DOI: https://doi.org/10.36347/sjmcr.2025.v13i01.015

Pages: 76-78

A 19-year-old male with history of depression, cannabis use, and tobacco use presented to the hospital a few days after ingesting an unspecified number of nails, cylindrical batteries, coins, and BB gun pellets. On presentation, he was hemodynamically stable and denied any abdominal symptoms. In addition, his physical examination was benign. The patient was managed with a bowel regimen consisting of scheduled docusate sodium, lactulose, polyethylene glycol powder, and senna. He also received polyethylene glycol solution on several days. The patient was able to pass all of the nails, batteries, and coins prior to discharge. Some BB gun pellets remained at the time of discharge, but they were considered low risk for perforation. Our case illustrates that a suitable bowel regimen, rather than surgical or procedural intervention, can be used in certain situations to manage foreign object ingestions.