HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Is Xray A Normal Protocol For Children Who Swallow Coins?

default
Posted on Tue, 18 Mar 2014
Question: My granddaughter , 3yrs old swallowed a coin 5 days ago. She was just exrayed and tech confirmed size of a nickel. And Dr wants to xray agin in 2 weeks. Is this normal protocol for children who swallow coins? What about radiation from xray and then another one 2 weeks later?
doctor
Answered by Dr. Michelle Gibson James (27 minutes later)
Brief Answer: depends on if it passes Detailed Answer: HI, thanks for using healthcare magic The treatment would depend on where the nickel was seen. If it is still within the esophagus then this is the reason that he or she may want to repeat the xray because it should be gone from this point after 5 days. Most objects pass easily from through the intestines once they have reached the stomach. Normally objects that are not too long (less than 6 cm in length) or too wide (less than 2 cm in width) can easily pass through the sphincter in the stomach (this is at the lower end of the stomach and leads to the intestines). Once they pass from the stomach they would passed in the stool. It would be best to monitor her stool , if she passes the coin prior to the 2 weeks then the x ray is not needed but normally it should pass out within 3 to 4 days. If she does not pass out the coin then the imaging is needed to determine what is happening and to assess for any problems. There is a risk related to repeated xray exposure but this is more likely with children who have to get numerous repeat x rays or high radiation imaging such as CT scans. I hope this helps,feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Michelle Gibson James (1 hour later)
The dr said it was in her intstines it passed her stomach. So u r saying dhe should pass it and to monitor her bowels. Thank you.
doctor
Answered by Dr. Michelle Gibson James (3 hours later)
Brief Answer: would be excreted Detailed Answer: Hi Yes, normally it would show up in the faeces soon. Please feel free to ask anything else
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Is Xray A Normal Protocol For Children Who Swallow Coins?

Brief Answer: depends on if it passes Detailed Answer: HI, thanks for using healthcare magic The treatment would depend on where the nickel was seen. If it is still within the esophagus then this is the reason that he or she may want to repeat the xray because it should be gone from this point after 5 days. Most objects pass easily from through the intestines once they have reached the stomach. Normally objects that are not too long (less than 6 cm in length) or too wide (less than 2 cm in width) can easily pass through the sphincter in the stomach (this is at the lower end of the stomach and leads to the intestines). Once they pass from the stomach they would passed in the stool. It would be best to monitor her stool , if she passes the coin prior to the 2 weeks then the x ray is not needed but normally it should pass out within 3 to 4 days. If she does not pass out the coin then the imaging is needed to determine what is happening and to assess for any problems. There is a risk related to repeated xray exposure but this is more likely with children who have to get numerous repeat x rays or high radiation imaging such as CT scans. I hope this helps,feel free to ask any other questions