Dealing with a Fish Bone Stuck in the Throat: When to Seek Help - Otolaryngology

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When dealing with a fish bone stuck in the throat, it is crucial to understand the potential complications and the appropriate steps to take. Based on your description, it seems that you initially sought medical attention and were advised to observe the situation after an endoscopic examination did not reveal any foreign body. However, you are still experiencing discomfort and a sensation of something being stuck in your throat, which raises some concerns.

First, it’s important to note that while many cases of fish bone ingestion resolve without intervention, there are instances where complications can arise. These complications may include:
1. Injury to the Esophagus: If the fish bone has caused a scratch or tear in the esophagus, it could lead to inflammation or infection, which might explain the persistent discomfort and sensation of a foreign body.

2. Infection: If there was any injury to the throat or esophagus, there is a risk of infection developing, which could cause swelling and pain.

3. Abscess Formation: In some cases, if there is an injury, an abscess may form, leading to increased pain and swelling.

Given that you are still experiencing discomfort, a sensation of swelling, and occasional pain when swallowing, it is advisable to seek further medical evaluation. Here are some recommendations:
1. Seek Immediate Medical Attention: If your symptoms worsen or if you develop new symptoms such as fever, difficulty swallowing, or severe pain, you should seek immediate medical attention.
2. Visit a Specialist: Since you have already seen an ENT specialist, it would be prudent to return to an ENT for a follow-up. They may perform additional imaging studies, such as a CT scan, to assess for any complications that might not have been visible during the initial examination.

3. Consider Gastroenterology: If the ENT specialist rules out any issues in the throat and esophagus, a consultation with a gastroenterologist may be warranted. They can evaluate the digestive tract and determine if there are any issues related to the fish bone that may have passed into the stomach.

4. Monitor Symptoms: Keep track of your symptoms. If you notice any changes, such as increased pain, difficulty breathing, or swallowing, or if you develop a fever, do not hesitate to seek emergency care.

5. Avoid Home Remedies: While it may be tempting to try home remedies to alleviate the sensation of a foreign body, it is best to avoid these until you have been evaluated by a healthcare professional.

In summary, while it is possible that the fish bone has passed and your symptoms will resolve, the ongoing discomfort and sensation of something being stuck in your throat warrant further investigation. It is better to err on the side of caution and seek a thorough evaluation from a specialist. If you decide to go to a hospital, starting with the ENT department would be appropriate, as they specialize in conditions related to the throat and can provide the necessary care.