The human esophagus has three strictures: the first stricture, which is the entrance to the esophagus. It causes pain near the esophagus when swallowing and is caused by difficulty in swallowing. The second stricture, which is about 7 cm after the entrance, is the most dangerous place. Because the aortic arch is attached to the outside of the esophagus here, if a fish spike punctures the esophageal wall, it can cause fatal hemorrhage; the third stricture, which is the exit of the esophagus, is less common. Most of the fatalities are caused by arterial rupture and hemorrhage due to puncturing the esophageal wall. There is also the possibility of death by asphyxiation due to a large fish spike embedded in the vocal cords. Swallowing is the most important thing! Spit, that is the right solution! After being stuck by a fish spike, many people like to use native first aid methods, such as drinking vinegar, swallowing rice balls, swallowing steamed buns, swallowing vegetables, and drinking a lot of water, all trying to force the fish spike down with the action of “swallowing”. In fact, the action of “swallowing” is most unacceptable! Swallowing fish spikes may lead to deeper insertion of fish spikes, as well as damage to the throat causing infection and pus, inflammation and redness. Drinking vinegar can not soften the fish spike and fish bone. Some vinegar concentration is too large, but also burns the oral cavity, throat and esophagus mucosa, leading to esophageal narrowing adhesion. After getting stuck to a fish spike, stop all swallowing diet, don’t even drink water and relax your throat. You can use your fingers to pick at your throat to create a feeling of nausea and vomiting to get the fish spike out. One prerequisite here is that you are sure that you are swallowing a small, soft fish spike. This superficial foreign body in the throat can sometimes be expelled through saliva and vomit. However, if you swallow a large fish spike, you must go to the hospital quickly. If you have a fish spike in your throat, you can go to the emergency department if it is an emergency, and the emergency department of a large hospital usually has an otolaryngologist. For less urgent cases, you can go to the ear, nose and throat clinic. The treatment process is to press the front of the tongue with a tongue depressor to expose the tonsils. A flashlight is used to look at the root of the tongue, the tonsils, and the back wall of the throat. If a fish spike is seen, it is slowly removed with tweezers. Sometimes anesthetic is used. If the fish spike has entered the esophagus and is difficult to detect with the naked eye alone, an esophagoscopy may be necessary. If the fish spike has been stuck in the throat for a long time and the throat and esophagus are already red and swollen, you must wait for treatment to reduce inflammation and swelling before removing the fish spike. It is recommended that you do not remove the fish spike by yourself and try to seek medical attention in time. It is recommended that you develop good eating habits and talk as little as possible during meals. Most cases of fish spikes in the throat occur when you are in a hurry to eat, watch TV, speak, and other times when you are not concentrating.