Exams and Tests

The doctor will take a complete history and will specifically want to know what was swallowed, when it was swallowed, and any symptoms you have. A physical examination will focus on the mouth, throat, and lungs. Next, your doctor may perform one or more of the following tests:

• X-rays of the neck, chest, and abdomen may be performed to help locate any objects that will show up in this format, such as coins, metal toys, and bones.

• Enhanced x-rays with barium may be used to help locate stuck objects not seen on regular x-rays.

• The doctor may make a direct inspection of the area above the voice box with a special fiber optic light or indirect inspection with a dental mirror. These procedures require a cooperative patient.

• Direct visualization with a fiber optic scope (endoscopy) may be needed to see objects in the esophagus. This is usually done in a short procedure unit or in the operating room.