Description

When a foreign body becomes lodged in the esophagus (the tube connecting the mouth to the stomach), it can cause various symptoms. The specific symptoms experienced may vary depending on the size, shape, and location of the foreign object. Symptoms of foreign body in the esophagus Common symptoms of a foreign body in the esophagus include: 1. Dysphagia: Difficulty swallowing is one of the primary symptoms. The person may have trouble swallowing both solids and liquids. There may be a sensation of food or the foreign object getting stuck in the throat or chest. 2. Odynophagia: Pain or discomfort during swallowing is known as odynophagia. It can range from mild to severe and can be felt in the chest or behind the breastbone. 3. Drooling or excessive saliva: If the foreign body is causing a blockage or irritation in the esophagus, it may trigger an increase in saliva production, leading to drooling or excessive saliva in the mouth. 4. Regurgitation: The person may experience regurgitation of food or saliva, which is the spontaneous return of swallowed material into the mouth. 5. Coughing or choking: A foreign body lodged in the esophagus can cause episodes of coughing or choking, particularly when attempting to eat or drink. 6. Chest pain: Depending on the size and location of the foreign object, it may cause chest pain, which can vary in intensity. 7. Hoarseness or voice changes: If the foreign body is pressing on the nearby structures, such as the larynx or vocal cords, it can result in hoarseness or changes in voice quality. Causes of foreign body in the esophagus The presence of a foreign body in the esophagus can occur due to a variety of reasons. Some common causes include: 1. Accidental ingestion: Ingestion of foreign objects is more common in children, who may accidentally swallow small objects like coins, toys, buttons, or small batteries. In adults, accidental ingestion can occur during eating or drinking when a piece of bone, fishbone, or other food particles are swallowed and become lodged in the esophagus. 2. Eating disorders: Individuals with eating disorders, such as bulimia nervosa, may intentionally swallow non-food items as a result of their condition. 3. Older adults: In older adults, swallowing difficulties (dysphagia) due to age-related changes, neurologic disorders, or weakened muscles can increase the risk of foreign body ingestion. 4. Psychiatric conditions: People with psychiatric conditions, particularly those with pica (a disorder characterized by the persistent eating of non-food substances), may ingest non-food items that can become stuck in the esophagus. 5. Dental procedures: During dental treatments, such as tooth extraction or dental appliances, small objects or instruments can accidentally be swallowed or aspirated into the esophagus. 6. Occupational hazards: Certain occupations, such as construction workers or individuals working with machinery, may be exposed to potential foreign body ingestion due to the nature of their work. 7. Intentional ingestion: In rare cases, individuals may intentionally swallow foreign objects as a form of self-harm or in the context of psychiatric conditions. It's important to note that the risk of foreign body ingestion can be reduced by taking appropriate precautions, particularly with small children, and seeking prompt medical attention if a foreign body is suspected to be lodged in the esophagus. Investigations and management of foreign in the esophagus It's important to note that if a foreign body is suspected in the esophagus, immediate medical attention should be sought. A healthcare professional can conduct a physical examination, perform diagnostic tests such as imaging (X-ray, CT scan), and provide appropriate treatment to remove the foreign object safely.