typical clinical presentation of foreign body ingestion
Adults trace the onset of symptoms to the ingestion of a specific meal or foreign body. Most commonly, acute dysphagia, odynophagia, and chest pain reflect underlying esophageal obstruction. Respiratory distress, stridor, and inability to handle oral secretions suggest the need for urgent intervention. Persons with developmental disabilities, psychiatric patients, or children may remain asymptomatic for months after ingestion, or they may not volunteer the history. Patients with impacted anorectal foreign bodies may relate a wide variety of medical histories to account for their predicament, ranging from accidents or assault to medical remedies.