When the fish bone is swallowed?
It is not a rare case that patients who ate fish come in for medical help, and they have been swallowed by the bone, and they are stuck in the throat or esophagus. Because of the feeling of anxiety that sting fish bones can cause, as well as for fear, they often try to expel a foreign body by eating bread, but they fail.
We advise people who swallow fish bones to “not be their own doctor” but to report to the healthcare institution immediately.
If a person has swallowed a fish bone, a feeling of pain or pressure may occur in a certain place, although the point they show is not always in line with the place where the foreign body is actually located. In addition, swallowing problems, as well as increased salivation of the saliva, occur. If something like this happens, one should not try to take out the bone “on your own hands” because this can cause greater damage than it was already done by ingestion itself. In most cases, this problem is successfully and relatively easily resolved by a specialist specialist otorhinolaryngologist. Access to problem and procedures for extraction is the same for children and adults.
The fish bone is most often retained in the area of the tonsils and unwanted arches, from which it can be removed by simple procedure. If it happens, the more rarely, to go further to the base of the language, the ORL specialist determines this by a examination done with the help of a special mirror, which serves the doctor for visualizing the eye of an inaccessible part of the throat. As soon as it is determined where the bone is located, an adequate instrument is accessed by extraction. If it is not found in this way, and the person provides anamnestic data that he swallowed the bone by eating fish, there is a possibility that the bone is stuck in the lower floor of the throat (hypopharynx), and therefore can not be seen. Then, as well as when the bone is stuck in the esophagus, we can place the diagnosis of a foreign body with certainty only on the basis of an esophagous examination. Rigid esophagoscopy in general anesthesia is also a diagnostic and therapeutic method.
In rare cases, when the foreign body is not removed in time from the throat, it is possible that as a complication, a burning inflammation may develop, the so-called the phlegmone base of the language or the adjacent region of the neck, which requires surgical treatment, so as to avoid the development of middle-chest infection and other difficult consequences. Long laying of a foreign body in one place in the esophagus can, as an eventual complication, cause inflammation of the wall, the formation of granules around the foreign body, as a reaction of the immune system of the organism. After extraction, control of the patient and the administration of a broad spectrum antibiotic is required.