12 yr child ingest 5rs coin during playing.no symptoms till 1 day.what should be best management??

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No symptom like breathing difficulty or distress after one day, then no need to worry. It seems coin is in gastrointestinal tract. Adv an erect xray FPA to find the location. If it is below the stomach then it should pass out with the feacal matter. Syp lactulose is helpful. And it is in oesophagus then uper GI endoscopy is required
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Plain xray abdomen to see location mostly passed of its own watch for pain in abdomen vomiting give evict 15 ml hs again xray on 5 day otherwise on location wise colonoscopic or enteroscope intervention
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1
Give laxatives..plenty of water ..do a xray abdomen..then wait for 1day..repeat xray to see passage ..some places in gut the coin may be retianed..like IC junction , both flexures etc..manage accordingly
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X-ray abdomen to locate the coin. Laxatives tds Adequate hydration Wait n watch for 24-30 hrs.
Thank you doctor
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Give 3to5bananas n laxatives If ño respiratory symptoms can wait He will pass within a day
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Nothing to be done. Just wait &watch... Serial abdominal x-ray should be done.
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