DS (aged 6) swallowed a marble

[Junglemum]

This is from the RCH melbourne clinical guidelines:

"Management – oesophageal foreign bodies
Button batteries lodged in the oesophagus need urgent removal.
An object causing total oesophageal obstruction requires removal under anaesthesia.
An object causing partial obstruction where the child is able to swallow saliva successfully and the object has a good chance of passing, may be observed for a few hours. If it does not pass it will need to be removed.
Once the object is in the stomach it will almost certainly pass spontaneously.
If food is thought to have impacted in the lower oesophagus, small amounts of fizzy cola drink may help move it.
Inform parents to return immediately if there is abdominal pain, vomiting, haematemesis or malaena.
there is no place for arranging follow-up visits, repeat X-rays or parental faecal examination. This does not apply to the ingestion of lead foreign bodies which can cause systemic lead absorbtion if they are reatined for more than a few days."

[Traveller]

he'll be delighted if I tell him he needs fizzy cola to move it!

Am off to the 24 hour docs now, as requested by nurse on call. Thanks for the advice, will update later xx

[megs]

Good Luck, hope he is OK

[onthefly]

hope he passes it ok