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Accidental swallowing of coin by a 7 year old - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2377 Questions
User :   my 7 year old doctor just swallowed a coin, not sure if it was a penny, dime etc. Doesn't seem to have any obstruction in chest and she drank water and feels ok. Do I still need to take her into the emergency room?
Doctor :   hi
Doctor :   Dr. XXXXXXXX here.
Doctor :   let me read what you have typed
User :   XXXXXXXX XXX my 7 year old doctor just swallowed a coin, not sure if it was a penny, dime etc. Doesn't seem to have any obstruction in chest and she drank water and feels ok. Do I still need to take her into the emergency room?
Doctor: hi
Doctor: Dr. XXXXXXXX here.
Doctor: let me read what you have typed
User :   Hi
Doctor :   does she have any swallowing difficulty when having water/solid food?
Doctor :   is there any upper stomach discomfort?
User :   no stomach discomfort, she hasn't eaten yet though
User :   getting here some bread right now
User :   she just ate some food and swallowing ok
Doctor :   could you show her all types of coins and ask her to identify which one she swallowed?
Doctor :   ok you can give the bread with mashed bananas if possible
User :   the problem is the lights were dim and she's not sure
User :   She has no real idea of what type of coin
User :   thinks it was small but....
Doctor :   continue to observe her for any new symptom development like stomach discomfort, crampy pain etc
User :   ok, do we need to monitor her bowel movements?
Doctor :   children swallow coins at times, and if small they do not cause any trouble but get excreted out in feces
Doctor :   for safety, get an x-ray of whole abdomen done
Doctor :   to locate position of coin
User :   So take her into the emergency tonight or monitor till morning and call her physician?
Doctor :   you can monitor til morning and get to her pediatrician in morning
Doctor :   repeat the x-ray after 2 days
Doctor :   monitor bowel movements and look for coin in stool passed
Doctor :   she should be able to pass it out within 48 hours
Doctor :   continue to give her soft solid food that is easily digestible and with high fibre content
User :   Got it, when her mommy gets home we may end up taking her tonight, just trying to avoid emergency room if it's not an emergency.
Doctor :   it is not an absolute emergency unless she shows any symptoms
Doctor :   continue to observe her closely
Doctor :   have you followed what I have said?
User :   Got it, this is a very helpfull tool I have to say. I googled this and within 5 minutes online with a doctor...love technology
Doctor :   keep her away from coins and other small objects, children tend to put everything in mouth
Doctor :   if anything sharp is ingested, it could harm the bowels
Doctor :   be careful with precautions not to let her get onto things that can be harmful
User :   I agree, happened so quick.
Doctor :   is there anything else I can help you with?
User :   Well I thank for the help,this was great!!
User :   Much appreciated!! Have a good night
Doctor :   thanks for consulting me. bye for now
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