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Food stuck in a child's throat or food pipe

When food or an object becomes stuck in a child, first establish whether the child can still cough effectively, speak and breathe. Choking needs immediate first aid and Ambulance 912. A child who is breathing but cannot swallow, keeps drooling or has pain may have a blockage in the food pipe (oesophagus) and needs urgent assessment.

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  • Immediately distinguish between a blocked airway and something stuck in the oesophagus. With a blocked airway, the child cannot breathe adequately; with an oesophageal blockage, breathing is often still possible but swallowing is not.
  • A strong, audible cough is a protective mechanism. Encourage coughing and keep watching. A silent or weak cough, being unable to speak or cry, and turning blue are signs of severe choking.
  • For severe choking, call Ambulance 912 and start age-appropriate first aid. If possible, have someone else call while you stay with the child.
  • Never put fingers or tools blindly into the mouth. You may push the object deeper, damage the lining or turn a partial blockage into a complete one.
  • Even if the child is breathing, a button battery, several magnets, a magnet plus metal, a sharp object or continuing swallowing problems need immediate professional assessment.

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