"what would happen if you swallowed a little bit of a toothpick." Sharp objects sometimes can injure the esophagus, stomach or intestines. If your child has swallowed a smooth object that is smaller than a quarter, and has no symptoms, contact your doctor to decide the best course of action. The toothpick caused gut perforation in 79 % of all patients. The same is true if your child has swallowed something sharp, such as a piece of glass or an open safety pin. The most common presenting symptoms were abdominal pain (82 %), fever (39 %), and nausea (31 %). Just to be sure it isn't stuck, perform a swallow test. Although the complications caused by swallowed toothpicks are more likely to be detected and resolved by surgical procedure in selected cases when it is possible to locate the position of the toothpick, endoscopic removal can result in the rapid relief of symptoms [3, 4]. It has been associated with many gut injuries including peritonitis with its attending high mortality. If severe pain, go to ER. A woman developed severe blood poisoning and a liver abscess after inadvertently swallowing a toothpick. You’ll notice symptoms immediately if the object blocks the airway. If you think your child swallowed something sharp (like a toothpick or needle) or otherwise dangerous (like a small battery or more than one magnet), head to the ER or call her doctor right away, even if she seems fine. Considering the presence of an acute abdomen, with evidence of peritonitis, the patient was scheduled for surgical exploration and required hemicolectomy. 1, 5 A study that looked at 136 cases reported that half of these children were not aware of having swallowed a toothpick. Accidentally ingested toothpick is documented in medical literature as an important cause of acute abdomen. The most common symptoms include: Discussion. In general, anything that can get to the stomach will pass through the intestines. Swallow Test - Check Your Child's Ability to Swallow Food: Give some water to drink. These things may need to be removed rather than allowed to pass. Unfortunately, our patient was unaware of swallowing a wood toothpick that rapidly progressed and reached the colon. Since your child has no symptoms, the object should be in the stomach. Signs that a foreign body has been swallowed and is causing a problem may include pain in the throat or chest, a lump in the throat or chest, and difficulty swallowing. were not aware of having swallowed a toothpick. The doctor may order X-rays to locate the object in the body. The most common presenting symptoms were abdominal pain (82 %), fever (39 %), and nausea (31 %). If swallowed easily, give bread to eat. From the available information, more than 50 % (n = 48) of patients were not aware of having swallowed a toothpick. The symptoms of a swallowed foreign object are usually hard to miss. 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