If the fish spike is stuck in your throat, you can cough gently if the location of the spike is relatively shallow, and it may be possible to cough it out, or ask others to help shine a flashlight into your mouth, and if you can see the stuck spike you can remove it discreetly with the help of long tweezers. If the fish spike is stuck deeper in the throat it is recommended to go to the hospital as soon as possible and have the fish spike removed by a professional doctor through laryngoscopy or gastroscopy. You should not swallow large pieces of steamed buns, pancakes, rice and other foods after the fish spike is stuck in your throat to prevent it from being carried into the esophagus, which may lead to pushing the fish spike to a deeper location or cutting the blood vessels to cause infection and hemorrhage.