2 year old daughter swallowed a 50p coin !!!

[kaylie1208]

Been on a right rollercoaster ride over the last 10 days... YES.. 10 DAYS!

On saturday 6th October, DD swallowed a coin at about 8am. (at this point I had no idea which size coin. Rang NHS direct who advised to go straight to A&E just to be safe in case it got stuck..

Got there, had an xray and saw that it was stuck in the oesophagus so they told us to go home, eat a diet with foods no thicker than yoghurt and come back on the sunday for a repeat xray to check it became dislodged.
Next day (sunday) had the repeat xray where it showed that it had passed to the stomach. They sent us home with the guidelines: if she has any pain or sickness then bring her back'
She was then sick twice on monday night and tuesday evening she seemed in quite a lot of pain and her stomach was bloated so I took her back as advised.

They done another xray which showed it had passed to her SMALL intestine but they wanted to observe her overnight to check she wasnt in anymore pain or was sick anymore. She wasn't so they discharged her on wednesday morning and I was told to call back in 3 days if it still hadn't passed.

Waited 4 days (until sunday) and was told by a paediatrician that there is nothing wrong, it WILL pass but he couldn't put a time limit on it.

So now 10 days has passed i'm left to wait and see, and every day i'm getting more and more nervous. She's in no pain, no bloating, she did say she 'felt' sick this morning but no physical vomitting. And the weirdest thing of all is that she's going for a 'number 2' twice a day completely normally - no constipation or anything :S
I know that's a good thing but WHERE'S THE COIN?!

I definitely haven't missed it as i'm so worried, i've been double checking through her nappies.

Has anyone had anything similar happen and when should I start to REALLY worry?

Thanks

Oh my goodness! Poor DD and poor you, that sounds like alot of worry.

It's exactly the sort of thing I can imagine my 2 yo DS doing as he loves raiding my purse if he gets the chance (which is going to be even rarer following your post).

I have absolutely no idea what to advise I'm afraid, but hope it passes soon.

I totally sympathise. My dd 5- yes 5! - swallowed a 10p and a 2p on Sunday. She couldn't even drink sips of water without gagging and being violently sick so they told us to go to A&E. She was in a lot of pain and could feel it stuck in her throat. After an x-ray we could see they were wedged in her oesophagus with only a tiny gap around them. It was terrifying to see and I can't stop thinking about what could have happened if they had gone down her windpipe. She had to go to theatre and had a GA to have them removed. We spent a night in hopsital and I am hoping she has well and truly learnt her lesson!
I hope your dd manages to pass the coin soon, it's certainly hanging around isn't it?

Your poor dd, how worrying for you all.

Call your gp in the morning or go back to A&E and insist on another X-ray.

oh no! they do like to scare us! my 6yr old ds3 swallowed a magnet the other summer! he wasnt sure if he had swallowed one or two so he had to be x rayed once they were happy it was just the ONE magnet they let us go home and said it would come out, i have to say i did NOT check his poo! obviously magnets can be very dangerous so we were lucky it was just the one!

i would take her back for a check up and maybe see if they can give her something to help it pass?

The thing is, she's already has 3 xrays in the last 2 weeks and thats more than some people have in a lifetime! So they said they're not going to allow another one. I asked about maybe an ultrasound but they said it wouldn't detect it :/

She's already on Lactulose (laxatives) 5madthings so not much else they can do.. they seem to giving me every excuses/waiting time under the sun.. I rang A&E back today and spoke to a paediatrician again who said we need to wait another WEEK.. yes WEEK before ringing back/worrying again. (Bear in mind it's already been 12 days...)

What's happening with this, I know of another case of swallowing a 50p and not come out and the doctor's can't find it! On X rays, which I'm assuming is down to the laws of physics and a thing called wave mechanics!

I know it’s 9 years since the incident, but I’ve just spent the evening at a&e for exactly this - but it does seem to currently be between his hips after they did a second X-ray when they couldn’t find it on the first one. The £1 coin certainly travelled quickly down my 8 (yes 8!!!) year olds system. @kaylie1208 would love to know just how long it took to be “processed” in the end

Should anyone read this in the future when they’re investigating, it took 12 days for it to eventually work its way through the system.

Hi there. I wondered if anyone had experience of non celiac gluten intolerance in children? Specifially how to obtain official diagnosis of this. My dd is 6 and has had 2 celiac tests both of which were negative. She had several gastrointestinal symptoms diareah swollen stomach stomach pain etc which we found to be eradicated with the removal of gluten. Fast forward several years of difficulty obtaining any real help from my gp but we have now managed to reduce her symptoms following a GF diet. I recently approached her school to query obtaining GF school meals for her as although she is generally able to choose a GF option from the regular menu eg jacket potatoe the desserts in particular are always high gluten. I was advised a doctors letter would be required however when I queried this with her GP they advised me that she has never received a formal diagnosis and therefore they are unable to provide me with one. This really angered me as I have spent the last 4 years backwards and forwards to them only to be advised that there is no test for gluten intolerance and that the only treatment is removal from the diet.
Has anyone else with a little one with gluten intolerance been able to receive a 'formal diagnosis ' ? There seems to be very little help for those who are non celiac diagnosed

I know this was posted years ago, but what happened in the end OP? My son is 2yo and swallowed a 50p coin. Initially lodged in the oesophagus but it has moved down now.

I'm worried about how he will poo it out. 50p is quite big and hard for a 2yo :/

It will not pass his Pylorus, it's too small. Any decent gastroenterologist will clearly tell u anything over 20 mm diameter is not going to pass. The others will tell you it will pass. In 2018 a man swallowed a 50p and a 5p. He passed the 5p the 50p has migrated into the gastric Mucosa. It will errode in gastric fluid, which is hydrochloric acid. Releasing NiCl², this is used in CT and MRI phantoms, it simulates bones etc. it is a fluid solution in this use. It's absorbed in to the tissue at 25-27% during fasting and will making diagnostic imaging difficult as the tissue will become denser that the Copper that's left, it will contain voids filled with hydrogen gas. These cause lucencies in diagnostic imaging. Look at case " Coin migrated into gastric Mucosa" the stomach is after only a few weeks denser than the coin, they only accepted it was the coin as the first image showed the coin. The material that leaches is a group one carcinogen, I have written a paper on this. But as I'm not a Dr I can't get it published, I've just spent the last 44 years conducting experiments in the EMS (electro magnetic spectrum). Of which X-rays are a part of. Coin needs removing via gastric resection. I can link my paper if you want, it contains all the reference data(papers links).

sadly with the Case locally the patient is labelled delusional as it's not visible on imaging. I've included endoscopic image showing it and the professor of gastroenterology states it's food, I've included a 50p I've soaked in HCl and this has developed a patina, it's oxidised and on green. Which is what's happened to the coin in the fundus, that's dismissed as food.

Please let me know how you get on as the patient here has been struggling for 25 years to get this removed

The soaked 50p attached now, sorry ran out of image spaces on the last post upload, I've included a spreadsheet, this highlights the valence electron count of the components of the 50p and the amount of NiCl² absorbed. The higher valence count is of concern as they use high kVp and this increases the interaction known as Compton scatter. The retained NiCl² contains vastly more Valence electrons and so it's denser than the coin with its lucencies.

Basically its like placing VAN OF LEAD IN A GARAGE, imaging it, the imaging it once it's been unloaded and 27% of the leads placed against the garage walls.

The walls are now denser than the unloaded van, you cant see the van anymore. The longer it's left the denser to surrounding tissues will become, due to being doped with the released NiCl²

^^

What version of £1 coin was it as they're different diameters, the exit of the stomach is in adults the following sizes normally
Pyloric sphincter is 5-15mm diameter
The Pyloric canal the muscle tunnel that projects stuff out
Is at canal the same 5-15 mm diameter
At junction with stomach, it's 15mm
Its length is 15mm long.

And so yes a pound will fit into the Pylorus in a button hole orientation only. Where as a 50p will not, it is physically too large to fit in the Pylorus, and even if it did the canal is too short to propel it through the sphincter.

The plastic gage being used was made by a friend of mine using a laser and has holes representing the sphincter of five and 15 mm in diameter the square represents the length of the canal and the width of the canal if it was 15 millimeters all the way along and the slit represents the 15 millimeter diameter sphincter distended to enable you to post the coin through in a buttonhole fashion and I can assure you if I can find the photograph it does not fit, this is why the man in Hereford has a 50p coin retained in his stomach because it will never leave the stomach regardless of what they tell you, a £2 and a 50p coin are physically too large to fit through the exit of the stomach

Well you need to stop fear mongering because my 2yo passed his 50p coin. I was obsessively reading about the pylorus Vs oesophagus diameter. However, I guess the power of the stomach expelled it somehow.

So if anyone is reading this. Do not worry. If your child is symptom free and you've been checked out, then hopefully it will pass!

I find that hard to believe and that's for the reasons I highlighted previously. Search "Buried coin in the gastric mucosa" is clearly highlights the issue because the coin is too large to ever pass through the pyloris, I am further having difficulty getting my head around a two-year-old child swallowing a 50 pence piece coin because at that age the esophagus is barely large enough, The esophagus, or food pipe, of a 2-year-old is roughly 20-22 cm long and approximately 1-2 cm (10-20 mm) in diameter. This muscular tube connects the throat to the stomach, facilitating the passage of food. Its size increases with age, reaching about 25 cm in adults.

I assuming you can confirm the presence of the coin in the toilet etc. the stomach does not expel it. It liquidises the food and then that gets into the Pylorus, which consists of the sphincter & the canal. Once the food enters the canal the canal constricts on the food causing it to pass through the sphincter. An adult canal is 15 mm in length. If it has truly passed through the Pylorus, it is only plausible that this has happened because the stomach is small (due to your child's age)and helped to push the coin on its way. Where as a larger stomach wouldn't apply this, has in its relaxed form, as it's size would be that greater than the 50ps diameter.

Now I'm going to attach photographs from the original article which highlighted the gentleman had swallowed the coin two and a half weeks before he attended the hospital. One and a half weeks after that he returned again still not having excreted the coin so we are now talking four weeks. And they further 6 weeks after the og the coin still has not been excreted and we are talking 10 weeks. And the coin has not passed through an adult. This is because the adult stomach is too large to push the coin through the Pylorus, because when it shrinks back to its smallist dimensions it is too large to actually apply sufficient pressure to force the coin through the Pylorus.

If it is not past symptoms will be visible as it will cause autoimmune responses on the dermis, with cutaneous lesions around the lymph nodes, it has been in observed in another case of the skin around the elbows turning green, this is due to nickel that's leached from the coin. Off the bathing dead tissue could come from the skin which will have a green tinge, are you may find that they made the develop psoriasis and if you apply for example dermal 500 lotion and leave it a while and then scrape it gently with your nails a green material comes off.

I have consulted an associate who is a prominent gastroenterologist and he himself has doubts that a two-year-old would pass the coin. This is due to the size and most gastroenterologists are blatantly told that anything over 20 mm is very unlikely to leave the stomach and this would be for the reasons I highlighted previously. Unless you have physically seen the coin with your own eyes in the child's feces. An x-ray will not be conclusive for the reasons I have highlighted, the way you'll be able to check is if your child or the person who has ingested the coin, develops psoriasis, as the released nickel is known to cause this, furthermore they will develop issues with their lymphatic system because the nickel migrates to the lymphatic drainage system where it will cause pastels around the lymph nodes, swelling of the lymph nodes and cutaneous lesions around them. You'll also find green scaly skin probably around the elbows which is a high maintenance area and as a result seems to attract the accumulation of the nickel components, if you apply dermal 500 lotion to this scaly material and scrape it off after a few mins you will end up with a green cream. See attached images, I have actually included an image of regurgitated fluid from the affected individual stomach the clear stuff is gastric fluid and the other staff is blood caused by bleeding and the circle patch is a section of the gastric mucosus which has been cut out by the coin pictures of the coin institute, I have also included the fundus image, showing the coin buried in the gastric mucosa and the little cut out which was circled in one of the attached pictures.

Furthermore you may actually wish to actually try a metal detector on your child's stomach, as these are 99.8% accurate at the localisation of ingested metallic bodies, please see attached link. https://pmc.ncbi.nlm.nih.gov/articles/PMC8279663/ they work in a similar fashion to an MRI, but the frequency of emission is much lower and does not actually cause the coin to become hot. Mri's use much higher frequencies and we'll actually cause ingested forum metallic bodies/implants to become hot during the procedure, a 50p coin is not magnetic and so not going to be pulled to the mri's magnet but the issue is the heat that is generated during the procedure would damage surrounding tissue possibly. Some of the more expensive metal detectors you can actually change the emissions and so you could set it up to actually detect a copper based element more efficiently than say a nickel-based one. Is possibly could be of assistance as there is six grams of copper a 50p coin and only two grams of nickel. The problem with diagnostic imaging is that the nickel contains a lot more balanced electrons than the copper and so actually appears dense to x-ray photons using a high kVp.

Sorry I was dictating and that should say valance electrons, it doesn't seem that I can edit it correct it?