Foreign body in the nose of a child. Features of getting a foreign body into the nose How to get a child out of the nose

Many parents know firsthand how difficult it is sometimes to manage a small child. How to get a foreign body in the nose of a child? With the birth of a baby, this issue becomes very relevant. After all, if you leave a child alone for a long time, then anything can happen.

All objects that a child can put into his nose can be divided into several categories depending on their origin.

Classification:

• Inorganic (buttons, small toys, pebbles, beads);
• Organic (small plant seeds, peas, beans, seeds of berries and fruits);
• Metal (coins, screws, nails);
• Live (various small insects).

Depending on what kind of foreign object the child put into the nose, they can be radiopaque and radiopaque. The first group includes all metal objects, and the second - all other foreign bodies from the classification.

To prevent such situations, it is not advisable for parents to leave small children alone for a long period of time and not to buy toys that are too small for them. Or toys that have small parts.

Foreign body symptoms

What to do if a child puts a foreign body in his nose? First of all, you need to pay attention to the symptoms of a foreign body in the nose.

What are the symptoms of a foreign body in the nose, we determine by the following signs:

• Frequent sneezing;
• Watery discharge from the nasal cavity;
• Feeling of constriction;
• It may bleed from the nose;
• The baby may begin to speak in a nasal voice;
• Dizziness;
• Disturbance of appetite and sleep;
• Tearing.

All of the above symptoms can be noticeable for quite a short time. Therefore, if any of these symptoms begin to disturb your child, you should immediately consult a doctor.

In the event that foreign bodies of the nasal cavity are present there for a sufficiently long time, the following symptoms may occur:

• Allocations with an admixture of pus;
• Bad smell in the sinus;
• Unpleasant feeling in the nose;
• Formation of rhinoliths;
• Redness and swelling of the nasal mucosa.

If the foreign bodies of the nose have a smooth surface, then for a long time there may be no signs at all.

How to get a foreign body from a child's nose

How to remove a foreign body from a child's nose? Removal of a foreign body from the nose can only be done by a doctor. If you do it yourself at home, you can only aggravate the situation. And then you have to treat the child for various complications. For example, a baby may get sinusitis.

In particularly severe cases, surgery may be required. Not all children can easily tolerate surgery. Therefore, at the first sign of getting objects into the sinuses, you need to take action to remove them.

An otolaryngologist can remove things that have fallen into the nose. In its absence, you can contact the surgeon. You can also call an ambulance. In young children, the doctor performs endoscopic removal of foreign objects. It is produced with the help of painkillers. In some cases, even anesthesia may be required.

With self-extraction of foreign bodies, you still need to see a doctor. The otolaryngologist will examine the child, prescribe treatment to avoid contamination of the nasal mucosa with microbes or infection.

What to do at home

But if it is not possible to remove the fallen objects in the hospital, then what to do in this case? How to get a foreign object out of a child's nose?

How to pull a foreign body out of the nose yourself at home:

• Remove the item from the nasal cavity of the child must be very careful.
• Then you need to find out how deep the body got into the nose. To do this, you can take a regular flashlight and shine it into the sinuses.
• It is also important to find out what exactly children put in their noses. If this is an insect, then you urgently need to go to the doctor, because it can crawl further.
• Tell your child that foreign objects in the nose are very dangerous. Explain that the baby should inhale and exhale only through the mouth so that the body with the sigh does not get even deeper into the airways.
• If the foreign object is not very large in size, then pulling it out is much easier. To remove a foreign body, you need to ask the child to blow his nose strongly. At the same time, that nostril where there is nothing, he must strongly clamp his hand. The head should be tilted forward when blowing.
• Before the baby begins to blow his nose, it is recommended to drip 2 drops of vasoconstrictor drugs to him. If nothing was at hand, then you can use ordinary vegetable oil. This will greatly simplify the process of exiting the object from the nasal cavity.
• If the child is very small, then he will not be able to blow his nose on his own. How to pull out a foreign object in this case? You can do an enema. With a rubber enema, you need to blow air into a clean nostril. The child's mouth should be closed at this point.

If any of the above methods failed to extract objects that fall inside the nasal cavity, then you should not be zealous.

It is impossible to try to pull out the body in any possible way, otherwise the consequences can be disastrous.

When removing foreign bodies from the nasal cavity, you can not do:

• Try to pull it out with your hands (the body can only be pushed deeper into the spout);
• Rinse the sinuses with water;
• Even if the baby is very hungry or thirsty, then in no case should you give him food and water until the stuck body is removed;
• Try to pull out the stuck thing with tweezers (you can provoke bleeding) or a cotton swab;
• Press on the sinus, where the foreign body is stuck with your fingers.

After the objects are pulled out, the nasal mucosa must be treated with antimicrobials. It is impossible to choose which medicine to use on your own. It is better to check with your doctor.

Consequences and possible complications

If first aid is not provided in time, then the child may experience various complications.

Consequences of incorrect and untimely assistance:

• Development of chronic or purulent rhinosinusitis or rhinitis;
• Severe headaches (this is due to the fact that insufficient oxygen enters the brain);
• breathing problems;
• The development of such a dangerous disease as rhinolitis. It is characterized by the fact that phosphate salts of calcium and magnesium begin to settle on the surface of the object. These substances mix with the nasal mucus and form capsules. They can be smooth or rough, soft or hard. Rhinoliths constantly irritate the mucous membrane and cause a runny nose.

The development of rhinolith can lead to even more disastrous consequences.

• The appearance of sinusitis or frontal sinusitis;
• There may be inflammation of the middle ear - otitis media;
• In some cases, bleeding may occur;
• Deviated septum of the nose.

In order to avoid unpleasant consequences, at the first symptoms you need to urgently run to the doctor, and not try to solve the problem yourself.

Any household item that somehow ended up in the nasal cavity is called a foreign body. Buttons, coins, nuts, beads, small parts from toys often act as foreign bodies. Often this problem is faced by children who have just begun to crawl or walk. Toddlers explore the world by trying to put things in their mouths or noses.

With a long stay in the nose, rhinolitis develops - the formation of lime and phosphorus salts around a foreign body.

Varieties of foreign objects

According to statistics, doctors most often take out beads, coins, pieces of paper and cotton wool, grains (peas, beans), buttons from the nose.

Small pieces of food can get into the nose if the baby, for example, coughed while eating. Food enters the nose through the choanae - special openings that connect the nasal cavity and pharynx.

Teeth can be found in the nasal cavity if the canines or incisors fail to erupt.

Foreign objects are divided into 5 types:

• live (insects, leeches);
• organic (food, seeds);
• inorganic (paper, cotton wool, toys, beads);
• radiopaque (metal objects);
• non-contrasting.

Symptoms

When a foreign object enters the nose, the child begins to sneeze. Parents can not always keep track of the child and detect a foreign body in the nose, so if the child starts sneezing, no one will attach much importance to this phenomenon. This symptom soon disappears, as the object will successfully take root there.

There may be other signs that should alert parents:

1. the most striking symptom of a foreign body in the nose is unilateral nasal congestion,
2. the appearance of mucous secretions of an unpleasant odor, possibly with blood impurities, as well as unilateral purulent discharge from the nose.
3. there is hyperemia of the skin of the entrance of the corresponding nostril.
4. headache on one side.

Diagnostics

An otolaryngologist deals with questions on finding and removing foreign bodies from the nose.

The doctor listens to the patient's complaints, after which he performs a rhinoscopy (examination of the nasal passages using special mirrors). With anterior rhinoscopy, the edematous mucous membrane of the nasal cavity is revealed, in which a foreign body is found. Most often it is located at the anterior end of the inferior turbinate. When conducting anterior rhinoscopy, moving white larvae are sometimes visible - living foreign bodies

An X-ray examination is advisable if the foreign body is radiopaque, that is, if the object that has entered the nose is metal. In this case, the object looks like a dark spot on the radiograph. Manipulation near a foreign body in the nose can cause bleeding.

A foreign body can enter the maxillary sinus, causing sinusitis or tear duct disease.

The lower nasal passage is the most common place for a foreign body to stay (between the nasal septum and the inferior concha). With injuries, a foreign body enters the middle nasal passage

First aid for a foreign body in the nose

If a foreign body is found in the nose by a parent, it is necessary to seek medical attention. If this is not possible, you need to take a number of actions:

1. Drip nose with vasoconstrictor drops. It should be just drops, not a spray, because the spray can only push the foreign body deep into.
2. If a very small child cannot tell which nostril the object is in, then you need to carefully observe it in order to understand in which nostril breathing is difficult. Close the healthy nostril with your finger, pressing it against the nasal septum, and make several strong exhalations in a row. Mom should try to inhale air from the baby's nostrils through her mouth.
3. If in this way it was not possible to get the object, you can cause the child to sneeze, for example, by letting him sniff black ground pepper.
4. If all the above actions did not help to get the object out of the nose, you should immediately consult a doctor. It is desirable for the child to breathe through the mouth so that the object does not move deeper during nasal breathing. You can't feed or drink.

Prohibited actions

• picking the nose with a finger, ear stick, tweezers in order to pull out a foreign body;
• press on the nostril with a foreign object;
• rinsing the nose with water.

These manipulations can not only push the object deeper, but also damage the mucous membrane, causing bleeding.

Medical assistance

Removal of a foreign body is carried out on an outpatient basis in the absence of complications.

A foreign object is removed with a blunt hook under local anesthesia and with the introduction of vasoconstrictor drops. A grooved probe is also convenient for this purpose. It is impractical, and sometimes even extremely dangerous, to remove a slippery foreign body with tweezers, since it will only push the foreign body deeper. With the help of tweezers, leeches are removed from the nasal cavity.

For the youngest children, extraction is performed under general anesthesia, if the child does not allow the doctor to do this calmly under local anesthesia.

To remove a large insect, the child is asked to blow his nose or use a hook.

Douching the nasal cavity with various solutions is risky because the solution can get into the ears.

After removing the foreign body, they are treated with medications that will relieve inflammation and other symptoms.

Prevention

• Do not leave small children unattended;
• Choose toys for your child according to age;
• Keep all small items out of the reach of children;
• Extract bones and grains from fruit yourself;
• Observe nasal hygiene, as the child often puts objects in because something itches in the nose, it interferes.

As a rule, foreign objects do not penetrate too deeply and are removed independently or on an outpatient basis. But in some cases, objects fall into the middle nasal concha or paranasal sinuses.

Types of foreign bodies

Most often, parents with children 2–6 years old seek medical help for a foreign object in the nose. When playing, kids themselves or their peers push various things into the respiratory channels, which are classified according to the nature of their origin:

• organic - fruit pits, peas, beans, beans, sunflower seeds, vegetable pieces;
• metal - buttons and paper clips, small coins, button batteries;
• inorganic - paper, fragments of toys, pieces of wood, beads;
• living insects.

In addition, all foreign objects are divided into radio-opaque and low-contrast, which are difficult to see on an x-ray: plastic, wood.

In rare cases, foreign objects enter the child's nose through the choanae (holes between the nasal cavity and the pharynx) during vomiting. In addition, pieces of cotton wool or gauze left after medical interventions may be in the channels.

For adult patients, the presence of a foreign body in the sinuses is more typical. Penetration is caused by facial trauma or dental procedures, during which filling materials, root fragments or implant pieces fall into the cavity.

Symptoms

The severity of the symptoms depends on the size and shape of the foreign body, its location, and the age of the victim.

The most common symptoms:

• obvious anxiety of the child;
• difficulty breathing in one nostril;
• the appearance of abundant mucus;
• constant finger picking in the nose;
• sleep disturbance;
• nasal voice, snorting.

The kid may complain of pain in the head, slight dizziness, loss of appetite.

With a long stay of a foreign body in the nose, other signs appear:

• purulent discharge with ichor;
• bad breath and nostrils;
• inflammation and swelling of the mucosa;
• irritation of the skin above the upper lip;
• persistent headache associated with lack of oxygen;
• fatigue, tearfulness.

Local symptoms are usually localized in one half of the nose, but if a foreign object penetrates into both parts at once, congestion and discharge will be bilateral.

In the presence of a foreign body in the sinus of the nose, symptoms of sinusitis appear:

• feeling of heaviness and fullness in the face when tilted;
• pain under the eyes and in the area of ​​the nose;
• with a unilateral lesion, swelling of half of the face is observed;
• rise in temperature to 38-40°C.

There may be discomfort when chewing, weakness, impaired sense of smell, loss of appetite.

First aid

The health and life of a small person sometimes depends on how correctly and timely first aid was provided. It is possible to engage in self-removal of a foreign body only if the baby understands what is being asked of him and can follow the instructions of adults. Children under 3 years old should be taken to the hospital immediately.

How to get a foreign body out of a child's nose? First of all, it is necessary to determine how far the foreign object is stuck. If it is visible to the naked eye, the following actions should be taken:

1. Enter into the nose.
2. After 5 minutes, ask the baby to blow his nose and help him by holding his free nostril with his finger.
3. If the previous procedure is ineffective, active sneezing should be provoked.

If both methods are unsuccessful, the injured child must be taken to the hospital.

If a live insect enters the nose, it is not recommended to take any independent action. In this case, it is necessary to urgently contact the doctors, since the arthropod can crawl further and create many problems.

If the foreign object was removed, the victim should be shown to a specialist as soon as possible. Firstly, it is important to make sure that the object is completely removed and that there are no wounds and abrasions on the mucosa. Secondly, the child needs to undergo a course of anti-inflammatory therapy.

What can not be done?

If you are going to pull a foreign object out of your nose, you need to understand that this is a very serious event and any wrong actions can only aggravate the situation.

It is strictly prohibited:

• flush the nose with fluids;
• remove a foreign body with tweezers, a cotton swab or pick it out with a finger;
• press on the nostril on the affected side.

In no case should you try to pick a foreign body in the nose of a child with a sharp and long object, like a hook or knitting needle. Such "help" can lead to the most unpleasant consequences and end in surgical intervention.

Which doctor should I contact?

The extraction of foreign bodies from the nasal cavity is carried out by an ENT doctor or an otolaryngologist. As a last resort, if a narrow specialist is not available, you should visit a surgeon or go to a 24-hour emergency room.

If the trouble happened at night or the trip to the hospital is difficult, you can call an ambulance and explain on the phone what happened. Doctors will tell you what to do and, if necessary, send a car on call.

Diagnostics

Diagnosis of a foreign body in the nasal cavity can be difficult, especially if medical attention is not sought immediately. In this case, the object is securely fixed in the soft tissues and a period of temporary rest begins.

To detect it, anterior and posterior rhinoscopy is performed, in the presence of an endoscope, endoscopy is performed or the nasal passages are probed with a metal probe. It is especially difficult to find an old object in children who cannot or are afraid to talk about their feelings, and sometimes they simply do not feel a foreign body.

In such cases, a small patient is prescribed fluoroscopy and radiography in 3 projections. If the foreign object is of low contrast and is poorly visible in the nasal cavity, CT and contrast are used. These methods help to detect any object and differentiate it from a neoplasm, ordinary or diphtheria.

Medical assistance

Removal of a foreign body from the nose is most often performed on an outpatient basis. Before the procedure, local anesthesia is performed with the further introduction of vasoconstrictor drops. After 10-15 minutes, the nasal passages are examined and the discovered object is pulled out with a blunt hook or forceps.

For young children, the intervention is carried out under general anesthesia, since it is impossible to make the baby sit still. Full anesthesia is used even if the thing cannot be removed under local anesthesia.

After removing the foreign object, anti-inflammatory and symptomatic therapy is carried out. The treatment regimen depends on how long the object was in the patient's soft tissues and what consequences it caused.

Most often, a course of broad-spectrum antibiotics is prescribed: Ampicillin, Amoxiclav, Suprax, Zinnat. As fortifying agents, vitamin complexes and immunostimulants, calcium preparations are prescribed. To cleanse the mucosa, Dolphin, Morenazal are used.

How can parents keep their child safe?

Of course, it is difficult to look after a small child, especially if he is not the only one in the family. But it is quite possible for parents to avoid the most common causes of the problem.

Prevention measures:

• do not leave children unattended;
• remove small, sharp and piercing objects from the reach area;
• buy toys by age. It is better for a kid under 3 years old not to purchase designers with small details, collapsible dolls and cars;
• remove the seeds from fruits before offering them to a child.

With preschoolers and schoolchildren of the younger age group, it is necessary to conduct conversations about safety rules on the street and at home, to explain what consequences can be if disobedience occurs.

In adults, the prevention of a foreign body in the sinuses comes down to regular dental care and avoidance of facial injuries.

Complications

As a rule, the most serious consequences develop when a foreign body is in the nose for a long time. If this is an insect, it sooner or later dies and begins to decompose, releasing a fetid odor and provoking an inflammatory process.

Fragile objects can break down and migrate through the respiratory tract, penetrating into the paranasal sinuses and pharynx. Solids are overgrown with salts and turn into rhinolite (a stone in the nose). With a large neoplasm, a curvature of the central septum or its perforation, a violation of the symmetry of the face is possible.

Another serious complication is sinusitis. Mycetoma, meningitis, acute tonsillitis, inflammation of the bones of the face, osteomyelitis can join it.

The sooner adults detect a foreign body in a child's nose and take appropriate measures, the less likely serious complications are. If you cannot remove the object yourself, you should immediately contact a specialist.

Useful video on how to remove a foreign body from the nose

Any object that ends up in the nasal cavity for any reason is called a nasal foreign body. In young children, this situation occurs quite often, because the child likes to stick a wide variety of objects into his nose. Sometimes children put foreign bodies in the nose of a peer.

The risk of such a problem is especially high when the baby begins to move independently and explore the world around him with curiosity. Small objects found that arouse interest can easily end up in the nose.

Types of foreign bodies in the nose

Babies are strictly forbidden to give any small objects into the pen - children often experiment, insert these objects into their noses.

What only objects were not removed from the nose of the kids:

• beads;
• small parts of toys;
• buttons;
• cotton wool;
• sponge pieces;
• pieces of paper;
• fruit grains;
• sunflower seeds;
• beans;
• peas, etc.

Pieces of food can get into the nose if the baby chokes while feeding. In this case, food particles enter the nose through the choanae - openings connecting the nasal cavities with the pharynx. Vomit also enters the nose through the choanae. Teeth can be found in the nasal cavity if the canines or incisors are not properly erupted. Foreign bodies can enter the nasal cavity when open.

Foreign bodies in the nose can be:

• live (leeches, insects);
• inanimate - organic (plant seeds, pieces of fruits and vegetables) and inorganic (pebbles, foam rubber, paper, plastic parts of toys, etc.);
• radiopaque (metal buttons, buttons, screws, etc.) and non-contrast.

Items can have different shapes and sizes.

Parents are not always able to track the moment when a foreign body enters the nose and then do not know for even a long time about its presence in the nose. And sometimes the fact of getting into the nose of a foreign object is detected immediately.

With a long stay in the nasal cavity of foreign bodies, calcareous and phosphorus salts can be deposited in them, resulting in the formation of rhinoliths (nasal stones), sometimes of considerable size.

Symptoms

Immediately after a foreign object enters the nose, lacrimation and sneezing reflexively appear. But rather quickly, these manifestations disappear due to the habituation of tissues to a foreign body.

After about 3 days, the following symptoms occur:

• unilateral;
• discharge from one nasal passage of a mucous discharge with an unpleasant putrefactive odor (an admixture may be noted);
• unilateral headache;
• difficulty breathing;
• pain in the nose;
• irritation of the skin at the nasal passage.

If the foreign body is not removed, then the inflammatory process spreads to the paranasal sinus and sinusitis develops. In rare severe cases, bone tissue melts (occurs). With the growth of granulation tissue, nosebleeds may occur.

Diagnostics

Diagnosis and removal of a foreign body from the nasal cavity () is carried out by a pediatric ENT doctor. After interviewing parents, he conducts an internal examination of the nasal cavity - rhinoscopy. If necessary, radiography, fibrorhinoscopy and probe examination using local anesthesia can be performed. In the case of the inorganic nature of the foreign body in the nose, a contrast agent is used.

With rhinoscopy, the doctor sees redness and swelling of the mucosa. If the mucosa is damaged by an acute foreign body, proliferation of granulation tissue may occur, which requires differentiation of the formation (foreign body covered with granulations) with.

The inferior nasal passage is the most common location for a foreign body that weds itself between the nasal septum and the inferior concha. a foreign body can enter the middle nasal passage.

First aid

The doctor will perform a rhinoscopy, and, having found a foreign body, will remove it with the help of special tools.

If a child puts an object in his nose in the presence of his parents, then his nasal passages (nostrils) should be examined. You shouldn't panic. If you managed to see a foreign body, it is better to contact an ENT doctor.

If this is not possible, you can start first aid:

1. It should be instilled into the nose. It is impossible to use a spray, because a jet of medicine can move a foreign body deeper.
2. If the child is very small and unable to follow commands, then you need to watch the breath to find out in which nasal passage the air passes with difficulty. Then you need to close the healthy nasal passage with your finger, pressing the nostril to the nasal septum, and exhale sharply into the baby's mouth (an attempt to blow out the object), repeating the action several times.
3. If the child is older and understands the requirements, then you should ask him to breathe through his mouth. He needs to take a deep breath (while the parent pinches a healthy nostril) and then exhale strongly through the nose. If the baby at the same time feels that the object in the nose is moving, then this procedure must be repeated until the body comes out.
4. If it was not possible to free the nostril, you can provoke a sneeze in a child by letting him sniff ground black pepper for this.
5. If these actions were unsuccessful, you should immediately contact a medical institution. It is desirable for the child to breathe through the mouth so that the air flow does not move the foreign body deeper - when it penetrates the nasopharynx, there is a risk of the foreign body entering the lower respiratory tract during inhalation. The child should not be fed or watered.

Absolutely forbidden:

• try to remove a foreign body with tweezers, a finger or a cotton swab;
• press on the nostril with a foreign body;
• rinse the nasal passage with water.

Any of these actions will push the stuck object further and deeper. In addition, unsuccessful manipulation of instruments can injure the mucosa and cause bleeding. In case of heavy bleeding, an ambulance should be called.

If during the inspection of the nasal passages it was not possible to see a foreign body, you should immediately seek medical help. It is also necessary to go for a consultation with a pediatric otolaryngologist in the case when a foreign body came out when blowing your nose, but during the day breathing through the damaged nasal passage did not normalize, the fluid continues to flow profusely.

Medical assistance

Removal of a foreign body from the nose is performed on an outpatient basis. The child is hospitalized only in case of complications. If, after applying vasoconstrictor drops and blowing the nose, the foreign body does not come out, then under local anesthesia, the doctor removes it with a blunt hook.

If the removal attempt was unsuccessful, the issue of prompt removal of the foreign object under anesthesia is decided. If the foreign body has turned into a large nasal stone, then it is crushed with forceps before removal.

After the removal of the foreign body, anti-inflammatory therapy is carried out as prescribed by the ENT doctor, even if the object was removed at home.

Prevention

Prevention of getting a foreign body into the nose of a child is as follows:

• do not leave children at an early age without adult supervision;
• monitor the quality of toys and select them by age;
• small items (beads, buttons, etc.) should be kept out of the reach of children;
• free fruits from stones and grains before giving them to a child.

Summary for parents

It is much easier not to leave the kids without the attention of adults than to fix the problems that have arisen later. A child left to himself can easily create them. One of these problematic situations may be a foreign body in the nose. If this difficulty occurs, it is better to entrust the removal of a foreign body to a doctor. Independent manipulations must be carried out very carefully, because inept actions can make it difficult to remove an object from the nose and cause complications.

About how to remove a foreign body from a child’s nose, the program “Live healthy!” tells:

As soon as the child begins to crawl, walk, run, close attention is needed for the baby from the parents. The child is of great interest to everything that comes in his way, it can be buttons, pebbles, cloves, coins, small parts from toys. Babies are very inquisitive, they taste everything, and they can also accidentally stick any small detail up their nose. And also a foreign object in the nose of a child may appear during a walk, it can be small midges, larvae. What to do if a child has a foreign object in his nose?

The most important thing is to detect the object in the nose in time and remove it yourself to the parents or consult a doctor. In order to avoid the inflammatory process and lowering it into the middle sections and pharynx.

If, nevertheless, a foreign body in the nose of a child, the symptoms may be as follows:

• discharge from the nose that goes on without stopping for a long time,
• bleeding,
• Also, the crumbs will have pain in the nose, as breathing is difficult.

In order to provide medical care to the child, it is required to carefully examine the child's nostrils. Then gently drip drops with a vasoconstrictive effect into the nose.

With a foreign object in the nose, it is not recommended to bury a spray or aerosol, this will push the stuck object under pressure further into the nasal passage, causing difficulty when removing it.

If you are sure that your child has a stuck object in the nasal passage, then carefully look at whether both nostrils are breathing freely or not, closing each nostril with your finger in turn. Then take a sharp breath into the child's mouth. Perhaps the item will come out if you repeat this a couple of times.

Tell an older child who has a foreign object in his nose to breathe through his mouth. You can pinch the free-breathing nostril with your finger and tell the child to take a big breath in through the mouth and forcefully try to exhale through the nostril in which the object is stuck. Do the movements a couple of times, the child will feel where the stuck object is moving. If the item does not come out, get help. Another good help would be if you cause a sneeze in the baby. Let's breathe a little black pepper. If the item does not come out, only medical assistance will help.

When a child has a foreign object in the nose, you can’t rinse it with water, don’t remove the object with tweezers, a cotton swab, etc., and you can’t press your finger on the nostril in which the foreign object is, otherwise it will move further into the pharynx and middle sections and it will be harder to get. Until the object is removed from the nasal cavity, do not give food or drink until the ambulance arrives. And also do not try to get a foreign object yourself, if you do not see it, wait for the help of doctors.

You managed to remove a foreign object from the child’s nose, but blood began to flow, the baby has pain, breathing is difficult, liquid is abundantly released, then be sure to call an ambulance.

Getting a foreign object into the nasal passages quite often happens to both adults and children. The reason for this may be a banal accident or risky games and fun, and the variety of items that can be in the nose is amazing.

Foreign body in the nose of a child

Most often, third-party objects in the nose of a child fall due to the inattention of adults. Leaving a baby with small items, as well as toys that do not match his age, is very dangerous, because this can lead to undesirable consequences. Otolaryngologists distinguish such a classification of objects that most often have to be removed from the nasal passages:

• metal parts of toys and household items;
• objects of organic origin;
• food particles and vomit;
• insects.

Symptoms of penetration of a foreign body into the nasal cavity include:

• itching, painful and uncomfortable sensations in the nose;
• swelling of the nose, sinuses and inflammation of the lacrimal canal;
• nose bleed;
• headache;
• nasal voice;
• sneezing
• difficulty in nasal breathing.

Foreign body in the nose of an adult

A foreign body in the nose of an adult, as a rule, gets there by accident. Unlike a child, an adult can objectively assess the situation and, if possible, help himself by removing an object from the nasal passage. To do this, it is enough to close the free nostril with your finger and, inhaling deeply through your mouth, try to push out a third-party object with a stream of air.

If it is not possible to remove the object by blowing, then this means that the object was able to penetrate the nasal passage higher and it will no longer be possible to cope without the help of a specialist.

What to do if something gets into the nasal passage?

The first rule that should be observed when a third-party object enters the nasal passage is to remain calm and try not to aggravate the situation. In this case, you should go to the hospital as soon as possible, where the otolaryngologist will examine the nasal passages and assess the situation.

Depending on what kind of object got into the nasal passage and how far it managed to penetrate, the doctor will establish and produce a plan for further action. If the body was able to penetrate up the nasal passage, then the doctor will most likely prescribe an x-ray, with which he will accurately determine the location of the foreign object.

The X-ray examination method will be effective only if a metal object has got into the nose, any other one simply will not be visible on the X-ray.

After assessing the situation, the doctor will determine how the removal of the foreign body will be performed and whether the patient needs anesthesia. If the affected child, and the object deepened up the nasal passage, then anesthesia is likely to be mandatory.

In rare cases, the otolaryngologist performs a number of other activities:

• manipulations in several sections of the nasal passage in case of splitting the object into several parts;
• treatment of the mucous membrane of the nasal passage with adrenaline to relieve swelling;
• examination of the nasal passage with a probe;
• surgical intervention.

The curiosity of children sometimes knows no bounds. During the game, by chance or unconsciously, the smallest ones are able to put a foreign body into their nasal passage - a bead, a small part of their favorite toy, a berry bone or a seed. In some cases, such a condition at first may not be accompanied by unpleasant sensations and not annoy the kids. However, if the foreign body is not removed in time, complications are possible.

Cause and investigation

Most of the young patients who are diagnosed with a foreign body in the nose are not older than 5 to 7 years. Most often, they get an appointment after the appearance of pain, one-sided congestion and discharge from the affected nostril. After all the necessary manipulations to track the foreign body, the doctor decides to extract it. As a rule, the latter is located at this moment in the lower nasal passage, although medicine also knows cases when one part of the object was in the nasal septum, and the other in the lower nasal concha.

Note! Foreign bodies do not always enter the nose as a result of conscious actions. Sometimes they are there due to trauma, at the moment through the nasopharynx, or after medical procedures, for example, when a child is forgotten to remove a tampon from his nose, which allowed him to stop the bleeding.

Conventionally, all foreign bodies that enter the nasal passages are divided by doctors according to the nature of their origin into:

• living organisms - these include insects, larvae and even leeches;
• organic - pieces of food, bones, seeds;
• inorganic - buttons, beads, cotton swabs, paper, sponges;
• metal - coins, pins, nails, needles.

Also in medical circles, there is another classification, according to sensitivity to x-rays. According to her, foreign bodies can be:

• radiopaque, that is, noticeable in a regular picture;
• radiopaque - in order to see them in the picture, an x-ray is taken with a contrast agent.

Foreign body in the nose: symptoms

The very first and obvious sign indicating the presence of a foreign body in the nasal passage is one-sided nasal congestion.

In addition to it, the problem will also be indicated by:

Important! Doctors do not recommend removing a foreign body from the nose on your own, even if, at first glance, the process seems simple. Due to inept actions, objects can enter the nasal septum, inferior nasal concha, choanae, food or respiratory tract. Moreover, in this case, the situation will certainly worsen due to trauma to the mucous membranes.

Diagnostics

The presence of a foreign body in the nasal passages is confirmed in the otolaryngologist's office. As a rule, diagnosis begins with the collection of an anamnesis, although it cannot be completely relied upon in the case of young children. Parents may not notice the moment when the object was in the nose of the child, and the child himself may simply be afraid to tell his parents about it, and after a while completely forget.

The next stage is rhinoscopy or fibroscopy. They are effective if the localization of the foreign body is the posterior sections. In this case, the mucous membranes are treated with adrenaline, which helps to reduce swelling and open access to the doctor for examination. Such a procedure allows not only to identify the location of the foreign body, its size and nature, but also to suggest the route of entry, and, as a result, the planning of the extraction route.

At the discretion of the doctor, other diagnostic methods can be used:

• the introduction of a metal probe to feel the nasal passages with the use - it is indispensable in cases where the object has been in the nose for too long, which has led to severe swelling of the mucous membranes, the development of inflammation and granulation tissue;
• sinuses;
• bacterial culture;
• with or without contrast agent.

Note!It is necessary to go to the doctor immediately after the appearance of suspicions of the presence of foreign bodies in the nose. In advanced cases, granulation tissue appears at the site of the lesion, the purpose of which is to promote wound healing by the type of secondary intention. As a result, the child will constantly experience pain at the site of the foreign body. In addition, the process of diagnosing the problem as a result of this will be difficult.

Removal of a foreign body from the nose

An effective way to get rid of discomfort is the rapid removal of a foreign body from the sinuses. It should be carried out as quickly as possible, because, firstly, children have narrowed nasal passages, which complicates the situation, and, secondly, they develop swelling and inflammation faster.

Note! If a foreign body has stopped near the natural openings of the nose, you can try to remove it yourself by blowing. To do this, it is enough to take a deep breath through the mouth, and then, closing the healthy nostril and mouth, exhale the air through the affected nostril.

For older children, who, moreover, can assess whether the object has completely passed out of the nose, blowing is usually sufficient.

If for some reason the situation has not changed after it, the extraction of a foreign object is carried out on an outpatient basis in several stages:

• blowing nose- at this stage, a vasoconstrictor solution is instilled into the nose and after a few minutes the child is asked to blow his nose. As a rule, large bodies successfully come out in this case. If this does not happen, go to the next step.
• Using a blunt hook. Manipulations are extremely simple: local anesthesia is applied, then a special hook is placed behind the foreign body and with its help the latter is pulled towards itself with sliding movements. If necessary, the procedure is repeated several times.
• Surgical removal. It is resorted to if the body has penetrated into soft tissues, as a result of which the process of its removal is difficult. Also, the operation is justified if the object has a sharp end and can injure the mucous membranes.

In case of appearance rhinolitis- nasal stone, all procedures are carried out under. First, with the help of tongs, the rhinolith is crushed into small pieces, and then removed by using a hook.

Important! In no case should round-shaped foreign bodies be removed with tweezers or forceps. At any second, they can move into the nasopharynx or deep sections of the nose, the respiratory tract.

The final stage of treatment is anti-inflammatory therapy. It applies even if the item was successfully retrieved at home. Within its framework, the patient is instilled in each nostril with a drop of a solution made on the basis of medicinal herbs. In severe cases, antibiotic drops are used.

Complications

Prolonged ignoring of the problem and, as a result, prolonged presence of a foreign body in the nose, can provoke the expansion of the latter and blockage of the nasal passage. Most often they are diagnosed when peas, seeds, paper get in. In this case, the child gradually begins to breathe through the mouth. But this is far from the worst.

Worse, when a foreign body begins to crumble into small pieces directly in the nasal passages. Then its individual parts, when sneezing or coughing, move, falling into different departments. The only way to rid the little patient of the problem is to gradually get them. This procedure is usually carried out in a hospital setting.

Another unfortunate consequence rhinolith formation. This is a nasal stone, which appears as a result of the fouling of a foreign body with salts that are in the secret of the nasal mucosa.

Note! Small objects in the nose are no less scary than large ones. They may not make themselves felt for a long time, after which they provoke the development of granulation tissue, pain and difficult diagnosis of the cause.

Prevention

You can prevent a foreign body from entering the nose by observing a number of simple rules that state that:

A foreign body in the nose is not the most serious condition, meanwhile, it also requires care and accuracy. In order to avoid serious consequences and complications, only medical professionals should remove any items from the nasal passages. In the case of timely access to them, the procedure, as a rule, takes only a few minutes.

Becik Julia, medical commentator

It is not uncommon for foreign bodies in children to be accidental. For example, insects fly into the ear, when inhaling the aroma of flowers, pollen appears in the nose, the baby swallows a small bone. Most often these are children. In most cases, the child himself is the culprit of this situation. And he does this not out of ordinary mischief, but for "research purposes." In any case, you need to know what to do if a foreign body gets into the ear or airways of a child - often your help can be decisive.

Symptoms of foreign bodies in the child's ear or airways (nose and larynx)

Young children who examine their body and discover it for themselves are capable of actions devoid of meaning (from the point of view of adults). For example, children may be seriously interested in the question: what will happen if a button that has come off the doll’s dress is put into the nose? Or in the ear? And here's another: a bump from a willow branch, affectionately referred to by the people as a "cat" ... What will this "cat" be like in the nose? Or in your ear? And, without doubt, the child tries to answer his question by practical action. Talk to any doctor and they'll tell you all the little things kids have put in their ears or noses! From foreign bodies pulled out of a child's ear, larynx or nose, some clinics make up impressive collections. There are buttons of different sizes, and pins, and fragments of matches, and pieces of plastic, and screws, and nuts, and fragments of a children's mosaic, pebbles, scraps of paper, wires. This list can be continued for a long time.

Look after your child. You are busy cooking in the kitchen, the child was playing in his room, making noise, saying something and suddenly quieted down. Hurry up to see what he is so passionate about. Perhaps it is at this moment that your adored baby puts a cherry bone in his ear ...

It often happens that parents are unaware of a foreign body in the nose of a child - small objects made of plastic, metal and other materials can be there for quite a long time and are accidentally discovered when examined by a JIOP doctor. And such foreign bodies as paper, scraps of fabrics, the same willow cones, eventually begin to rot and smell bad. It is the characteristic putrid odor that is the first symptom of a foreign body in a child, and this is the reason for an urgent visit to a doctor.

Foreign bodies in the respiratory tract of children can also be living creatures: roundworms, pinworms, leeches, as well as insect larvae - most often fly larvae. Ascaris can enter the oropharynx and nasopharynx when vomiting. Further, these foreign bodies from the larynx of children further crawl into the nasal cavity, into the paranasal sinuses, into the respiratory tract. Pinworms also crawl into the nasal passages from the stomach on their own. Leeches can be in the nasal cavity and in the oropharynx while swimming in natural reservoirs with stagnant water or while drinking from these reservoirs.

Symptoms of a foreign body in a child's nose can be: prolonged headaches, discomfort in the nasal cavity, frequent sneezing, nosebleeds, dizziness, etc.

It is not uncommon for some of the small insects to enter the child's ear. At the same time, the child experiences very unpleasant sensations - especially if the insect touches the eardrum.

How can a foreign body be removed from a child's nose?

For emergency care for signs of a foreign body in a child, it is best to contact a JIOP doctor. The otolaryngologist, using special tools, will examine the cavity of the nose, ear or larynx in a child and, if detected, will remove a foreign object with tweezers.

However, it is no secret that it can be difficult to get a consultation with a specialist, especially urgently. And even in big cities, not to mention the countryside. And you, waving your hand at the doctors, take out tweezers from your purse. Dangerous! You run the risk of pushing the foreign object further into your ear (or nose) because your tweezers are not the best tool for this case. And if you pierce the eardrum (the child does not sit still, breaks out, screams), you can damage the child's hearing for life. It is also dangerous to remove a foreign body from a child's nose on your own. The mucous membrane of the nose is richly supplied with blood, and even with a slight injury to the blood vessels, bleeding can open here.

Don't take risks. Get a consultation. If you are unable to meet with a specialist at the polyclinic (alas, these are the realities of our life!), call an ambulance or contact the admissions department of a children's hospital - a doctor is on duty around the clock in the JIOP departments.

You can try to remove a foreign body from the nasal cavity by very active blowing your nose (you can first drop a few drops of some vegetable oil into your nose). But this method disappears if the child is too small and does not agree to anything (or simply does not know how) to blow his nose. The effect can also be achieved by blowing air into the child through the mouth.

How else to pull a foreign body out of a child's nose, observing all precautions? You can try to clear the nose of a small child by blowing air with a rubber spray - through a free nostril; while the child's mouth should be closed.

What to do if there is a foreign body in the child's ear?

You also need to know how to get a foreign body out of a child's ear without damaging the eardrum. You can remove an insect or other foreign object from the external auditory canal by washing. For this, a rubber can is used; if you don’t have one, just a glass will do. The child must be placed on a couch or seated in such a way that the ear into which the insect has fallen is turned upwards. With your right hand, you pour warm water into the external auditory canal, and with your left hand, you pull the auricle by the earlobe back and up. As a rule, a trickle of water washes the insect out of the ear.

If, nevertheless, the insect could not be removed, and there is no JIOP doctor nearby, try to resort to the means recommended by traditional medicine:

• drip 5-6 drops of vegetable oil into the ear and rinse the ear after a few minutes;
• insert a few drops of fresh tobacco juice into the ear.

What should be done if a child has swallowed a foreign body?

But what if the child swallowed a foreign body, and it prevents him from breathing? With a foreign body in the larynx (of course, when this object is not very large), a cough helps. For example, a plum stone, a bean got “in the wrong throat” to a child. The baby should bow his head (or even lower him upside down) and hit him several times on the back - between the shoulder blades. There will be a cough, and a foreign body may well pop out.

But if nothing works out for you, you need to urgently deliver the child to the clinic. While you are driving to the doctor, make sure that the child does not make sudden movements and sharp breaths; otherwise, the foreign body may move down the airways. Remember: foreign bodies of the larynx are life-threatening!

In order not to lose your child one day, avoid giving him small items - thimbles, buttons, coins, beads (which can sometimes be easily torn). When a child is too small, do not give him seeds, nut kernels, gooseberries, cherries, cherries - one such innocent berry can clog the airways. When the child is older, explain to him what a dangerous situation can arise if you swallow berries in a hurry - not chewed.

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Source: shr32.ru