Pediatric Chest Diseases Specialist Prof. removed the hazelnut. Dr. Erkan Çakır said, “He was a child whose phlegm and cough did not go away. We did not find any infection or other allergic findings that would explain the situation. He has absolutely no findings in the movie. As long as foreign objects remain in the lungs, there may sometimes be cases where we have to remove the entire lung in the following months and years. “We gave the piece of hazelnut back, if possible, we should not give large and hard nuts to children under the age of 5, and when such a situation occurs, we should perform the Heimlich Maneuver as soon as possible,” he said.
Abdurrahman, one of the twins of the Mert family with 4 children living in Bahçelievler, allegedly tried to eat the hazelnuts left by his siblings in the kitchen by grabbing handfuls of them on October 3, almost in danger of choking. Although the 2-year-old boy was relieved when the things in his mouth were removed, father Ahmet Mert felt wheezing and coughing in his son when he came home in the evening, and when he heard what happened during the day, he took him to the hospital and explained the situation.
According to the information obtained, when no problems were found in the examination and films, the family came back to their home, but their son’s problems did not go away. Father Mert, Pediatric Chest Diseases Specialist Prof. Dr. He reached Erkan Çakır. Analysis and films were renewed, but no negative situation was observed. When the complaints did not go away, Prof. Dr. Çakır performed bronchoscopy, a medical procedure performed to diagnose and treat problems in the lungs and respiratory tract, on little Abdurrahman. During the procedure, a hazelnut was detected in his right lung, it was immediately removed, and the family breathed a sigh of relief. While the complaints in the child ended in a short time, Prof. Dr. Çakır gave information about foreign object escapes and the first aid processes afterwards.
“MATTERS SUCH AS HAZELNUT AND PEANUTS DO NOT SHOW THEMSELVES CLEARLY ON Lung X-rays.”
Prof. stated that complaints such as wheezing and cough have been affecting the little child for a long time. Dr. Erkan Çakır said, “There was a process that lasted for about 1.5 months and did not improve with some weather and antibiotic treatments. There were several applications for doctors. He was a child whose wheezing, phlegm and cough did not go away, they applied with these complaints. In our tests, we did not find any evidence of infection or other allergic findings sufficient to explain these wheezing and wheezing.
As a result of our interviews with the family and taking a careful history, we learned that the child had complaints such as coughing and bruising, followed by wheezing, after eating a hazelnut 1.5 months ago, so we set out. While the child was eating hazelnuts, he felt like choking, followed by a persistent cough and wheezing. It is very important that the family declare this so clearly. If foreign bodies are metallic in character, they can show themselves on chest x-rays. Unfortunately, substances that we call organic, such as hazelnuts, peanuts, seeds and almonds, do not show themselves clearly on lung x-rays.
We can see some things indirectly. For example; If the escaping foreign object is very large, it can completely block a lung and cause it to collapse. An attempt is made to remove the foreign body as a whole with a bronchoscope. As long as foreign objects remain in the lungs, they continue to cause infection in the lungs. “Unfortunately, it can cause lung damage in the following months and years, and sometimes there are cases where we have to surgically remove all or part of the lung,” he said.
“WE GAVE THE HAZELNUT PIECE BACK”
Providing information about what to do in case of swallowing a foreign object, Prof. Dr. Çakır continued his words by giving important warnings to families:
“When a foreign object enters the lungs, it is necessary to determine whether there is a foreign object in the child’s lungs as soon as possible with a bronchoscope and remove it. It is already on our forms, we always ask even if the family does not specify it, it is very important to get this story. We carried out the child’s procedure in good cooperation with the family. The family was also extremely pleased, we gave them back the hazelnut piece. There was no deflation or swelling on the chest X-ray that would attract the attention of physicians. There is absolutely no evidence of any kind in the movie, the hazelnut itself is not visible in the movie anyway. It was a case we detected based on the clinical history. Children should not be fed in any way when they are coughing, especially in winter, or when they are crying, walking or running. If possible, nuts containing large and hard pieces should not be given to children under the age of 5. When a foreign object enters our lungs, the child may sometimes not be able to breathe at all and may become blue. At the child’s age, it is necessary to perform those first maneuvers, which we appropriately call Heimlich Maneuvers, but these first maneuvers are the maneuvers that must be done within the first minutes. “We definitely do not do these things after minutes have passed after the incident and the child has calmed down.”
“WHEN IT DID NOT SEE IN THE MOVIES, WE WERE RELIEVED THAT THERE WAS NOTHING, BUT THE HAZELNUT CAME UP”
Explaining what his son experienced, father Ahmet Mert said, “He has brothers, they ate the hazelnuts in the kitchen, they probably left them on the table. When he saw it, he went and stuffed it into his mouth, but the child wouldn’t eat just one, so he put 3-5 in his mouth. The lady saw it and started coughing while trying to take it out of her mouth. A little one had a choking hazard, and when I came home in the evening, I noticed wheezing and coughing. A movie was shot, injections, medicine etc. air was given. Nothing showed up in the movies, and when it didn’t, we and the child were relieved that there was nothing wrong, but the complaints of wheezing and coughing continued for a little longer. We researched and met our teacher Erkan. God smiled on us, it did not go unnoticed by our teachers, the child felt relieved, his complaints of wheezing and coughing suddenly decreased. He was coughing a lot at night, that complaint went away. His appetite came back and he became lively. Even though we were so careful, we would feed things like hazelnuts and peanuts by crushing them. I recommend that they pay attention to this. “If there is a suspicion of something entering the lungs, they should follow up until that suspicion is completely eliminated from the mind,” he said.
UAV