious about the situation, especially with the information available online regarding potential complications. However, it is crucial to rely on professional medical advice rather than solely on internet sources. If your anxiety continues to be a concern, consider discussing it with your healthcare provider, who may offer additional support or reassurance.

In conclusion, while it is essential to remain vigilant about your symptoms, it is equally important to communicate openly with your healthcare provider about your concerns. If your discomfort persists or worsens, do not hesitate to seek further evaluation. Your health and peace of mind are paramount, and taking proactive steps will help ensure that any potential issues are addressed promptly.

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