T18.1

Clinical Causes: Accidental swallowing of small objects such as coins, batteries, or food boluses Ingestion of sharp or rigid items like fish bones, toothpicks, or pen caps Children's tendency to put objects into their mouths and inadvertently swallow them Eating hurriedly, which increases the risk of swallowing non-food items Medical conditions that impair swallowing, such as neurological disorders or esophageal abnormalities

Key Symptoms: Difficulty swallowing (dysphagia) Sensation of something stuck in the throat or chest Pain or discomfort in the throat or chest area Drooling or inability to swallow saliva Regurgitation of food or liquids Vomiting, especially if the object causes obstruction or injury Coughing or choking episodes

Diagnosis Path: Physicians typically evaluate suspected cases of foreign body impaction through a combination of patient history and physical examination. Diagnostic procedures may include: - **X-ray Imaging**: To visualize radiopaque objects within the esophagus - **Endoscopy**: A flexible tube with a camera is inserted through the mouth to identify and sometimes retrieve the foreign body - **Computed Tomography (CT) Scan**: Used in complex cases where additional detail is needed, especially if perforation or severe injury is suspected

Treatment Protocols: Management focuses on the safe removal of the foreign body and addressing any associated complications. Common approaches include: - **Endoscopic Retrieval**: The most commonly employed method, using specialized tools to grasp and extract the object - **Manipulation Techniques**: In some cases, gentle pushing or maneuvering might be used, though this is less common - **Surgical Intervention**: Reserved for cases where endoscopic removal is unsuccessful or when complications like perforation occur - **Supportive Care**: Including pain management, hydration, and monitoring for signs of infection or injury Post-removal, healthcare providers will typically assess for potential esophageal injury or other complications and provide guidance on preventing future incidents.