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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fever And Vomiting After Swallowing Penny. Cough And Runny Stool. What Do We Do?

My son swallowed a penny on Tuesday nite, spiked a fever and vomitted, so I took him to the ER. They first said that it was stuck and wouldnt pass, but the GI said he believed it made it into the stomach . He has a persistent cough now and runny stool .. What should I do? How long should I wait to see if it will pass? What signs of complications do I look for?
Fri, 14 Sep 2012
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Pediatrician, Surgery,  's  Response
Dear Ms Chasiti,

Firstly, did the doctors in the ER take an Xray of your son. If so, where was the coin stuck. The coin most often gets stuck in the cricopharynx, that is the upper part of the throat which is the narrowest portion of the food pipe. If it has passed this point, it is very likely to pass out all the way.

If on the xray, it has reached the stomach, i would wait a few more days before repeating the xray. Very rarely if it is still stuck at the upper throat, may need to be removed.
The complications to look for - difficulty in swallowing food or liquids, pain while swallowing, difficulty in breathing, noisy breathing.
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Fever And Vomiting After Swallowing Penny. Cough And Runny Stool. What Do We Do?

Dear Ms Chasiti, Firstly, did the doctors in the ER take an Xray of your son. If so, where was the coin stuck. The coin most often gets stuck in the cricopharynx, that is the upper part of the throat which is the narrowest portion of the food pipe. If it has passed this point, it is very likely to pass out all the way. If on the xray, it has reached the stomach, i would wait a few more days before repeating the xray. Very rarely if it is still stuck at the upper throat, may need to be removed. The complications to look for - difficulty in swallowing food or liquids, pain while swallowing, difficulty in breathing, noisy breathing.