What happens if friend swallow a toothpick? Is the dangerous? Emergency room doctor Dr. Troy Madsen tells you if this is a trouble serious enough for the ER.

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Apr 16, 2014

Interviewer: Is it bad enough to walk to the emergency room, or isn"t it? find out now. This is "E.R. Or Not?" on The Scope. Time for one more episode the "E.R. Or Not?" wherein you make the call of whether or no you need to go to the E.R. And then we"ll discover out the definitive answer indigenous Dr. Trojan Madsen, emergency medication at university of piersonforcongress.com Hospital. Today"s E.R. Or not, a lot of of human being like come hang approximately with toothpicks hanging out of your mouth, old ranchers, van drivers, what happens if you swallow a toothpick? E.R. Or not?

Dr. Madsen: I would say E.R.

Interviewer: Really?

Dr. Madsen: and also the factor for this is you deserve to think of these sorts of points in two various categories, so we"re talking about things the you by chance swallow, in some instances I"ve checked out where these things have actually been deliberately swallowed yet that"s kind of a different concern entirely.

Interviewer: Okay.

Dr. Madsen: but either these things room going to it is in too huge to be able to pass with your intestines, or they"re going to it is in sharp and also potentially perforate the intestines.

Interviewer: Okay.

Dr. Madsen: Both the those are problems.

Interviewer: Okay.

Dr. Madsen: for this reason if it"s other that"s too large and clearly that"s no an problem with a toothpick, this isn"t something the is yes, really big, it should have the ability to pass without any kind of issues, however the worry is that it"s an extremely sharp, for this reason if we"re talking about sharp things, and also you know one that the huge notorious points we see in kids that"s very concerning is sewing needles, so type of think that a toothpick like a sewing needle. Climate you think of the intestines, once it gets past the stomach it"s working it"s means through and also the intestines are very long and also it"s obtained a long means to travel, and they"re very thin, therefore if it"s other that"s spicy it might potentially come up versus the edge and push with that and perforate it.

Interviewer: Really.

Dr. Madsen: and the factor that"s a difficulty is since you have all sorts of bacteria in the intestines. And the minute that bacteria gets right into the abdomen itself, that have the right to be a really serious thing and also cause some an extremely serious infections.

Interviewer: So currently a lot of times after you chew top top a toothpick because that a lengthy time they kind of start transforming soft, that wouldn"t in her stomach acquire soft and also dissolve away?

Dr. Madsen: Yeah, and again it"s a hard one. This is yes, really . . . You provided me a challenging one here. You really made me think about this due to the fact that you"re right. There are different scenarios wherein you may have kind the chewed ~ above the toothpick and maybe bitten it and also in that case it"s probably kind of chewed up and also kind the macerated wherein it"s going to work-related it"s means through there is no an issue, yet if it"s something where you"ve gained a spicy object the is walking to continue to be sharp, in her intestines and potentially perforate it, that"s the problem. And also so the reason I type of say that is it"s most likely worth coming to the E.R., absolutely if you"re talking around a plastic type of toothpick or also anything that"s an ext firm, that"s no going to dissolve easily.

Interviewer: Yeah, they have some of those brand-new plastic toothpicks now and also those might poke.

Dr. Madsen: Those definitely could and so I would certainly say certain there. The lumber one is a small bit an ext of a gray zone yet I say pertained to the E.R. Since it"s worth examining and talk to ours G.I. Doctors, our specialists to watch what their thoughts room on that.

Interviewer: Sure, due to the fact that otherwise it could be serious.

Dr. Madsen: It might be and that"s sort of weighing the threat benefit. It might potentially it is in a serious thing. If it"s too long to pass, it"s no going to walk through, and the means we think of things that are too long or too wide, if it"s longer than say around 5", this is a pencil you"ve swallowed and also we have seen civilization who have actually swallowed pencils and also they have been intentional-kind the interesting-that"s no going come pass. And if it"s broader than around 2", therefore it"s something, maybe it"s no 5" long yet it"s more comprehensive than 2", that"s not going come pass, no going to gain past the stomach.

Interviewer: What"s the problem there then, if it gets stuck increase in there?

Dr. Madsen: so if it gets stuck and also it"s appropriate up over there in the stomach, nothing"s walk to obtain through. For this reason you"re walking to obtain to a point where you"re drink water and also that might not even have the ability to work it"s method around eventually. The bottom heat there is it"s no going out, therefore it has to be other that has to come the end from above, so you have actually to gain a G.I. Physician in to go down with a scope, traction that point out and also remove the from above.

Interviewer: Is that how a toothpick would certainly be gotten rid of as well?

Dr. Madsen: the is.

Interviewer: So you don"t have to acquire operated on, it"s actually just removed v the throat?

Dr. Madsen: it is.

Interviewer: every right.

Dr. Madsen: Yeah, they"re going come go under the esophagus and also into the stomach, find it, traction it out.

Interviewer: If i swallowed something and also it"s blocking ingredient up, what does that feel choose then?

Dr. Madsen: every right. For this reason if you swallow something, you deserve to feel it. And also a many of human being will come in and . . . Kind of the point we view there more is people much more after lock swallow a piece of meat there is no chewing that completely, you just feel a fullness in her throat and also a many times civilization can allude to specifically where it is. They have the right to feel it top throat, their reduced throat or sort of down near the stomach, and often times they cannot swallow anything. Castle will just be sitting there with a cup spitting the end their saliva, together they cannot in reality swallow it. If they shot to it just comes right earlier up.

Interviewer: What if it makes it come the stomach and also it"s blocking that?

Dr. Madsen: You"re commonly not walking to have actually a many of indicators there till it"s reasonably progressed. So ns would mean if it to be blocking the stomach, you might not feel it. You"re more than likely going come feel some discomfort in there yet probably after you start to eat and also if you"ve to be eating a decent amount the food, you have the right to just feel choose it"s simply not moving anywhere, similar to a absent in your stomach.

Interviewer: would your body ultimately throw up the food?

Dr. Madsen: Exactly. If friend get sufficient in there, it"s simply going to build up and also eventually it"s simply going to obtain full and it"s simply going come come right ago up.

Interviewer: So dominance of thumb, if friend swallow something, width, length, what perform I look out for?

Dr. Madsen: therefore in regards to width and also length, think much longer than around 5" or broader than about 2", and that"s sort of just a general ascendancy of thumb. And then if it"s miscellaneous that"s sharp that could potentially reason a perforation in the intestines, that"s worrying as well. And also certainly with these, if you"re not sure what to do, err on the side of caution, involved the emergency department and then we can aid make appropriate decisions and also get ours specialist connected as well.

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Interviewer: We"re your everyday dose the science, conversation and also medicine. This is The Scope, college of piersonforcongress.com wellness Sciences Radio.