Small objects - buttons, beads, food, insects - can get into the nasal passage either accidentally or deliberately. During the game or out of interest, children introduce into nasal cavity items that fit. For parents, the main thing is to detect these bodies and remove them as soon as possible on their own or from an otolaryngologist. A timely removed object will help to avoid inflammation, the occurrence of rhinolitis and lowering it into the middle sections or pharynx.
Most often, children aged 3–7 years old turn to otolaryngologists for a foreign object in the nose. A child can put a small object into the nostril during the game or, thinking about it. Sometimes children choke on food, a piece of which can also get into the nasal cavity. Vomiting can be the cause of food particles getting in. When it occurs, part of the child's vomit may flow into the nasal passages, and large pieces can get stuck in them.
You should be alert if your child has the following symptoms:
When a foreign body in a child's nose is present for a long time, the symptoms will be different:
Foreign objects that a child can intentionally or accidentally put into the nostril vary in size and shape:
In addition, objects may be radiosensitive and non-contrast. Depending on the shape and size, a decision is made on how to extract the body from the cavity. Small, soft, rounded bodies may well come out on their own or be removed by parents. However, if a child puts a sharp or large object (a button, a needle, a carnation) into himself, you should immediately seek medical help.
Objects can enter the cavity in several ways:
Long-term presence of a foreign body in the nasal cavity can lead to serious complications:
If the body is not removed in time, an inflammatory process may begin. If organic objects (insects, plants) enter, an unpleasant smell of decomposition will be felt. In addition, the object can get deeper, from where it will be extremely difficult to extract it.
Rhinolith is the most serious complication long stay foreign object. Lime and phosphate salts of calcium and magnesium settle on its surface. Mixing with mucus, peculiar capsules are formed, which can be soft and hard, have a smooth or rough surface. In any case, such a “growth” irritates the mucous membrane, which leads to an ongoing runny nose.
Soon the discharge becomes purulent, inflammation progresses. The child is worried about lacrimation, headaches, often even one-sided. Sometimes when you blow your nose, clots of mucus with blood streaks come out. If the rhinolitis is large enough, deformity of the entire face may occur.
Complications of rhinolitis are very dangerous:
The otolaryngologist is engaged in extracting objects from the nasal cavity. It is worth visiting as soon as the parents discovered a foreign object or there was a suspicion of its presence. If the child is old enough (over 2 years old), you can gently try to remove the item at home. But even after a foreign body has come out of the nose, it is necessary to show the child to a specialist. It is important to make sure that there are no rhinoliths, abrasions, inflammations in the cavity or on the mucous membrane, and the object has come out completely.
An otolaryngologist performs diagnostics - rhinoscopy. If the object has fallen into the lower part of the nose, fibrorhinoscopy is performed. To reduce swelling and increase the area of examination, the nasal membrane is treated with adrenaline before examination. As a result of diagnostics, in most cases it is possible to establish the size and location of the object.
In the case of a long-standing presence of a foreign object in the nose, it may not be possible to see it visually during the diagnostic process. Then a metal probe is used to “feel” the nasal passages. It is difficult to examine babies up to 1-2 years old - they cannot describe their feelings, it is difficult to keep them in a static position for diagnosis. In such situations, ultrasound diagnostics, tomography of the sinuses, radiography or bacterial culture may be prescribed.
Parents can carry out independent manipulations to remove a foreign body only if the child is old enough and can clearly follow the instructions. Children under 4-5 years of age should be immediately shown to a specialist.
If a foreign object is in front of the nasal passage and is visible to the naked eye, first aid can be provided by parents:
Under no circumstances should you try:
Foreign bodies are removed from the child's nose on an outpatient basis. The otolaryngologist, using a blunt hook, introduces it into the nasal cavity and hooks the object. Before this, the mucosa is treated with a local anesthetic. Along the bottom of the cavity, an object hooked from above with a hook is brought out.
In cases where the object is very far away, and it was not possible to extract it in another way, an operation is prescribed. It is carried out under anesthesia. Rhinoliths are surgically removed, which are crushed before that, as well as in the case of perforation of the nasal septum, the introduction of a foreign body into soft tissues, and so on.
Further treatment is aimed at disinfecting the mucosa and eliminating the inflammatory process. After removing the body, a weekly instillation of the nasal passages with disinfectant drops is often prescribed to relieve swelling and inflammation.
Foreign bodies in the nose of children are not uncommon. Especially often this happens with babies under the age of 4-5 years. Even a teenager is not immune from getting into the nose of insects or other particles from the air. However, an adult child will talk about his feelings and complain about pain. In preschoolers, it is not easy to detect a body in the nose, it is necessary to pay attention to the accompanying symptoms - a runny nose that does not go away for a long time, especially with an admixture of blood, congestion of only one nostril, nasality when talking. Some children may unknowingly pick their nose while trying to retrieve an object.
Hello dear readers! Today we will talk about young children and their curiosity. Little children, especially up to 3 years of age, learn the world not only with their eyes and hands, but also try to put various objects that are suitable in size into their nose or ear. We will analyze specifically the situation when a baby can put a foreign body in his nose, what parents should do in such a situation and how to properly provide first aid to a child.
Quite often, when the parents are not around, the baby, in the process of playing, consciously or unintentionally, can put any foreign object that is in his hands into his nose. These can be various small toys, beads, small coins, buttons, fruit seeds, peas, nuts, etc.
Walking on the street, insects (midges) can fly into the nose. Worms can get into the nose - roundworms, pinworms, fly larvae. If a child grows up in unsanitary conditions, then a cockroach can crawl into the nose during sleep.
Sometimes, during vomiting, a piece of food can get into the nasal cavity, it is especially dangerous if this particle gets stuck and completely closes the nasal lumen.
Rarely, but there are cases when, after medical manipulations, pieces of cotton swabs or tips remain in the nasal passage, which are not visible during the operation due to heavy bleeding.
Even less often, but still, there are cases when a child stuffs batteries into his nose - batteries. This is very dangerous, since in such a situation a chemical burn of the mucous membrane is possible, up to the melting of the cartilage of the nasal septum.
The presence of a foreign body in the nose in children is quite common cause seeking help from an ENT doctor. About what happened similar problem Parents don't notice right away. The moment when the baby put something in his or another child's nose, parents, as a rule, do not notice. Yes, and small foreign bodies do not immediately make themselves felt.
Parents start to worry when they notice that
Later, there is difficulty in nasal breathing, a runny nose develops with purulent discharge, bloody discharge and an unpleasant odor from the nose are observed.
As a rule, all symptoms are unilateral.
If first aid is not provided correctly in time, serious complications may develop over time:
Rhinolith is the most serious complication of a long stay of a foreign object. Lime and phosphate salts of calcium and magnesium settle on its surface. Mixing with mucus, peculiar capsules are formed, which can be soft and hard, have a smooth or rough surface. In any case, such a “growth” irritates the mucous membrane, which leads to an ongoing runny nose.
The development of rhinolitis leads to even more serious complications, it can be
The life of the baby sometimes depends on whether the first aid was provided correctly. If this happens, what should parents do at home?
I especially want to warn parents: you should not engage in amateur activities if you cannot remove the foreign body yourself using the above methods. The fact is that during extraction, a foreign object can push even further and get through the larynx into the respiratory tract. And this is very dangerous, since if an object enters the larynx, a spasm of the glottis is possible for several minutes and the child may die.
What parents should never do:
If such a situation has already happened and you are unable to remove the foreign body on your own, contact an otolaryngologist, in extreme cases, a surgeon. If your clinic does not have an ENT doctor or it is outside working hours, contact the ambulance station. You will definitely be helped.
If you removed the object from your nose yourself, you should still see a doctor.
In conclusion, I want to say that parents need to be more vigilant and not leave small children unattended. Then you don’t have to help the child to get a foreign object out of the nose.
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Dear Parents! This article is once again about how to provide emergency care yourself. Those who read the second part of Dr. Komarovsky's reference book - "Emergency Care" - most likely remember that this method was described there. But repetition, I think, will not hurt anyone.
What will you do if your toddler (or older preschooler) sticks something up his nose? With thisThe problem is faced by many parents face to face.
What will you do? Call an ambulance, look for tweezers, go to the hospital?
Dr. StephanieCook, aGP (General Practitioner, Emergency Physician), English, described in the Canadian Medical Association Journal CMAJ (Canadian Medical Association Journal) a technique for extracting foreign bodies from the nose called " mother's kiss' back in 1965.
How secure is this technique? What is it? - Dr. Cook and his colleagues asked such questions.
What is the "kiss mom" technique?
- Place your lips tightly against the child's mouth
- With one finger, firmly press on the nostril free from the foreign body
- Exhale forcefully into the child's mouth
- The air will "press" on the stuck foreign body, which can lead to its expulsion.
During the study of the safety of the method, scientists relied on data published in Embase, CINAHL, MEDLINE, AMED. Animal-only data were excluded entirely from the sample of articles, and reports of adverse outcomes were also examined. The factors influencing the probability of a successful outcome of the application of this technique were carefully checked. In the end, 8 articles were studied that met the selected criteria. The study found that the effectiveness of the technique is approximately 59.9%. Not a single side effect was noted.
Conclusion made by Dr. Cook:
"The data reviewed indicate that the "mommy kiss" technique is a useful and safe first aid method for removing foreign bodies from the nasal cavity of children."
The advantage of this method lies in the high probability of extracting a foreign body, with virtually no side effects. The worst thing that can happen with this technique is that the foreign body will remain in the same place. Doctors say that quite often you have to resort to this technique in emergency care, and children do not find anything unpleasant, uncomfortable or scary in it. The main thing is to persuade parents to do this. Most health professionals advise parents to do the Mommy Kiss in the presence of a doctor.
Important! Follow the recommendations to prevent the object from being pushed through and entering the lower respiratory tract. Experts prefer to use this particular technique in emergency care, and only in case of a negative result, resort to more invasive techniques: the use of forceps, hooks or sedation.
The kid knows the world. This is a very important and complex matter that cannot be entrusted to someone else or postponed to a more convenient time, because in the first five years of life a child receives more than three-quarters of the skills, knowledge and skills that will be acquired throughout life. So the baby has to hurry, and on the way of knowing the world, various incidents and troubles happen, which can sometimes be dangerous.
For example, do all parents know how to remove a small object from a child's nose?? But in fact, a lot of such small objects have been in children's noses, and each new generation of kids knowing the world continues to experiment with their nose and small objects.
It seems to adults that there is nothing interesting and important in this, but after all, the baby must master objects, and size, and shape, and cause-and-effect relationships, and a huge amount of everything else, so that later, in adult life make mistakes as little as possible. In the meantime, no baby carrier can feel completely safe. It is forbidden? Fine! And why? Now let's check! And so, on their own mistakes, any child learns a huge and mysterious world in which to live for many decades.
The nose of any person performs a lot important functions. First of all, the nose is one of the respiratory organs through which air enters the lungs from external environment, that is, the first function of the nose is respiratory. The second function that the nose performs is reflex, and the most famous reflexes are sneezing and tearing.
As for the next function, which is called olfactory, special comments are not needed here, since it is the nose that helps a person to smell, and this allows not only to admire the summer meadow or new perfumes, but sometimes it can save a life.
The protective function of the nose is also known - the air, entering the nasal cavity, is partially cleared and heated in the cold season. In addition, one of the important functions that the nose performs is the so-called speech or resonator function. That is, the nose acts as a resonator in the formation of speech sounds, and the role of nasal resonators in the formation of some sounds is so great that these sounds are even called nasal.
Thus, it becomes quite clear that the nose is intended not only to poke it into other people's business, which is very characteristic of noses that are curious and overly inquisitive.
How is the nose, which performs in human body many important features?
Any human nose, whether it is the nose of a baby or the nose of an old man, has, firstly, an external section, which people call the actual nose - long, snub-nosed, thick, ideal or not very. Secondly, each person has a nasal cavity.
The outer part of the nose consists of two bones and cartilage. The skin of the nose has a large
the number of sebaceous glands nerve fibers and a large number of capillaries.
At the very beginning of the nasal cavity, hairs grow that perform protective functions- do not allow foreign particles to enter the respiratory tract. The mucous membrane of the nose produces a certain amount of mucus, which has quite strong antiseptic properties and destroys a significant amount of viruses and bacteria, preventing them from entering the body.
Interesting! Nosebleeds most often occur in a small area (about one centimeter) that is rich in blood vessels.
The nose is divided into two parts by the nasal septum, which has a bone and cartilaginous structure. A deviated septum can lead to breathing problems.
The so-called olfactory bulbs are responsible for the sense of smell, which are located in the upper part of the nasal cavity and, with the help of nerve fibers, are connected to the olfactory analyzers located in the brain.
In addition, in the bones of the skull there are special cavities called sinuses, or paranasal sinuses. The paranasal sinuses, which include the maxillary, sphenoid, or main, cavities and frontal sinuses, as well as the ethmoid labyrinth, contain air.
It is quite clear that any inflammatory processes that develop in the nose can affect the paranasal sinuses and cause serious complications, since the sinuses have exits to both the eye sockets and the cranial cavity. In addition, it is clear that any foreign object in the nose can cause inflammation.
It is probably not necessary to talk about the importance of the nose. But adults understand this very well, and children, getting their own life experience, continue to experiment, although sometimes such experiments can cause quite serious harm to health.
Unfortunately, babies often stick small objects up their noses. What kind of experience do they seek and what knowledge do they lack? However, children's noses often contain peas, and beads, and beans, and seeds, and nuts, and buttons, and cherry pits, and many other items, sometimes even completely unexpected.
It is especially dangerous to get organic objects into the nose of a child, such as the same beans, because in a humid environment (and the nasal cavity, covered with a mucous membrane, is just a humid environment), these objects begin to swell, as a result of which the nasal passages overlap and the baby becomes painfully.
The child begins to get nervous, cry, tries to get an interfering object, however, in some cases, picking out a bean or pea from the nose is much more difficult than pushing it in there.
Attention! It is very important that there are no small objects within the reach of a small child that can be pushed into the nose or ear, or accidentally inhaled.
The danger of very small objects that fall into the nose of a child lies also in the fact that sometimes such small objects can get into the bronchi and cause an inflammatory process, which can be cured only after removing the foreign object from the bronchi.
Attention! If a foreign body gets into the child's nose, the most correct solution- immediately contact a medical facility where specialists can provide the necessary assistance and remove the foreign object as efficiently and painlessly as possible.
Doctors say that very small objects do not organic origin, for example, metal or plastic, can remain in a child's nose for quite a long time and are only accidentally detected during a medical examination by an ENT doctor (otolaryngologist). However, foreign objects of organic origin, remaining in the nose for a long time, begin to rot and emit an unpleasant odor. It is the putrid smell that sometimes makes it possible to suspect that far from everything is in order with the baby's nose.
But, in addition to an unpleasant smell, parents should be alerted by other symptoms that will allow them to suspect something was wrong: the baby becomes capricious, restless, whiny; complains of pain in the nose; tearing appears; nasal breathing is disturbed, especially of the nostril where the foreign object is located; sense of smell is disturbed; purulent discharge may appear from the nose, sometimes even with an admixture of blood; Nosebleeds may appear for no apparent reason.
If the foreign body is in the nose long enough, then an inflammatory process may develop in the nasal mucosa, which may well spread to the paranasal sinuses. If this nevertheless happened and the paranasal sinuses are inflamed, then the child will certainly complain of a headache; in addition, body temperature may rise.
Attention! Attempts to get a foreign body with tweezers can be very dangerous, because with any careless movement, bleeding can begin quite strongly.
The most correct thing to do if a foreign object gets into the nose of a child is to immediately consult a doctor. But immediate treatment, unfortunately, is not always possible, so you need to know how to give the baby first aid or how to make an attempt to remove a foreign object from the spout at home.
First of all, you should ask the baby to blow his nose as actively as possible. Sometimes, before such an active blowing of the nose, it is very good to drip a few drops of vegetable oil into the nose. But not all little kids know how to blow their nose, so this method is not suitable for everyone.
Sometimes it is advised to try blowing air through the child's mouth or to blow a nostril with a rubber can through the free nasal passage (nostril) with the mouth closed.
What do experts advise to do in this case?
First of all, it is necessary to determine in which of the nasal passages a foreign object has fallen. Then you need to close the unaffected nostril with your finger and inhale sharply into the baby's mouth. After several such breaths, the foreign body often comes out of the nasal cavity.
If the child is no longer quite a baby and can follow the instructions of an adult, then you need to ask the baby to breathe through his mouth, and close the unaffected nostril with his finger to stop air from entering it. Then you should ask the child to inhale as much air as possible through the mouth and exhale very strongly through the open nostril in which something foreign is stuck. If the child feels that the object has advanced even a little, then this procedure should be repeated several times until the nostril is released.
It is known that the nostril can be freed from unnecessary objects during intense sneezing. Therefore, you can try to provoke a sneeze in a child, which can be achieved by sniffing, for example, black pepper.
Attention! If there is a foreign object in the child's nasal cavity, then in no case should attempts be made to remove this object with tweezers, a finger, a cotton swab, or using any other objects, because there is a very high risk of moving the object even deeper. In addition, for the same reason, one should not wash the nostril with water or any other liquid, and also press the affected nostril with a finger.
If it is not possible to remove a foreign body from the spout by any home methods, then you should immediately contact a specialist for qualified medical help.
Before the arrival of an ambulance or before visiting a doctor in a medical facility, you should not give the child any food or drink, so that during swallowing a foreign object could not move even deeper into the nasal cavity.
It is very important to remember that if a foreign object is not visible in the child’s nose, however, signs and symptoms of a foreign object entering the nose are present, it is absolutely impossible to take any independent measures, but you should immediately consult a doctor.
If a foreign object was removed from the spout, but heavy bleeding began, which cannot be stopped in any way available at home, then an ambulance should be called immediately.
It should not be forgotten that even if the foreign object still managed to be removed and the nose was freed, but normal breathing is not restored for a long time, it is necessary to contact a specialist as soon as possible.
In cases where mucus or liquid is actively secreted from the nasal passage, from where the foreign object was removed, and these secretions do not decrease within a day, you should consult a doctor as soon as possible.
And, finally, if a foreign object was removed from the nasal cavity, but the baby continues to complain of pain in the nose, it is necessary to seek professional medical help.
Attention! Sometimes a foreign body that got into the nasal cavity of a child and was not removed from there in time can turn into a rhinolitis. The term "rhinolite" comes from the Greek word lithos , which translates as a stone, and means that the foreign body, as a result of its environment with calcium phosphate and carbonate salts and mucus, turns into a kind of hard deposit, which is called a calculus.
To avoid the undesirable consequences of foreign objects getting into the baby’s nose, you should monitor the baby very carefully, constantly monitor his actions and, at the slightest suspicion of any problem, immediately consult a doctor.
The kid comprehends the world. The kid is trying to understand how everything around him works and how he himself works. The kid just needs this knowledge, but sometimes irrepressible curiosity can cause serious trouble. How to protect the baby, who, because of his thirst for knowledge, can harm himself?
First of all, the baby should not be left alone. And even more so, you can’t leave a little fidget and a researcher unattended when there are potentially dangerous objects around. Probably everyone has seen that many toys have a warning label that they are intended for children of a certain age: say, after three years. In no case should these inscriptions be neglected, because even the most wonderful designer can be dangerous due to small details that a curious kid can try to adapt for other purposes, and even with danger to his own health. What is there to do?
After all, you can’t change children in any way, because in this way they develop and comprehend the world, and this is how it was and will always be. This means that adults should be more attentive, more careful, more prudent, more accurate. After all, what any adult will not even pay attention to can be both interesting and dangerous for a baby.
And most importantly - you need to love your baby, help him develop and comprehend new things in the vast and interesting world around him, but at the same time try to protect him from possible dangers that sometimes lurk in an ordinary cherry bone or in a bead from the most beautiful mother's necklace, which ( here's my word of honor) broke accidentally and generally by itself.
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.
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:
Symptoms of penetration of a foreign body into the nasal cavity include:
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.
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:
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