Esophageal foreign body (EFB) is one of the emergency conditions frequently encountered today; however, with early diagnosis and/or treatment, patients can recover without any problems. Since the esophagus is the narrowest place of the upper gastrointestinal system, EFBs constitute a major part of all gastrointestinal system foreign bodies. As a special group, intellectually disabled patients have a tendency to put every object they get hold of into their mouth and they usually lack proper chewing coordination. Therefore, when symptoms such as dysphagia, odynophagia or hyper-salivation are seen in intellectually disabled patients, EFBs should be suspected. The treatment is based on extraction of the foreign body with esophagoscopy or in rare cases with surgery, when necessary.