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If you swallow a guitar pick you may pass it without issue or you may share in my experience.

For reasons unimportant to this answer, I swallowed a guitar pick when I was in class during 8th grade. The pick was grooved from being run up and down the strings. It stuck in my throat and interferred with my breathing until a classmate helped dislodge it with the Heimlich manuever. I was able to breathe, but the pick remained stuck in my throat. I was taken to the ER. The doctors there couldn't extract it as my gag reflex kept causing me to throw up. They admitted me to the hospital and the next morning, doctors put me under and extracted the pick. I asked them to send it back to me. It went in black and came out white. I was 13 when it happened and today at 47 I still get comments about it.

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10y ago

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Q: What happens when you swallow a guitar pick?
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