When a foreign body like a toothpick is swallowed into the esophagus and stomach, there is a high risk of scratching the esophagus and stomach because of the sharp ends of the toothpick. We recommend that after swallowing a toothpick, you should immediately go to the hospital and be able to undergo emergency gastroscopy, which on the one hand can check whether there is any damage to the digestive tract, and on the other hand can also observe the site of the toothpick and remove the toothpick from the body by endoscopy. Because the toothpick is made of bamboo, it is possible that the location of the toothpick may not be clearly identified by abdominal CT or radiography, and can be removed by gastroscopy if it is indeed in the esophagus and stomach. If the toothpick passes through the pylorus into the duodenum and small intestine, we should always observe whether there is abdominal pain and blood in the stool and other adverse reactions. Because the sharp toothpick may penetrate the intestinal wall and lead to perforation and other adverse reactions, so once the toothpick is swallowed in the stomach, go to the hospital emergency room immediately for diagnosis and treatment.