Health Questions and Answers

Question: Do children with possible coin ingestion and no symptoms need a radiograph?


Yes. Many children with an esophageal coin are asymptomatic. Delayed diagnosis may lead to mistreatment and complications resulting from esophageal erosion, such as bleeding, perforation, and obstruction. In general, if the coin passes the gastroesophageal junction, it traverses the remainder of the GI tract without complication. Subtle symptoms, such as failure to thrive, eating complications, and wheezing secondary to tracheal compression, may be the result of unsuspected esophageal coins.

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