In infancy and up to 4 years of life, parents should be very careful in foods that give children or take on their own, but also in objects that hold in their hands and potentially can penetrate their mouths.

Until the age of 4, the child has not fully developed his or her teeth and therefore cannot cut and mash a hard food, such as nuts, general pieces of fruits (pears, apples, peaches). Also small objects that in itself has put in the mouth (beads, styrofoam paper), there is a possibility of crying with fear of inhaling and leading the contents of the mouth to the larynx, trachea and lung bronchi and thus we have the cases of a foreign body.

Immediately after the aspiration, the child manifests persistent or paroxysmal cough that may be accompanied by shortness of breath or even baking on the lips and after a while calm down and the symptoms appear again after a while and during the night. In these cases, parents should transfer the child to the Emergency Hospital, in order to be evaluated by a pediatrician and an otolaryngologist, to become a chest radiography and in the majority of cases of bronchoscopy, in order to examine the entire lung and remove the lung.

If the parent is not present in the episode and finds persistent cough, he will consult the pediatrician immediately and the most secure is to be evaluated in the hospital.

As the aspiration took place, we can open the child’s mouth and only if we see a big body large and visible, try to pull it out. It is forbidden to handle the blind to the finger because there is a high risk of pushing the foreign body to the larynx, with devastating consequences for the child. If the child is bruised, it does not breathe, we hold it with our heads down, on our forearm holding our fingers open, beat the child between the shoulder blades and at the same time call an ambulance with a specialized nurse.

If it is an older child or adult we apply the abdominal pressure technique to eliminate the foreign body.

Foreign bodies in children up to 4 years of age are unfortunately common. From a study done by the Pediatric-Iotrinolaryngology Clinics of all public pediatric hospitals in the country, from 1995 to 2015, 4,127 bronchoscopes were carried out to remove foreign lung bodies to children with a spectacular variety in size and size.

When the child has placed a foreign body in his mouth or has bulky food in it, there is a case of swallowing the foreign body or throat to wedge in a portion of the esophagus and not to be promoted to the stomach. In this case the cough is absent and there is a tendency to be more intense if we try to give water. The child continues to have a tendency to vomit, cannot swallow and present intense salivation. We do not handle and lead the child to the Emergency of the Pediatric Hospital for evaluation, endoscopy, chest x -ray and possible esophagoscopy to remove the foreign body.

Foreign esophagus bodies do not endanger the child’s life such as foreign bodies of the lung and are rarer. The same study by Public Pediatric Hospitals showed 784 esophagos for foreign bodies in the esophagus.

In conclusion, we recommend that parents do not give children younger than 4 years of nuts, large pieces of hard fruits, and to control the accessibility of children to small objects that can place in their mouths at the risk of their lungs or stamping into the esophagus. If the child in their absence has a sharp and persistent cough, a tendency to persistent vomiting and salivary, they should immediately lead the child to the Emergency of the Pediatric Hospital.