If a fish spike is stuck in the throat, adults can at least cooperate with indirect laryngoscopy, but if it is a small baby, stuck with a fish spike and can not express, only know how to cry, using the tongue depressor to check the oropharynx is determined not to cooperate, that really makes doctors and parents of children want to cry ah! Of course, not only fish spikes, date pits, crab shells, chicken bones, etc. can be stuck in the throat, this situation we professionally called foreign body in the throat, fish spikes is the most common one. Swallowing rice balls or drinking vinegar is not advisable The most common location of foreign bodies in the throat is on the tonsils of the oropharynx, accounting for about 70% to 80%, followed by the root of the tongue, the epiglottis, the posterior wall of the pharynx, the pear-shaped fossa and other locations. Simply put, most of them can be seen directly with the tongue depressor, while a small number of foreign bodies must be detected by indirect laryngoscopy or fiberoptic laryngoscopy. Some foreign bodies may continue to enter the esophagus with the swallowing action or by pushing through the swallowed rice ball. The most “popular” method is to swallow rice balls or drink vinegar. In fact, these two methods are undesirable! Swallowing rice balls may push foreign bodies such as fish spikes, which are originally located in the oropharynx or laryngopharynx, into the esophagus, and even cause serious consequences such as mucosal abrasions in the throat, esophageal perforation, infection, and even perforated arteries, so don’t underestimate a small fish spike. A friendly reminder: If the foreign body is only located in the throat, then go to the clinic with a laryngoscope or indirect laryngoscope directly clip out, short time, less suffering, the cost of a few dozen to more than a hundred can be done; and if accidentally fall into the esophagus, it is necessary to perform a general anesthesia esophagoscopy, then spend thousands of not only, but also to receive a general anesthesia, it is very uneconomical, so stuck fish spur if you think it is in the throat is not allowed! Swallow rice balls to force down the throat. Drink vinegar? Imagine, fish bones are always harder than the mucous membrane of the throat, right? If the vinegar can soften the fish bones or soak them away, would it not have corroded the throat? So this method is also not advisable. So what is the best way to deal with this situation at home? Fasting and water fasting, encouraging babies to cough and flush out some of the loose fish spines through the airflow, if repeatedly and repeatedly not effective, then you need to go to the hospital immediately! What do you do when you get to the hospital? First, the oropharynx is examined, and if it is found in the oral cavity or tonsils or on the lateral wall of the posterior pharynx, it can be removed directly; if the oropharynx is not visible, the baby can be examined with an indirect laryngoscope if he or she is older and cooperative. If the oropharynx is not visible and the child is uncooperative, an electronic fiberoptic laryngoscope can be used to examine and clip the fish spike under direct vision. If the foreign body is not seen in the pharynx, but the child has pain or foreign body sensation, a CT scan of the neck and chest is required. If the foreign body is found in the esophagus, an esophagoscopy or gastroscopy is required in the operating room under general anesthesia. If the foreign body is suspected to have penetrated the esophagus or pharynx, the foreign body will need to be removed by open chest or lateral cervical incision in the operating room under general anesthesia. Finally, to conclude, although there is a risk of fish spikes, you should not choke on it, as long as you handle it properly and pick out the fish bones, you should still enjoy the delicious fish!