{"id":1700,"date":"2021-10-05T10:00:27","date_gmt":"2021-10-05T07:00:27","guid":{"rendered":"https:\/\/dregemeneroglu.com\/cocugumun-bogazina-findik-kacti\/"},"modified":"2021-10-05T10:05:33","modified_gmt":"2021-10-05T07:05:33","slug":"cocugumun-bogazina-findik-kacti","status":"publish","type":"post","link":"https:\/\/dregemeneroglu.com\/en\/cocugumun-bogazina-findik-kacti\/","title":{"rendered":"A nut got stuck in my child’s throat…"},"content":{"rendered":"
A healthy, boisterous boy with no previous complaints.\u00a0\u00a0Two and a half years old.\u00a0\u00a0At home, while her mother and father are eating hazelnuts, they give some to their children.\u00a0\u00a0A coughing attack develops all of a sudden.\u00a0\u00a0Mom and dad immediately do maneuvers such as hitting on the back and pressing on the stomach.\u00a0\u00a0Then the child relaxes.\u00a0\u00a0But every time the child runs or moves fast, they hear a whistling sound in their breathing.<\/span><\/h5>\n
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When I heard this story, I immediately knew what it was.\u00a0\u00a0In my physical examination, I hear that the breath sounds of both lungs are not equal.\u00a0\u00a0The chest X-ray also supports me.\u00a0\u00a0I see that there is a foreign object in one of the main airways, possibly a nut, has escaped, and I explain that it is necessary to look at the airways with the camera.\u00a0\u00a0We bring the child down to the operating room, my anesthetist friends put him to sleep, and I remove the foreign object from one of the main airways by performing bronchoscopy.<\/span><\/h5>\n
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This is one of the best results of the foreign object scenarios I have experienced many times.\u00a0\u00a0Life may not always be sunny, warm spring day.\u00a0\u00a0I will tell you about foreign object aspirations in the Pediatric Surgeon’s journal.\u00a0\u00a0Do not bring objects that can get into their throats or airways until children are older.\u00a0\u00a0Enjoy reading.<\/span><\/h5>\n
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Foreign object aspiration, which is a foreign object entry into the airway, can be a potentially life-threatening event.\u00a0\u00a0It is very important.\u00a0\u00a0It can cause very serious mortality and morbidity, especially in children under the age of two or three.\u00a0\u00a0Think about it, in the past, almost a quarter of foreign object aspirations resulted in death.\u00a0\u00a0Fortunately, bronchoscopy techniques have developed well, we are also quite used to bronchoscopy, for this reason, this mortality rate has decreased to 1 in 100.00.\u00a0\u00a0However, knowing that foreign object aspiration ranks fifth among unexpected deaths in the United States shows how common this issue is and how serious it can result.<\/span><\/h5>\n
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We see foreign object aspirations in children frequently in the first three years of age.\u00a0\u00a0In the publications already made, it is stated that eighty percent of them are in the first three years of age.\u00a0\u00a0Because at this age, most children can now stand up, be more active, and try to explore and explore the world with their own oral ways.\u00a0\u00a0In addition, as their motor skills increase during this period, they can easily take the objects they find with their hands to their mouths.\u00a0\u00a0Yes, they take it into their mouths, but they cannot crush these objects well because their molar teeth are not sufficiently developed yet.\u00a0\u00a0Also, since their swallowing mechanisms are not sufficiently coordinated, that is, they are not yet fully developed, they can easily slip these objects into their airways.<\/span><\/h5>\n
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Another danger is that most children at this age often have a brother or sister.\u00a0\u00a0Because these brothers or sisters a few years older can put foreign objects in their mouths with good intentions.<\/span><\/h5>\n
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Another reason for the foreign object to enter the airway in children under the age of three is that the diameter of the airways is not large enough at this age.<\/span><\/h5>\n
<\/h5>\n
When we investigate the foreign objects that have escaped into the airways of children, we see that small children mostly choke on pieces of food, but in older children, we can see that many objects such as coins, some small stationery items, paper and pen caps have also escaped into the airways.\u00a0\u00a0Also, it can pose a serious risk for girls who wear hijab to hold the needle in their mouths while wearing their hijabs.\u00a0\u00a0Believe me, I had to pull out a pin many times.\u00a0\u00a0Still, of course, there are much more hazelnut aspirations in Turkey, which is a beautiful hazelnut paradise.\u00a0\u00a0In fact, foreign names have some common points that can cause them to choke.\u00a0\u00a0For example, round objects, those that cannot be crushed by teeth in the mouth, and those with slippery surfaces can more easily escape into the airway.<\/span><\/h5>\n
<\/h5>\n
The major problem caused by foreign objects escaping into the airway is the suffocation problem, that is, they prevent the air from entering the lungs.\u00a0\u00a0But sometimes children can throw the drugs they find into their mouths, and the drugs can easily escape into the airway because they can be slippery and round-surfaced.\u00a0\u00a0These drugs, especially those containing potassium or iron, can dissolve in the airway and cause very serious inflammation and subsequently narrowing.\u00a0\u00a0Of course, these may need to be removed immediately.<\/span><\/h5>\n
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The story of the mother, father or the person next to the child in foreign object aspirations is very important for us.\u00a0\u00a0We can see that we reach a high rate of 75-95% when we do bronchoscopy with only a proper history, especially in the case of a witnessed choking event, that is, the child suddenly coughing while eating a hard object.\u00a0\u00a0However, sometimes it is possible to apply to the hospital later, because no one has observed the aspiration of the foreign object, and the child may have passed it into the airway when he was alone.\u00a0\u00a0In this case, it takes some time.\u00a0\u00a0Foreign objects can start to cause infections inside, and lung infections, which we call pneumonia, begin to come to the fore.\u00a0\u00a0If there is no history of escaping in the throat, foreign body aspiration may not come to mind first.\u00a0\u00a0If there is no response to the treatment, we start suspecting foreign object in the airway.\u00a0<\/span><\/h5>\n
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As a result, in the physical examination we will do in a child who is brought with the suspicion of foreign object in their throat, if we clearly hear less sound in one of the two lungs, and if there is a very clear suspicion of foreign object aspiration in the mother’s advice given by the family, then we can bring it directly to the operating room without asking for additional imaging and carry out bronchoscopy.\u00a0\u00a0However, if the situation is not very urgent, we definitely prefer to see a chest X-ray first.\u00a0\u00a0In the chest X-ray, we can sometimes not always achieve the image we expect.\u00a0\u00a0Especially if the chest X-ray was taken while the child was inspiring, it may not show us the image we want.\u00a0\u00a0Although it is very difficult for the radiologist, if the film of the child is seen while he is exhaling, the difference in ventilation in both lungs will be clearly seen, and it will also give us information about which side the foreign object is on.\u00a0\u00a0Even if we cannot see the image we want on the chest X-ray, if the story told by the family makes us think that there is a very clear foreign object and our physical examination supports this, we perform bronchoscopy on the patient.\u00a0\u00a0If the story given by the parents is not very clear, that is, if they are not sure that something is in the child’s throat, and we cannot be sure about foreign body aspiration in our examination, then further imaging examination can be performed.\u00a0\u00a0By further imaging examination, I mean computed tomography.\u00a0\u00a0If we do not see a foreign object as a result of the accepted computed tomography, and we are sure that we will not do bronchoscopy, then it is recommended that we take the computer tomography.\u00a0\u00a0In other words, if we are going to request an examination, we should act according to the results of the examination.\u00a0\u00a0Which means if I suspect a foreign object in history and examination, if I am going to do bronchoscopy, there is no point in doing a computer tomography.\u00a0\u00a0Computed tomography is an additional examination that we can only use in cases where we can\u2019t decide, we are not sure, and the story is not strong.<\/span><\/h5>\n
<\/h5>\n
Foreign object aspiration is a truly fatal problem.\u00a0\u00a0This problem needs to be avoided.\u00a0\u00a0We can avoid this problem.\u00a0\u00a0For this, there are already statements on many packages about which products should not be taken into the house.\u00a0\u00a0It is written on the labels on some toys should not be given to children under the age of four as they contain small parts.\u00a0\u00a0I’m talking about them.\u00a0\u00a0It is generally accepted that round objects less than 4.5 inches in diameter and longitudinal objects less than 7.5 inches in length can cause suffocation, which can cause very serious death.\u00a0\u00a0What shall we do then?\u00a0\u00a0First of all, it is necessary to train mothers, fathers and caregivers.\u00a0\u00a0From the age of six months, children can choke on many things.\u00a0\u00a0At least until the age of four or five, marbles, small plastic balls, latex balloons, round dishes, I mean especially nuts, should not be brought into the house.\u00a0\u00a0Small candies should not be taken into the house.\u00a0\u00a0Small pieces of meat, small grains of grapes, small grains of rice, nuts, very small pieces of hard carrot, watermelon seeds, you can think of, anything that can escape into the airway should not be brought into the house.\u00a0\u00a0Especially when infants are fed with solid food, they must be under the supervision of an adult.\u00a0\u00a0Also, they must be fed in an upright position.<\/span><\/h5>\n
<\/h5>\n
What we need to teach children is to chew their food very well.\u00a0\u00a0It should be ensured that they do not shout, talk, play, run, cry or laugh when there is food in their mouths.\u00a0\u00a0Chewable tablets should be given to children after the age of three, that is, after their molars have erupted.\u00a0\u00a0The giving of metal money as a reward, which is done so much in our country, should be abandoned.\u00a0\u00a0Children should be encouraged to stay away from the habit of holding objects in their mouths.\u00a0\u00a0Small pieces of toys should not be brought into the house.\u00a0\u00a0Attention should be paid to the siblings of children, younger children should not be left alone with their siblings.\u00a0\u00a0And parents, teachers, caregivers who care for children must undergo serious emergency intervention training.<\/span><\/h5>\n
<\/h5>\n
We have come to the end of a long journey.\u00a0 To watch the video please click and subscribe my youtube<\/strong><\/a><\/span> channel and follow me on Instagram<\/a><\/strong><\/span>.<\/span><\/h5>\n
<\/h5>\n
And stay happy.<\/span><\/h5>\n
<\/h5>\n
Prof. Dr. Egemen Ero\u011flu<\/span><\/h5>\n
September 2021<\/span><\/h5>\n
<\/h5>\n
<\/h5>\n","protected":false},"excerpt":{"rendered":"

A healthy, boisterous boy with no previous complaints.\u00a0\u00a0Two and a half years old.\u00a0\u00a0At home, while her mother and father are eating hazelnuts, they give some to their children.\u00a0\u00a0A coughing attack develops all of a sudden.\u00a0\u00a0Mom and dad immediately do maneuvers such as hitting on the back and pressing on the stomach.\u00a0\u00a0Then the child relaxes.\u00a0\u00a0But every […]<\/p>\n","protected":false},"author":2,"featured_media":1697,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[],"class_list":["post-1700","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog-en"],"yoast_head":"\nA nut got stuck in my child's throat... - Prof. Dr. Egemen Ero\u011flu<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dregemeneroglu.com\/en\/cocugumun-bogazina-findik-kacti\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A nut got stuck in my child's throat... - Prof. Dr. Egemen Ero\u011flu\" \/>\n<meta property=\"og:description\" content=\"A healthy, boisterous boy with no previous complaints.\u00a0\u00a0Two and a half years old.\u00a0\u00a0At home, while her mother and father are eating hazelnuts, they give some to their children.\u00a0\u00a0A coughing attack develops all of a sudden.\u00a0\u00a0Mom and dad immediately do maneuvers such as hitting on the back and pressing on the stomach.\u00a0\u00a0Then the child relaxes.\u00a0\u00a0But every […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/dregemeneroglu.com\/en\/cocugumun-bogazina-findik-kacti\/\" \/>\n<meta property=\"og:site_name\" content=\"Prof. Dr. Egemen Ero\u011flu\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/egemen.eroglu.750\" \/>\n<meta property=\"article:published_time\" content=\"2021-10-05T07:00:27+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-10-05T07:05:33+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/dregemeneroglu.com\/wp-content\/uploads\/2021\/09\/15.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1762\" \/>\n\t<meta property=\"og:image:height\" content=\"2018\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Egemen Ero\u011flu\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Egemen Ero\u011flu\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/dregemeneroglu.com\\\/en\\\/cocugumun-bogazina-findik-kacti\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/dregemeneroglu.com\\\/en\\\/cocugumun-bogazina-findik-kacti\\\/\"},\"author\":{\"name\":\"Egemen Ero\u011flu\",\"@id\":\"https:\\\/\\\/dregemeneroglu.com\\\/#\\\/schema\\\/person\\\/1f71bde4af4a347b008c79d5d542aa7f\"},\"headline\":\"A nut got stuck in my child’s throat…\",\"datePublished\":\"2021-10-05T07:00:27+00:00\",\"dateModified\":\"2021-10-05T07:05:33+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/dregemeneroglu.com\\\/en\\\/cocugumun-bogazina-findik-kacti\\\/\"},\"wordCount\":1714,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/dregemeneroglu.com\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/dregemeneroglu.com\\\/en\\\/cocugumun-bogazina-findik-kacti\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/dregemeneroglu.com\\\/wp-content\\\/uploads\\\/2021\\\/09\\\/15.jpg\",\"articleSection\":[\"Blog\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/dregemeneroglu.com\\\/en\\\/cocugumun-bogazina-findik-kacti\\\/\",\"url\":\"https:\\\/\\\/dregemeneroglu.com\\\/en\\\/cocugumun-bogazina-findik-kacti\\\/\",\"name\":\"A nut got stuck in my child's throat... - 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