Coins, beads and small smooth pieces usually cross the gut within days without harm. The story flips completely with button batteries and multiple magnets — these are immediate emergencies even if the child looks perfectly fine.
In short — what to do
- Stay calm and assess: breathing, talking and swallowing normally? It's most likely in the stomach.
- See a doctor today to judge the need for an X-ray — coins stuck in the oesophagus must come out promptly.
- Watch the stools for days to confirm passage, and watch for any new symptoms.
- Never induce vomiting, and don't force bread and water to "push it down".
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The two immediate emergencies
- A button battery: chemically burns the oesophagus within two hours — ER immediately, zero waiting (full details in the button-battery guide).
- Two or more magnets (or magnet + metal): attract across bowel walls and perforate them — ER immediately.
- A sharp object (pin, glass, bone): ER, with no removal attempts.
Swallowed something small and smooth (coin, bead)?
- Stay calm and assess: breathing, talking and swallowing normally? It's most likely in the stomach.
- See a doctor today to judge the need for an X-ray — coins stuck in the oesophagus must come out promptly.
- Watch the stools for days to confirm passage, and watch for any new symptoms.
- Never induce vomiting, and don't force bread and water to "push it down".
ER immediately if
- Sudden cough with breathing difficulty or wheeze — it may be in the airway, not the gullet (see the choking guide).
- Constant drooling and inability to swallow, or chest/neck pain — an object stuck in the oesophagus.
- Abdominal pain, vomiting, fever, or blood days later — may mean blockage or perforation.
Prevention
Get down to your child's eye level and crawl through your home once — you'll see the world they see: anything that fits through a toilet-paper tube can be swallowed. That's the classic toy-safety test.
This content is for general health education only and is not medical advice. Always seek guidance from a qualified healthcare professional. In an emergency, call 998.