Object in a Child's Throat or Esophagus: Care Instructions

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Your Care Instructions

When you swallow food, liquid, or an object, it passes from the mouth and goes down the throat and esophagus and into the stomach. But sometimes these things can get stuck in the throat or esophagus. This may make you choke, cough, or gag. Some objects can cause more problems than others. Sharp, long, or large objects can scratch or cut the throat, the esophagus, and the stomach if they get stuck or if they are swallowed. When this happens, these areas can bleed or get infected.

If the object was stuck in your child's throat or esophagus, your doctor probably removed it. If your child swallowed the object, your doctor may have suggested that you wait and see if the object comes out in your child's stool. Most swallowed objects will pass through the body without any problem and show up in your child's stool within 3 days. If the object does not show up in the stool within 7 days, the doctor may order tests to find out where it is in your child's body.

Your child's throat may feel sore after an object has been removed or a swallowed object has scratched the throat. It may hurt for a few days when your child eats or swallows. The scratch itself may make it feel as if something is still stuck in the throat.

Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.

How can you care for your child at home?

  • Give pain medicines exactly as directed.
    • If the doctor gave your child a prescription medicine for pain, give it as prescribed.
    • If your child is not taking a prescription pain medicine, ask your doctor if your child can take an over-the-counter medicine.
    • Do not give your child two or more pain medicines at the same time unless the doctor told you to. Many pain medicines have acetaminophen, which is Tylenol. Too much acetaminophen (Tylenol) can be harmful.
  • If the doctor prescribed antibiotics for your child, give them as directed. Do not stop using them just because your child feels better. Your child needs to take the full course of antibiotics.
  • Give your child liquids to drink. If swallowing liquids is easy for your child, then try soft foods like bread or bananas. If these foods are easy to swallow, start to add other foods.
  • If your child swallowed an object and it has passed through to the stomach, try giving your child foods that are high in fibre, such as fruits, vegetables, and whole grains. These foods may help your child pass the object more quickly.
  • Watch your child's stools to see if the object has passed. Do not give your child a laxative unless your doctor says that it is okay.
  • Keep your child away from smoke. Do not smoke or let anyone else smoke around your child or in your house. Being around smoke can irritate your child's throat and esophagus even more.

To prevent swallowing objects or choking:

  • Cut food into small pieces.
  • Do not give popcorn, nuts, or hard candy to children younger than 4, and supervise older children when they eat these foods.
  • Encourage your child to eat slowly, take small bites, and chew his or her food all the way.
  • Discourage laughing or talking with the mouth full.
  • Warn your child not to eat or drink while doing something else, such as running or playing.
  • Do not let your child hold objects, such as pins, nails, or toothpicks, in his or her mouth or between the lips.
  • Do not give younger children small objects that may cause choking, such as disc batteries, coins, or marbles.
  • Look for age guidelines when selecting toys for children:
    • Do not let your child play with a toy if he or she is younger than the recommended age for the toy.
    • The safest toys for small children are at least 3 centimetres around or 6 centimetres in length.

When should you call for help?

Call 911 anytime you think your child may need emergency care. For example, call if:

  • Your child passes out (loses consciousness).
  • Your child has chest pain.
  • Your child vomits a large amount of blood or what looks like coffee grounds.
  • Your child has severe stomach pain.
  • Your child passes maroon or very bloody stools.
  • Your child cannot swallow.
  • Your child has severe trouble breathing.

Call your doctor or nurse call line now or seek immediate medical care if:

  • Your child has signs of an infection, such as:
    • Pain, swelling, or tenderness in or around the throat, neck, chest, or belly.
    • A fever.
    • A cough.
    • Shortness of breath.
  • Your child vomits a small amount of blood or what looks like coffee grounds.
  • Your child has trouble breathing.
  • Your child has trouble swallowing.
  • Your child vomited more than one time since the object was removed from the throat or esophagus or since he or she swallowed an object.
  • Your child's stools are black and tar-like or have streaks of blood.

Watch closely for changes in your child's health, and be sure to contact your doctor or nurse call line if:

  • Your child still feels like there is something stuck in the throat or esophagus.
  • Your child does not get better as expected.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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