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Small child, swallowed a coin, present in stomach. How to extricate it?

my son (5 years-old) swallowed a coin accidently yesterday.We immediately took him to doctor who advised an X-ray .The X-ray shows the coin in his stomach .The doctor says it will be removed in the faeces by today.i have been inspecting his faeces today but no coin has come out till now?What should be the next course of action?
Asked On : Sun, 21 Oct 2012
Answers:  2 Views:  465
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Lab Tests
Pediatrician, Cardiology 's  Response
Once the coin reaches to the stomach most of the time it passes through the GI tract and comes in stool, unless there is some GI abnormality.
So watch the passage of coin by collecting the stool in container and running water over that.
Most of the time it comes in stool within 24 to 48 hrs. But sometime it may take 5-7 days. Sometime parents failed to notice the expelled coin.
Be watchful for pain abdomen, abdominal distension, vomiting or any blood in stool. Zinc containing coin may cause erosion of mucosa leading to some GI disturbances.
So I would suggest you to examine the stool properly and observe for danger signs if any.
With regards
Answered: Sun, 21 Oct 2012
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General & Family Physician Dr. Kulbir Singh's  Response
Hello Dayal
A simple endoscopic procedure can help you to remove the coin from stomach. A qualified gastroenterologist can do the procedure with ease. Repeat the X-ray to confirm the position of the coin and consult your doctor immediately.
Hope this will help you.
Best Wishes
Answered: Sun, 21 Oct 2012
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