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When you swallow food, liquid, or an object, what is swallowed passes from your mouth through your throat and esophagus into your stomach. A swallowed object will usually pass through the rest of your digestive tract without problems and show up in your stool in a few days. If food or a nonfood item gets stuck along the way, a problem may develop that will require a visit to a doctor.
Sometimes when you try to swallow, the swallowed substance "goes down the wrong way" and gets inhaled into your windpipe or lungs (aspirated). This occurs most often in children who are younger than 3 years and in adults who are older than age 50. When you inhale a substance, coughing is a normal reaction of the body to clear the throat and windpipe. The cough is helpful and may clear up the problem. Inhaling a substance into your lungs can cause a lung inflammation and infection (aspiration pneumonia).
The situation may be more serious when:
About 80% to 90% of swallowed objects, like chewing gum, are harmless and pass through the gastrointestinal tract without problems. But some types of objects can cause more serious problems when they are swallowed. These include:
Your doctor may recommend tests such as an X-ray, endoscopy, or barium swallow to help find the object if it doesn't come out in the stool, or if an inhaled object is not coughed out. See an X-ray of a swallowed object. A special metal detector (not the same kind that people use in their yards) might be used to locate a metallic object, such as a coin, inside the body. Your doctor may then recommend a procedure to remove the object or may simply encourage you to continue to check the stool for the passage of the object.
Check your symptoms to decide if and when you should see a doctor.
Many things can affect how your body responds to a symptom and what kind of care you may need. These include:
You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.
Blood in the stool can come from anywhere in the digestive tract, such as the stomach or intestines. Depending on where the blood is coming from and how fast it is moving, it may be bright red, reddish brown, or black like tar.
A little bit of bright red blood on the stool or on the toilet paper is often caused by mild irritation of the rectum. For example, this can happen if you have to strain hard to pass a stool or if you have a hemorrhoid.
A large amount of blood in the stool may mean a more serious problem is present. For example, if there is a lot of blood in the stool, not just on the surface, you may need to call your doctor right away. If there are just a few drops on the stool or in the diaper, you may need to let your doctor know today to discuss your symptoms. Black stools may mean you have blood in the digestive tract that may need treatment right away, or may go away on its own.
Certain medicines and foods can affect the color of stool. Diarrhea medicines (such as Pepto-Bismol) and iron tablets can make the stool black. Eating lots of beets may turn the stool red. Eating foods with black or dark blue food coloring can turn the stool black.
If you take aspirin or some other medicine (called a blood thinner) that prevents blood clots, it can cause some blood in your stools. If you take a blood thinner and have ongoing blood in your stools, call your doctor to discuss your symptoms.
Pain in adults and older children
Pain in children under 3 years
It can be hard to tell how much pain a baby or toddler is in.
Symptoms of difficulty breathing can range from mild to severe. For example:
Severe trouble breathing means:
Moderate trouble breathing means:
Mild trouble breathing means:
Disc batteries are small, round batteries used in toys, cameras, watches, and other devices. Because of the chemicals they can release, they can cause serious problems if they are swallowed or get stuck in an ear or the nose. Small magnets used in household items and objects that contain a lot of lead (such as bullets, buckshot, fishing weights and sinkers, and some toys) also can cause problems if swallowed.
Based on your answers, you may need care soon. The problem probably will not get better without medical care.
Based on your answers, you need emergency care.
Call 911 or other emergency services now.
Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.
Based on your answers, you may need care right away. The problem is likely to get worse without medical care.
The following home treatment may help relieve discomfort after you swallow an object into your digestive tract.
Do not use syrup of ipecac. It is no longer used to treat poisonings. If you have syrup of ipecac in your home, call your pharmacist for instructions on how to dispose of it and throw away the container. Do not store anything else in the container.
Call your doctor if any of the following occur during home treatment:
To prevent children younger than 4 years from swallowing or inhaling objects:
For more information about how to prevent accidental poisoning, see the topic Poisoning. Keep the poison control center number for your area readily available.
Practice the following suggestions when eating, and teach them to your children. Children may copy your behavior.
To be prepared for a choking emergency, take an approved first aid course such as those that are sponsored by the American Heart Association or the American Red Cross.
To prepare for your appointment, see the topic
Making the Most of Your Appointment.
You can help your doctor diagnose and treat your condition by being prepared to answer the following questions:
Current as of:
July 1, 2021
Author: Healthwise StaffMedical Review: William H. Blahd Jr. MD, FACEP - Emergency MedicineAdam Husney MD - Family MedicineKathleen Romito MD - Family Medicine
Current as of: July 1, 2021
William H. Blahd Jr. MD, FACEP - Emergency Medicine & Adam Husney MD - Family Medicine & Kathleen Romito MD - Family Medicine
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