The small fish bones stuck in the throat may fall off on their own or require medical intervention, depending on the location, size, and individual differences of the bones. Common treatment methods include observation and waiting, home first aid, ear, nose, and throat examination, endoscopic removal, and preventive measures.

1. Observation and judgment: After the small fish bones get stuck in the throat, stop eating and cough lightly. Some small fish bones may be carried out by the airflow. If the stinging sensation persists for more than 2 hours or if there is difficulty swallowing or drooling, seek medical attention immediately. Children or the elderly should avoid forcibly swallowing food and attempting to remove fish bones, as this may cause secondary injury.
2. Home handling: Use a tongue depressor to check for visible fish bones, and use tweezers to remove only shallow fish bones that are clearly visible and easily accessible. Taking vitamin C tablets may soften small fish bones, but the effect is limited. There is no scientific basis for drinking vinegar, and excessive consumption may irritate the mucous membranes.

3. professional treatment: Otolaryngologists use indirect laryngoscopy for positioning and use gun shaped forceps to remove pharyngeal fish bones. For deep fish bones, fiber laryngoscope or electronic laryngoscope assistance is required, and the outpatient operation takes about 5-10 minutes. In rare cases, esophagoscope removal under general anesthesia is required, suitable for those suspected of esophageal perforation.
4. Prevention of complications: Untreated fish bones may lead to local infections and retropharyngeal abscesses. Eat warm and cool liquid food 24 hours after surgery and avoid spicy foods. Fever and neck swelling require antibiotic treatment, commonly including amoxicillin, clavulanate potassium, cefixime, etc.
5. High risk avoidance: Focus on chewing carefully when eating, and choose less spiky fish such as cod for children. Cutting the muscle fibers horizontally when processing fish ingredients can reduce the residue of fine spines. People wearing dentures need to pay special attention to removing fish bones, as slow oral sensation can easily lead to impaction.

Avoid vigorous exercise within 48 hours after the fish bone gets stuck in the throat to prevent accidental displacement. Household ear lamps and round headed tweezers are available for daily use, but any fish bones that cannot be seen directly must be handled by a professional doctor. Choosing the belly area with fewer fish bones and using cooking methods such as steaming can better maintain the integrity of the fish meat.
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