1. When the fish spike is not large, try to cough hard. Very often, tiny fish spikes will come off with the airflow; 2. When the fish spike is very large and hard, seek immediate medical attention. If the fish spike is very large and hard, and the stinging pain is intense, or if you feel a significant stabbing pain in the neck or chest, it is recommended to seek immediate medical attention; 3. Be sure not to swallow the fish stinger with rice balls and buns, because it will push the stinger, which is in a very shallow position, deeper and can be very dangerous if it pierces the esophagus.