swallowed or inhaled objects

many things can affect how your body responds to a symptom and what kind of care you may need. these include:

• your age. babies and older adults tend to get sicker quicker.
• your overall health. if you have a condition such as diabetes, hiv, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
• medicines you take. certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, or natural health products can cause symptoms or make them worse.
• recent health events, such as surgery or injury. these kinds of events can cause symptoms afterwards or make them more serious.
• your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.

blood in the stool can come from anywhere in the digestive tract, such as the stomach or intestines. depending on where the blood is coming from and how fast it is moving, it may be bright red, reddish brown, or black like tar.

a little bit of bright red blood on the stool or on the toilet paper is often caused by mild irritation of the rectum. for example, this can happen if you have to strain hard to pass a stool or if you have a hemorrhoid.

a large amount of blood in the stool may mean a more serious problem is present. for example, if there is a lot of blood in the stool, not just on the surface, you may need to call your doctor right away. if there are just a few drops on the stool or in the diaper, you may need to let your doctor know today to discuss your symptoms. black stools may mean you have blood in the digestive tract that may need treatment right away, or may go away on its own.

certain medicines and foods can affect the colour of stool. diarrhea medicines (such as pepto-bismol) and iron tablets can make the stool black. eating lots of beets may turn the stool red. eating foods with black or dark blue food colouring can turn the stool black.

if you take aspirin or some other medicine (called a blood thinner) that prevents blood clots, it can cause some blood in your stools. if you take a blood thinner and have ongoing blood in your stools, call your doctor to discuss your symptoms.

pain in adults and older children

• severe pain (8 to 10): the pain is so bad that you can't stand it for more than a few hours, can't sleep, and can't do anything else except focus on the pain.
• moderate pain (5 to 7): the pain is bad enough to disrupt your normal activities and your sleep, but you can tolerate it for hours or days. moderate can also mean pain that comes and goes even if it's severe when it's there.
• mild pain (1 to 4): you notice the pain, but it is not bad enough to disrupt your sleep or activities.

pain in children under 3 years

it can be hard to tell how much pain a baby or toddler is in.

• severe pain (8 to 10): the pain is so bad that the baby cannot sleep, cannot get comfortable, and cries constantly no matter what you do. the baby may kick, make fists, or grimace.
• moderate pain (5 to 7): the baby is very fussy, clings to you a lot, and may have trouble sleeping but responds when you try to comfort him or her.
• mild pain (1 to 4): the baby is a little fussy and clings to you a little but responds when you try to comfort him or her.

symptoms of difficulty breathing can range from mild to severe. for example:

• you may feel a little out of breath but still be able to talk (mild difficulty breathing), or you may be so out of breath that you cannot talk at all (severe difficulty breathing).
• it may be getting hard to breathe with activity (mild difficulty breathing), or you may have to work very hard to breathe even when you’re at rest (severe difficulty breathing).

severe trouble breathing means:

• you cannot talk at all.
• you have to work very hard to breathe.
• you feel like you can't get enough air.
• you do not feel alert or cannot think clearly.

moderate trouble breathing means:

• it's hard to talk in full sentences.
• it's hard to breathe with activity.

mild trouble breathing means:

• you feel a little out of breath but can still talk.
• it's becoming hard to breathe with activity.

severe trouble breathing means:

• the child cannot eat or talk because he or she is breathing so hard.
• the child's nostrils are flaring and the belly is moving in and out with every breath.
• the child seems to be tiring out.
• the child seems very sleepy or confused.

moderate trouble breathing means:

• the child is breathing a lot faster than usual.
• the child has to take breaks from eating or talking to breathe.
• the nostrils flare or the belly moves in and out at times when the child breathes.

mild trouble breathing means:

• the child is breathing a little faster than usual.
• the child seems a little out of breath but can still eat or talk.

disc batteries are small, round batteries used in toys, cameras, watches, and other devices. because of the chemicals they can release, they can cause serious problems if they are swallowed or get stuck in an ear or the nose. small magnets used in household items and objects that contain a lot of lead (such as bullets, buckshot, fishing weights and sinkers, and some toys) also can cause problems if swallowed.

• if a disc battery is stuck in the ear or nose:
  • the battery needs to be removed right away—within 1 hour if possible.
  • use tweezers to try to remove the battery. if you can't remove it, get medical help.

• if you have swallowed a disc battery, magnet, or lead object:
  • get medical help right away.
  • do not try to vomit.
  • do not eat or drink anything.