Questions
What are the main symptoms of a child feeling a food lump stuck in the esophagus after eating? How should it be treated? What are the reasons for the confusion regarding pediatric esophageal foreign bodies?
Answers
Pediatric esophageal foreign bodies typically occur when children accidentally swallow items they have put in their mouths while playing. Common foreign bodies include coins, buttons, small batteries, large needles, plastic lids, bone fragments, and chestnuts. Since the esophagus has a great deal of elasticity, most foreign bodies can pass through naturally with swallowing and peristalsis. However, irregularly shaped foreign bodies often remain in the esophagus, particularly at the first narrowing of the esophagus, or may stay at the second narrowing in the chest section that is level with the main pulmonary artery arch. Treatment usually involves determining the position and nature of the foreign body and may include methods such as endoscopy or surgery. The reasons for confusion may be due to the shape and size of the foreign body, as well as the physiological structure of the esophagus itself, making it difficult for the foreign body to be naturally expelled. Parents should closely monitor their child’s abnormal symptoms and seek medical attention promptly.