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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Long After Swallowing A Coin Will It Take A Child To Pass It?

hi dear Doctor my 7 years old daughter had ingested a coil last 6 days back. we rushed to emergency in nearest children s hospital and they got her x-ray right away. Coin was in middle of oesophagus. My kid was feeling normal. No pain, no chocking, no vomiting, nothing at all. Emergency people advised that we wait overnight and get another x-ray next morning to see if it has passed through the oesophagus. We did and gladly found that it was in stomach. now 6 days later, we had another x-ray, and the coin is still in stomach. Child is completely okay though. No vomit, no abdominal pain, no loss of appetite, etc.how many more days we can safely wait that it travels down on its own to the duodenum and to later parts of GI tract ? we have found on internet that coins are inert and don t cause a reaction/infection unless there is some obstruction due to coin. Is surgical removal only safe choice if coin remains seated in stomach as-it-is ? much thanks salman Lahore. Pakistan
Tue, 28 Jul 2015
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General & Family Physician 's  Response
Hello Sir,actually the coin should do no harm and come out with stool with 1-2 days but it is still in the stomach. Is your child's bowel not regular. Feed him bulk stuffs like banana, rice etc. and plenty of water. You can also try saline purgation to bring out the coin. Mostly the case resolves without surgery.
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General & Family Physician Dr. Ramprakash's  Response
Hi Salman,

Thanks for the details provided.
-Yes we got to wait until the coin has been passed out unless no obstruction has been detected.
-There is no need for unnecessary interventions to be carried out unless any symptoms occurs.
-Lets hope for the best .

Thank you
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How Long After Swallowing A Coin Will It Take A Child To Pass It?

Hello Sir,actually the coin should do no harm and come out with stool with 1-2 days but it is still in the stomach. Is your child s bowel not regular. Feed him bulk stuffs like banana, rice etc. and plenty of water. You can also try saline purgation to bring out the coin. Mostly the case resolves without surgery.