Aetiology
: A foreign body entering through a natural orifice is usually caused by an accidental ingestion or inhalation of an object. This may occur due to a lack of supervision or due to a child’s natural curiosity. In some cases, the foreign body may be inserted intentionally.
Diagnosis
: The diagnosis of a foreign body entering through a natural orifice is made through physical examination, imaging studies, and laboratory tests. On physical examination, the patient may have signs of distress or pain, and may present with coughing or choking. Imaging studies such as X-rays and CT scans can be used to confirm the presence of the foreign body. Laboratory tests such as blood tests and cultures may also be used to help identify the object.
Differential diagnosis
: The differential diagnosis for a foreign body entering through a natural orifice includes other causes of coughing and choking, such as asthma, bronchitis, and infection. Other conditions such as esophageal strictures and laryngospasm may also need to be considered.
Treatment
: Treatment for a foreign body entering through a natural orifice depends on the size, shape, and location of the object. The object may need to be removed through an endoscopy or surgery. In some cases, medical treatment such as antibiotics may be necessary.
Prognosis
: The prognosis for a foreign body entering through a natural orifice is generally good if the object is removed promptly. If the object is not removed, further complications such as infection or obstruction may occur.