Doctor: Do not drink vinegar or swallow hard with fishbone stuck throat. How to properly handle and prevent esophageal foreign bodies?
Dragon Boat Festival is a traditional festival in China. Every year when the Dragon Boat Festival comes, we eat dumplings and race dragon boats to commemorate the patriotic poet Qu Yuan.
There are thousands of kinds of dumplings, and jujube dumplings are the most dangerous. If you eat dates without spitting out the core, your relatives will cry. Yesterday, a 15-year-old child accidentally swallowed the jujube pit while eating zongzi, and suddenly felt chest pain. The parent took the child to the hospital emergency room. The esophagoscope found that the jujube pit had pierced the esophageal mucosa. The doctor spent nine It took Niu Erhu's strength to take out the jujube core completely. Whether it is a date pit or the fishbone that has been reported from time to time, foreign bodies in the esophagus should attract people's attention, and correct treatment can save a life.
Eating zongzi during the Dragon Boat Festival has become a tradition
Esophageal foreign body refers to the general term for foreign bodies, such as fish bones, jujube stones, and children's toys, that stay in the esophagus.
Under normal circumstances, food will be fully chewed when eating, and saliva can increase its lubricity. If there are foreign objects such as fishbone, date pit, etc., the human body can keenly sense and separate them.
If you eat too fast, the food is not fully chewed, or the sensory and motor function of the oropharynx is reduced, or the person with mental illness intentionally swallows the foreign body, it is easy to cause incarceration and obstruction in the esophagus, thereby causing the esophagus. foreign body.
Esophageal foreign body condyloma
There are two main types of esophageal foreign bodies
(1) Adult foreign bodies are related to food foreign bodies, such as fish bones, bones, dentures, jujube cores, etc. These foreign bodies often stick or get stuck on the esophagus wall.
(2) Inadvertently swallowed metal foreign objects are common among children, such as coins, button batteries, pen caps, etc.
Fishbone is a common esophageal foreign body
There are many folk methods for foreign bodies in the esophagus. For example, the most common ones are "drink vinegar to soften the fishbone" and "eat something hard to squeeze the fishbone down", both of which are very wrong! Experiments have shown that simply drinking vinegar cannot soften the fishbone, and "eat something hard to squeeze the fishbone down" will only make the thorn deeper and cause esophagus perforation. Behind the esophagus is our aorta. Once the aorta is scratched by a foreign body, the consequences will be disastrous.
The correct approach should be as follows:
(1) Perform an electronic laryngoscopy to examine the foreign body located in the upper esophagus or have difficulty swallowing, and it can be seen that there is secretion retention in the piriform fossa;
(2) Imaging examinations (X-rays or CT examinations) can detect the presence of foreign bodies
(3) The presence of a foreign body was found and removed by esophagoscopy
CT can detect foreign body in esophagus
When the foreign body exists in the esophageal stricture for a long time, it is easy to cause local inflammation and infection over time, and the patient may have symptoms such as fever;
The foreign body in the esophagus can pierce the esophageal wall with the swallowing movement, which may become infected and form an abscess;
A sharp foreign body penetrates the esophagus and injures a large blood vessel, which can cause fatal hemorrhage.
Going to the hospital as soon as possible to remove the foreign body in the esophagus is the most important principle of treatment.
When the foreign body has punctured the esophagus, you should stop eating and eat until the esophagus is healed, otherwise it will cause serious infection.
When the foreign body is difficult to remove under endoscopy, thoracotomy is required to remove the foreign body.
(1) Chew slowly, and do not devour fish soup and chicken soup with spines or broken bones;
(2) Repair the teeth or dentures of the elderly in a timely manner when they are loose;
(3) Do not give children toys that can be stuffed into their noses or mouths to avoid swallowing foreign objects;
Summary: Foreign bodies in the esophagus refer to the general term for foreign bodies, such as fish bones, jujube cores, and children's toys, that stay in the esophagus. Food esophagus foreign bodies are mainly divided into two categories. Adult foreign bodies are related to food foreign bodies, and metal foreign bodies that are accidentally swallowed are more common in children. Seek immediate medical attention in the event of esophageal foreign bodies, and avoid forcibly swallowing with rice balls, leeks, steamed buns, etc., so as not to induce complications and increase the difficulty of surgery.
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