A child who swallowed a date palm was recently admitted to our department with difficulty in defecation, anal bleeding, irritability and crying. The child had eaten dates 2 days before and had no abdominal discomfort. During defecation, she suddenly started crying and bleeding from the anus. Anal exploration revealed a date nucleus straddling the rectal wall in the anal canal, and the two ends of the nucleus were thin and pointed, piercing into the intestinal wall. Eventually, the foreign body was removed, but the intestinal wall was damaged. Combined with this child, once again remind the majority of parents, must be alert to the baby swallowed foreign body, to avoid unnecessary trouble and injury. The main reason is that children often play with foreign objects in their mouths, and once they are frightened or cry, they accidentally swallow them by mistake; sometimes they swallow foreign objects mixed with food (such as bone fragments, fish spines, etc.). The most common foreign bodies are fruit nuclei, buttons, coins, badges, pins, nails, pen caps and various small toys (plastic or metal), etc. The hazards and treatment principles caused by foreign bodies in the esophagus and gastrointestinal tract are as follows: I. Foreign bodies in the esophagus: large, thick, hard, sharp foreign bodies are embedded in the narrow part of the esophagus, the most common being the first narrow part below the entrance of the esophagus (the other two narrow parts are in the esophagus The other two stenoses are in the middle of the esophagus and at the point where the esophagus crosses the transverse septum). If a foreign body is stuck in the esophagus, the larger foreign body not only compresses the trachea and blocks the esophagus, but also causes choking and difficulty in swallowing, and may even cause death by asphyxiation. A sharp foreign body may also puncture the esophagus causing local inflammation and septicemia, bleeding, pneumothorax, mediastinal abscess and esophagotracheal fistula. This is a direct threat to the life of the child. Treatment principles: X-ray should be done immediately to determine the location of the foreign body, and most foreign bodies can be removed with an esophagoscope. If the foreign body is embedded in the esophageal wall and difficult to remove or has penetrated the esophagus, then surgery should be performed to remove it. It is important to emphasize that when something is stuck in the child’s esophagus, some parents always try to make the child eat a few more bites of food in an attempt to swallow the foreign body. However, it is not known that forcible swallowing is very likely to squeeze the sharp foreign body out of the esophagus, causing perforation of the esophagus and causing more injuries and complications. Foreign bodies in the gastrointestinal tract: 1. Most of the foreign bodies accidentally swallowed by children can be discharged from the body with feces as long as they enter the gastrointestinal tract through the narrow section of the esophagus. Foreign body through the gastrointestinal tract has three competent and important gates, namely the cardia (the junction of the esophagus and stomach), the pylorus (the junction of the stomach and duodenum), and the ileocecal valve (the junction of the ileum and colon). If the foreign body is large and cannot pass through these three gates, the foreign body will be retained and needs to be removed with the help of auxiliary methods such as gastroscopy, colonoscopy, surgery, etc. if necessary. 2, foreign body retained in the gastrointestinal somewhere, the general principle is that as long as there are no symptoms (pain, intestinal perforation, peritonitis, etc.), can be closely observed for 3-5 days, is really difficult to discharge on their own before taking surgery to remove. It should be noted that after the foreign body into the stomach, do not give laxatives, do not arbitrarily change the diet, so as not to increase intestinal peristalsis and aggravate the embedded foreign body and intestinal injury. Especially for sharp foreign bodies should not squeeze the abdomen. Foreign body wrapped in feces slowly down the process, do not blindly surgical exploration to remove foreign bodies, or probe to pull the gastrointestinal foreign body once moved, not only difficult to find, but also cause unnecessary damage to the child. 3, special circumstances, once the accidental swallowing of large foreign bodies (mostly sharp metal foreign bodies), immediately cause extreme breathing difficulties in children, esophagus or gastrointestinal symptoms of obvious obstruction. This is mainly taken out by the doctor according to the critical clinical condition, with reference to the location of the foreign body, the size and sharpness of the foreign body, and the emergency measures taken to save the child’s life. Third, the parents of the child should first of all pay attention to the care of the baby, try not to let the child touch the fragmented things. When eating fruits, jellies, nuts and other types of food, be sure to avoid swallowing them whole, and avoid playing and laughing while eating. Once you swallow a foreign body, seek medical attention promptly. Secondly, we should actively cooperate with the doctor’s treatment. Any treatment method for the child should be taken with the understanding and cooperation of the child’s parents. Because all operations have certain risks, there are potential risks in the observation phase, as well as in the surgery itself. The key is how to handle the risks less and how to do it more beneficial to the child, and it is up to the doctor and parents to work together to grasp the indications for conservative treatment and surgery. Parents must fully understand and value the clinical experience and judgment of the physician.