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Firstly you'll probably choke on it, but if it happens to get down the esophagus into the stomach then it will swell and cause great pain. The stomach acids will make a damp to dry sponge expand and the person would have to have surgery to have it removed. If in doubt put a dry to damp sponge in water and watch it absorb the water.

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Q: What happens if a child swallows a small sponge?
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