
It can be a scary situation for any parent to deal with a child who has swallowed a foreign object. While it may be tempting to panic, it is important to remain calm and assess the situation. If the child is choking and unable to breathe, immediate action is required. If the child is coughing, monitor them, but if they are not, perform the Heimlich maneuver. If the child has swallowed a potentially toxic substance, seek emergency care right away. Symptoms of foreign body ingestion may include vomiting, gagging, drooling, abdominal pain, nausea, and unexplained fever. If the child is exhibiting any of these symptoms, seek medical evaluation. Objects such as batteries, magnets, and sharp objects can cause internal damage and require urgent removal. Coins are the most commonly swallowed object and can be dangerous if they get stuck in the intestinal lining. If you suspect your child has swallowed something, it is always best to seek medical advice.
| Characteristics | Values |
|---|---|
| Frequency of babies swallowing foreign objects | Increased dramatically across all age groups |
| Most frequently swallowed objects | Coins, toys, jewelry, batteries |
| Most frequently swallowed coin | Penny (65.9%) |
| Most common battery swallowed | Button batteries (85.9%) |
| Action to take when a baby swallows a coin | Take the baby to the ER immediately |
| Action to take when a baby swallows a battery | Take the baby to the ER immediately |
| Action to take when a baby swallows a magnet | Take the baby to the ER immediately |
| Action to take when a baby swallows a foreign object and is choking | Call 911, perform first aid, place the phone on speaker, assess if the baby is coughing, and if not, start the five-and-five approach (5 pats on the back followed by 5 Heimlich abdominal thrusts) |
| Action to take when a baby swallows a foreign object and is not choking | If the object is small, round, and non-sharp, let it pass through naturally; if not, take the baby to the doctor |
| Symptoms of foreign body ingestion | Unexplained fever, abdominal distention or pain, nausea, vomiting, rectal pain or rectal bleeding |
| Symptoms of a blocked esophagus | Trouble swallowing, throat or chest pain, gagging, drooling, spitting, loss of appetite |
| Action to take when a baby swallows a poisonous object | Get immediate emergency care |
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What You'll Learn

Choking hazards
Choking is a significant risk for children, who have smaller airways and may not chew food properly. If a child swallows something and appears to be choking, take immediate action. Call 911 or your local emergency services number. If you are alone, place your phone on speaker and perform first aid while waiting for emergency services to answer.
If the child is coughing, monitor them, but do not interfere. People who are choking do not cough. If the child is not coughing, start the five-and-five approach: give five pats on the back, followed by five Heimlich abdominal thrusts. Repeat the pats and thrusts until help arrives or the object is dislodged. Do not try to stick a finger down the child's throat, as this can push the object further down, making it harder to remove.
If a child swallows a small, sharp, or toxic object, seek immediate medical attention. Batteries, magnets, and coins can be particularly dangerous. Batteries can cause low-voltage burns within two hours if stuck in the oesophagus, and magnets can perforate the stomach or intestines if multiple are swallowed. Coins minted in 1982 or later have a high zinc component and can cause stomach ulcers and abdominal pain if they get stuck in the stomach.
If you suspect a child has swallowed something but they are not choking, ask them if they have swallowed anything, reassuring them that they will not be in trouble. If the child is too young to communicate, or if you are unsure, take them to the nearest emergency room as soon as possible. Symptoms that require immediate evaluation include drooling, gagging, spitting, chest pain, coughing, wheezing, vomiting, abdominal pain, nausea, rectal pain, rectal bleeding, or the sensation of an object being stuck in the throat.
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Signs and symptoms
It is important to remain calm if your child has swallowed plastic. The child may become anxious upon realizing they have swallowed something that is not food.
If the plastic is causing an immediate obstruction to the windpipe, call 911 if you notice symptoms of severe respiratory distress, such as wheezing, stridor (a harsh, raspy, gasping sound when breathing in), or if the child is unable to speak, cry, or cough. Other symptoms that require immediate evaluation in an emergency room include drooling, gagging, spitting, chest pain, or the sensation of an object being stuck in the throat.
If the plastic has passed beyond the esophagus, symptoms may include an unexplained fever, abdominal pain, nausea, vomiting, rectal pain, or rectal bleeding.
If the plastic is a small, blunt object, it will likely pass through the child's system without incident. However, if the plastic is sharp or pointed, it could cause damage internally or become lodged in the esophagus.
If the plastic is a button battery, this is considered serious and requires urgent removal. Button batteries can cause low-voltage burns within 2 hours if stuck in the esophagus, potentially puncturing the tube. Even "dead" batteries can be harmful if swallowed, and urgent x-rays are required to monitor the battery's location.
If you are unsure whether the plastic your child has swallowed is potentially dangerous, it is always better to err on the side of caution and seek medical evaluation.
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First aid and emergency care
It can be scary to see a child swallow a foreign object, and it may be even more worrying if you are unsure what has been swallowed. Children between the ages of 6 months and 3 years are most likely to swallow foreign objects, and while most cases are not serious, it is always better to be cautious and seek medical advice.
If the child is choking and cannot breathe, perform first aid immediately. Call 911 and place your phone on speaker so you can follow their instructions while on the line. If the child is coughing, monitor them but do not interfere. If they are not coughing, start the five-and-five approach: give five pats on the back, followed by five Heimlich abdominal thrusts. Repeat this until help arrives or the object is dislodged. Do not try to stick a finger down the throat, as this can push the object further down.
If the child has swallowed a potentially toxic substance, do not wait for signs of poisoning, which may include loss of consciousness, foaming at the mouth, drooling, vomiting, and other symptoms. Get immediate emergency care, and if possible, take the substance or its container with you so that doctors can identify it and treat the child more effectively.
If the child has swallowed a battery, take them to the ER immediately. Do not wait or bring them to a walk-in clinic, as they may not have crucial X-ray machinery. Button batteries can cause low-voltage burns within 2 hours if stuck in the esophagus, and even "dead" batteries can be harmful. Honey may be helpful in preventing this kind of injury for children 1 year and older.
If the child has swallowed magnets, take them to the ER immediately. If multiple magnets are swallowed, they can attract each other across the bowel wall and cause intestinal obstruction.
If the child has swallowed a sharp object, take them to the doctor right away.
If the child has swallowed a coin, it is probably best to see a doctor. Coins smaller than a quarter that do not pass within 24 hours need an X-ray to determine their location, and further evaluation is needed if they do not pass within three days. Pennies minted in 1982 or later have a high zinc component and can cause stomach ulcers and abdominal pain if they get stuck.
If the child has swallowed a small, non-sharp object, you do not need to take them to the doctor right away. Call your doctor if the child starts to have symptoms such as vomiting, gagging, drooling, not eating, stomach pain, coughing, or wheezing. Take the child to the doctor within 24 hours, even if they seem well.
If the child has swallowed a foreign body and is experiencing severe respiratory distress, such as wheezing, stridor, or an inability to speak, cry, or cough, call 911 immediately. Symptoms that require immediate evaluation in an emergency room include drooling, gagging, spitting, chest pain, or the sensation of an object being stuck in the throat. Do not attempt to forcefully remove an object from the esophagus, as this may cause further injury. Do not give syrup of ipecac to induce vomiting, as this is not effective in removing foreign bodies from the esophagus or stomach.
If you are concerned, you can check the stools for the object. Collect them by having the child wear a diaper or pooping on a piece of paper. Slice the stool with a knife until you find the object.
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Objects to watch out for
Coins are the most commonly swallowed objects by children. Pennies minted in 1982 or later have a high zinc component and can cause stomach ulcers and abdominal pain if they get stuck in the stomach. Other coins that are quarter-sized or larger can also be dangerous as they may get stuck in the oesophagus.
Button batteries are another common object ingested by children due to their prevalence in toys. Batteries can cause low-voltage burns within 2 hours if stuck in the oesophagus and may lead to a puncture. Even "dead" batteries can be harmful if swallowed.
Magnets are dangerous when swallowed, especially if more than one is ingested. Magnets can attract each other across the bowel wall and cause intestinal obstruction or potential perforation of the stomach or intestines.
Sharp objects such as pins, needles, shards of glass, or plastic can cause damage internally or become lodged in the oesophagus.
Other objects to be cautious of include small toys with detachable parts, jewellery, and household chemicals or poisons.
It is important to keep these objects out of the reach of children and to inspect toys for loose parts or unsafe batteries. If a child swallows a foreign object, it is crucial to remain calm and assess the child for symptoms such as choking, coughing, gagging, vomiting, or abdominal pain. Seek immediate medical attention if the child is choking or exhibiting symptoms of respiratory distress.
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Prevention and safety
While it can be terrifying for parents and caregivers, it is not uncommon for babies and young children to swallow foreign objects. In fact, according to one source, as many as 40% of incidents of foreign object ingestion in children are unwitnessed.
To prevent babies and young children from swallowing plastic or other foreign objects, caregivers should:
- Keep small objects, especially sharp objects, batteries, and magnets, out of reach.
- Ensure that toys do not have small parts that could be easily swallowed. Inspect all toys that come into the home, including those won at fairs or arcades.
- Teach children only to put food in their mouths.
- Supervise children closely, especially those between the ages of 6 months and 3 years, who are most likely to swallow foreign objects.
If a child is choking, take immediate action:
- Call 911. If you are alone, place your phone on speaker and continue first aid while connecting to emergency services.
- Assess whether the child is coughing. If they are coughing, monitor the situation but do not interfere. People who are choking do not cough.
- If the child is not coughing, start the five-and-five approach: give five pats on the back, followed by five Heimlich abdominal thrusts. Repeat until help arrives or the object is dislodged.
- Do not try to stick a finger down the child's throat, as this may push the object further down.
If a child has swallowed a foreign object but is not choking, caregivers should:
- Check the child's mouth to see if the object can be swept out.
- If the child is breathing normally but has swallowed a potentially toxic substance, get immediate emergency care. Bring the substance or container with you if possible, so that doctors can identify it and treat the child faster.
- If the child is not choking and has swallowed a small, non-sharp object, you can usually let it pass through naturally.
- If the child has swallowed a small, sharp object, a magnet, or a battery, seek medical advice.
- If the child is experiencing symptoms such as vomiting, gagging, drooling, not eating, stomach pain, coughing, or wheezing, take them to the doctor.
- If the child has swallowed a coin smaller than a quarter, and it does not pass within 24 hours, seek medical advice. An X-ray may be required to determine the location of the coin.
- If the child has swallowed a quarter or an object larger than 25mm, seek medical advice, as these objects can get stuck in the esophagus.
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Frequently asked questions
If your baby has swallowed a small piece of plastic that isn’t sharp, you do not need to take them to the doctor right away. However, call your doctor if your baby starts to show any of the following symptoms: vomiting, gagging, drooling, not eating, stomach pain, coughing, or wheezing.
Small, sharp pieces of plastic could cause damage internally or become lodged in the oesophagus. If your baby has swallowed a potentially toxic substance, get them immediate emergency care.
You may not always be able to tell. Sometimes, the first sign that a baby has swallowed something is finding it in their stool. Other symptoms include unexplained fever, abdominal pain, nausea, vomiting, rectal pain, or rectal bleeding.











































