Bleeding from a raw fish spike, in which case the patient is advised to immediately fast from water and not to swallow hard with buns or rice balls. In this case, the patient is advised to go to an ENT clinic and have the doctor first examine the oropharynx and use an indirect laryngoscope to look at the entire structure of the throat. If a raw splinter is found, the fish splinter can be removed, paying attention to the surrounding areas for bleeding and any subcutaneous bruising or blood blisters or the like. If there is only submucosal bleeding, this is usually not a big problem and will be absorbed on its own after 1-2 days after removal of the fish spike. If the bleeding is more rapid, or if the fish spike happens to lodge in the blood vessel next to it and cause bleeding, it is clinically recommended that the patient be hospitalized. While the doctor removes the fish spike, he can coagulate or ligate the local blood vessels and stop the bleeding to avoid too much bleeding, which is not very common in clinical cases where the fish spike pierces an artery and bleeds.