Swallowed a foreign object

Most swallowed objects are harmless and will pass through the digestive system without causing any harm. Studies suggest that it takes about 3-5 days for the object to pass out into the stool (poo).

We do not routinely recommend looking through the stool to find the object, as this can be unpleasant and not helpful.

It can be challenging to stop young children putting things in their mouth that they might swallow. There are some things you can do to reduce the risk of accidents happening. You can learn which objects are particularly harmful if swallowed and make sure your child cannot get hold of them.

If your child has any of the following:

If your child has swallowed a battery
If your child has swallowed a magnet or more than one magnet
If your child has swallowed something large or sharp
If your child has swallowed the object to harm themselves
If your child is drooling more than normal
If your child has noisy breathing, difficulty breathing or a new cough
If your child is choking or coughing when eating or drinking
If your child is refusing food or eating less than usual
If your child starts gagging, vomiting or retching
If your child develops severe pain
If your child has blood in their stool
If your child is confused or is difficult to wake

You need urgent help.

Go to the nearest Hospital Emergency (A&E) Department or phone 999

If your child has any of the following:

If your child has mild pain
If your child has a fever
If your child has not passed stool for >1 day when you would normally have expected them to do so

You need to contact a doctor or nurse today.

Please ring your GP surgery or call NHS 111 - dial 111

If your child has none of the above:

Watch them closely for any change and look out for any red or amber symptoms

Self care

Continue providing your child’s care at home. If you are still concerned about your child, call NHS 111 – dial 111

This guidance has been reviewed and adapted by healthcare professionals across North East and North Cumbria with consent from the Hampshire development groups.

Button Batteries

All batteries can be harmful if swallowed but button batteries are particularly dangerous. These batteries are flat and round, ranging from 5 – 25mm in diameter. Button batteries can get stuck in the oesophagus (food pipe) and cause permanent damage within hours. If your child has swallowed a button battery, bring them to the Emergency Department straight away. They might need to undergo a procedure to remove it.

Button batteries are found in many objects that you might have at home, including hearing aids, car keys, remote controls, weighing scales, musical greeting cards and some toys.

What you can do:

Check every battery powered device in your home and anywhere that your child stays. Ensure the battery case is shut and secured.
Know what objects in your home use button batteries and do not let your child play with them. Keep these objects out of you child’s sight and reach.
Be careful buying toys online, overseas or in markets as these may not meet UK toy safety standards.
Teach older children about the dangers of button batteries and that they should not give them to younger children to play with.
Keep spare batteries in a locked cabinet or box
Dispose of old batteries safely. Anywhere that sells batteries, such as a supermarket, should offer collection of old batteries.

Child Accident Prevention Trust's page for more information on button battery safety and

Button batteries – The dangers of button batteries and how to stay safe – Home Safety - RoSPA

Magnets

Rare earth magnets (also known as neodynmium magnets) are up 10 times as powerful as traditional iron magnets, come in a variety of shapes and sizes and are commonly used in household items such as tools, toys and jewellery. If a child swallows more, they can stick to each other inside the body and cause damage to the bowel and other structures that get caught in between. They can be challenging to remove, often requiring surgery to do so. If your child has swallowed one or more magnets, bring them to the Emergency Department straight away.

What you can do:

Do not buy magnetic for your children or other people’s children.
If your child is older, talk to them about the dangers of these toys and discourage them from buying these. It is very easy to buy unregulated toys online. Even if your child is sensible, accidents can happen.
If you have them in the house make sure they are safely stored away or think about getting rid of them

Read more information on magnetic toys on Child Accident Prevention Trust's sites; pages on button battery safety, toy safety, choking.

References:

https://www.nationwidechildrens.org/family-resources-education/health-wellness-and-safety-resources/helping-hands/button-battery-safety

https://www.rch.org.au/kidsinfo/fact_sheets/Swallowed_(Ingested)_foreign_bodies/

This guidance has been reviewed and adapted by healthcare professionals across North East and North Cumbria with consent from the Hampshire development groups

Where should you seek help?

If it is non-urgent, speak to your local pharmacist or health visitor.
If your child has any of the above features, urgently see your GP. For an urgent out-of-hours GP appointment, call NHS 111.
You should only call 999 or go to your nearest A&E department in critical or life threatening situations.

Pharmacists are experts in many aspects of healthcare and can offer advice on a wide range of long-term conditions and common illnesses such as coughs, colds and stomach upsets. You don’t need an appointment and many have private consultation areas, so they are a good first port of call. Your pharmacist will say if you need further medical attention.

Sound advice

Visit a pharmacy if your child is ill, but does not need to see a GP.
Remember that if your child's condition gets worse, you should seek further medical advice immediately.
Help your child to understand - watch this video with them about going to the pharmacy.

For information on common childhood illnesses go to What is wrong with my child?

Health visitors are nurses or midwives who are passionate about promoting healthy lifestyles and preventing illness through the delivery of the Healthy Child Programme. They work with you through your pregnancy up until your child is ready to start school.

Health Visitors can also make referrals for you to other health professionals for example hearing or vision concerns or to the Community Paediatricians or to the child and adolescent mental health services.

Contact them by phoning your Health Visitor Team or local Children’s Centre.

Sound advice

Health visitors also provide advice, support and guidance in caring for your child, including:

Breastfeeding, weaning and healthy eating
Exercise, hygiene and safety
Your child’s growth and development
Emotional health and wellbeing, including postnatal depression
Safety in the home
Stopping smoking
Contraception and sexual health
Sleep and behaviour management (including temper tantrums!)
Toilet training
Minor illnesses

For more information watch the video: What does a health visitor do?

Midwives provide advice, care and support for women and their babies during pregnancy, labour and the early postnatal period. They provide health education and parenting advice until care is transferred to a health visitor. This usually happens when your baby is about 2 weeks old.

Sound Advice

A midwife is an expert in normal pregnancy and birth.

GPs assess, treat and manage a whole range of health problems. They also provide health education, give vaccinations and carry out simple surgical procedures. Your GP will arrange a referral to a hospital specialist should you need it.

Sound advice

You have a choice of service:

Doctors/GPs can treat many illnesses that do not warrant a visit to A&E.
Help your child to understand – watch this video with them about visiting the GP or going to a walk in centre

For information on common childhood illnesses go to What is wrong with my child?

If you’re not sure which NHS service you need, call 111. An adviser will ask you questions to assess your symptoms and then give you the advice you need, or direct you straightaway to the best service for you in your area.

Sound advice

Use NHS 111 if you are unsure what to do next, have any questions about a condition or treatment or require information about local health services.

For information on common childhood illnesses go to What is wrong with my child?

A&E departments provide vital care for life-threatening emergencies, such as loss of consciousness, suspected heart attacks, breathing difficulties, or severe bleeding that cannot be stopped. If you’re not sure it’s an emergency, call 111 for advice.

Sound advice

Many visits to A&E and calls to 999 could be resolved by any other NHS services.
If your child's condition is not critical, choose another service to get them the best possible treatment.
Help your child to understand – watch this video with them about going to A&E or riding in an ambulance

School nurses care for children and young people, aged 5-19, and their families, to ensure their health needs are supported within their school and community. They work closely with education staff and other agencies to support parents, carers and the children and young people, with physical and/or emotional health needs.

Contacting the School Nurse

Primary and secondary schools have an allocated school nurse – telephone your child’s school to ask for the contact details of your named school nurse.

There is also a specialist nurse who works with families who choose to educate their children at home.

Sound Advice

Before your child starts school your health visitor will meet with the school nursing team to transfer their care to the school nursing service. The school nursing team consists of a school nursing lead, specialist public health practitioners and school health staff nurses.

They all have a role in preventing disease and promoting health and wellbeing, by:-

encouraging healthier lifestyles
offering immunisations
giving information, advice and support to children, young people and their families
supporting children with complex health needs

Each member of the team has links with many other professionals who also work with children including community paediatricians, child and adolescent mental health teams, health visitors and speech and language therapists. The school health nursing service also forms part of the multi-agency services for children, young people and families where there are child protection or safeguarding issues.