When a patient has a fish spike in the throat, it is divided into two cases: shallow fish spike and deep fish spike, as follows: a. Shallow fish spike: you can try to take appropriate action behavior of coughing or throat clearing, and if necessary, vomiting. Some patients with relatively shallow fish spikes may be able to expel them on their own. If the location of the fish spike is deep or stubborn, the patient cannot forcefully swallow the food, which may cause more damage to the throat or even the mucosa of the esophagus. Patients need to go to the hospital in time for examination. The foreign body can be removed directly under direct vision or electronic laryngoscopy by tongue depression, indirect laryngoscopy, and further electronic laryngoscopy to find and locate the fish spike. A small number of patients may have a fish spike stuck in the esophagus, which may require further removal through an esophagoscope.