A 2 yr old with foreign body

A baby aged 2 year Chief Complaints One rupee coin intake accidentally 2 hrs back f/b Dyspnea and Respiratory distress Investigations Xray Management What shd be next step of management

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Wait & watch it will automatically from Annus within 24-48 hrs Give plenty of fruits enriched in fivers Syp levoluke 1 1/2 tsf b d If does not get out in 48 hrs Then to be taken out by Endoscopy

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Foreign body COIN seen in mid oesophagus Better option is take out f b by endoscopy If left as such it may take lot of time and even may get obstructed

Make upside down Exert pressure at epigastrium Or remove by endoscopic

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Foreign body in upper Oesophagus. Adv removal by Endoscopic procedure.

It should be treated as emergency because respiratory distress & dysonea occurs. Under GA this coin will be removed immediately

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