what is the line of management

2 1/2yr old child with accidental ingestion of 50paise coin...plz suggest line of management.

5 Likes

LikeAnswersShare

F B in oesophagus Can be taken out by Endoscopy Or wait & watch till it gets down for 36__48 hrs Plenty of fluids Liquid diet Syp levoluke 1 tsf bd

Thank u sir
0

FB IN OESOPHAGUS? Wait and watch 6 hr, take plenty leuke warm water, high fibrous diet.

Thanks
0

View 1 other reply

FB .. 50 PAISE .. COIN .. SWALLOWED .. NEED'S.. ENDOSCOPIC .. SURGICAL .. INTERVENTION ..

Thank you doctor
0

View 2 other replies

Seems coin is still in oesophagus? If so then Endoscopy removal under GA may be tried. Sometimes spontaneously coin expelled out during defecation through anus , for it boiled rice , banana,fibrous fruits & vegetables & Isafgol granules mixed in a cup of lukewarm milk may be given to child in diet along with plenty of water drink for pressure effect.

Thank you doctor
0

Confirm whether in oesophagus or trachea If it is in oesophagus then wait for progress give banana fruits etc after 6 hr repeat x-ray for progress Surgical opinion

I agree
0

Watch for its progress, give banana, rough fibre,so that it will easily come out....

Tq.dr.altaf hussain
1

View 2 other replies

First take lateral view to find out whether it's in trachea or oesophagus. Once confirmed, either do an endoscopy under general anaesthesia without relaxant( as relaxation can cause the coin to slip down) after fasting as per preop fasting guidelines. Or can wait and watch till it's removed on its own.. can support with fibre rich soft diet and prokinetics.

Madam it is to be decided wheather FB in oesophagus or trachea only AP view no lateral view is required if it is in oesophagus it will look like as you are seeing in the xray, if it is in trachea it will look like slit.
1

View 2 other replies

Button batteries can burn a hole in the lining of the stomach within hours. And pennies issued after 1982 contain corrosive zinc that can damage the esophagus. If your child has swallowed either of these, take them to the ER immediately. If your little penny popper is acting fine, they'll probably be fine

X Ray AP Lateral To locate in oesophagus or trachea In food pipe endoscopy or Wait and watch' If trachea .. Procedure under GA

I agree
1

Most probably has tb taken out endoscopy

Thank you doctor
0
Load more answers

Cases that would interest you