Foreign body intake (Pediatrics - PEDS)

Low urgency
-Moderately severe

Foreign body ingestion is a common occurrence in childhood and may sometimes require endoscopy to resolve the condition. 

The most common objects involved are coins, dentures, toys and medication containers.

When symptoms are provoked it is generally due to an injury caused by the object; it usually causes pain and defense to palpation of the abdomen. It may not cause symptoms and may end up being expelled with the stool. 

The diagnosis is clinical, by interrogation and complete physical examination. The presence of the foreign body is confirmed by laboratory and imaging tests (abdominal X-ray or CT scan).

Treatment is based on pain control with standard analgesics and removal of the foreign body (fibroendoscopy or surgery).

Bibliographic references
  1. George Triadafilopoulos. Ingested foreign bodies and food impactions in adults. UpToDate. Jan 07, 2016.
  2. Sheth P, Finkelstein E, Campbell D, Danton GH. Imaging of foreign bodies in prisoners. Semin Ultrasound CT MR 2015; 36:28.
  3. Ribas Y, Ruiz-Luna D, Garrido M, et al. Ingested foreign bodies: do we need a specific approach when treating inmates? Am Surg 2014; 80:131.
  4. Palta R, Sahota A, Bemarki A, et al. Foreign-body ingestion: characteristics and outcomes in a lower socioeconomic population with predominantly intentional ingestion. Gastrointest Endosc 2009; 69:426.
  5. Eisen GM, Baron TH, Dominitz JA, et al. Guideline for the management of ingested foreign bodies. Gastrointest Endosc 2002; 55:802.
  6. Marta Romero Gutiérrez, José María Carrobles Jiménez, Alejandro Repiso Ortega. Cuerpos extraños en el aparato digestivo. Manual de protocolos y actuación en urgencias. Hospital Virgen de la Salud, Complejo Hospitalario de Toledo. Tercera edición. 2010. 243:250
Author
Dr. Elvira Moreno
Copyright
© TeckelMedical 2026

Symptoms

    Swallowed a non-edible object


    Localized abdominal pain


    Pain in the middle of the abdomen


    Pain in the pit of the stomach


    Itchy throat

Symptoms to watch out for

Bleeding that won't stop
Abdominal pain that increases rapidly
Fever (temperature higher than 100.4 ºF)

Self-care

Take over-the-counter pain relievers or anti-inflammatories.
Consult with your primary care physician regarding the prescription of antibiotics.