If your baby swallows a fish spike by mistake, you should determine if it is stuck in the throat. If you observe your baby crying or pointing to the throat with your finger, you may have a fish spike stuck in the throat. It is usually recommended to go to a hospital, usually to the ENT department, to find the fish spike and remove it by laryngoscopy. If the fish spike is swallowed into the gastrointestinal tract, the main concern is to observe the baby’s symptoms. If there is no abdominal pain, nausea, vomiting or other gastrointestinal discomfort, the fish spike can usually be excreted through the stool. If there is frequent abdominal pain and the pain is frequent at a certain painful point, the fish spike may be stuck in a certain location in the gastrointestinal tract, and the doctor will determine whether to treat it endoscopically or surgically.