Accidentally Choked: What to Do If You Inhale a Capsule - Pulmonology

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Accidentally choked?


Hello Doctor: Around 5 PM, I took a lutein capsule with water, but I accidentally swallowed it too quickly (I wasn't talking or joking at the time) and slightly choked, causing a bit of water to go up my nose.
However, I'm not sure if I swallowed the capsule.
If it accidentally went into my trachea, what symptoms should I expect? At the moment, I did not experience severe coughing, and I don't feel any particular difficulty in breathing.
Should I seek medical attention? Thank you, Doctor.

Niming, 20~29 year old female. Ask Date: 2016/11/03

Dr. Yang Wenda reply Pulmonology


Hello: Typically, when a foreign object is aspirated into the trachea, there should be a forceful cough at the moment, followed by a persistent cough (which is an attempt to expel the foreign object from the airway).
If there is a continuous cough or if it is accompanied by a fever that does not subside, you should see a pulmonologist for a chest X-ray examination!

Reply Date: 2016/11/03

More Info


If you accidentally inhaled a capsule, such as a lutein capsule, it’s important to understand the potential implications and what steps to take next. When a foreign object, like a capsule, enters the airway instead of the esophagus, it can lead to choking or aspiration. Here’s a detailed overview of what you might experience and what actions you should consider.


Symptoms of Aspiration
If the capsule has entered your trachea (the windpipe), you might experience several symptoms, although they may not appear immediately. Common symptoms of aspiration include:
1. Coughing: This is the body's natural reflex to expel foreign objects from the airway. If you did not experience a strong cough at the time, it may indicate that the capsule did not fully obstruct your airway.

2. Wheezing or Difficulty Breathing: If the capsule is lodged in a way that partially obstructs airflow, you might notice wheezing or a feeling of breathlessness.

3. Chest Discomfort: Some individuals report a feeling of tightness or discomfort in the chest after aspiration.

4. Sore Throat: Irritation from the capsule can lead to a sore throat.

5. Fever or Chills: If the capsule causes an infection, you may develop a fever or chills over time.


Immediate Actions to Take
1. Stay Calm: Anxiety can exacerbate the situation. Try to remain calm and assess your symptoms.

2. Monitor Your Symptoms: Since you mentioned that you are not experiencing severe coughing or difficulty breathing, it’s a good sign. However, keep an eye on any changes in your condition.

3. Hydration: Drinking water can help wash down any residual irritation in your throat, but be cautious not to gulp too quickly, as this could lead to further aspiration.

4. Seek Medical Attention: If you start to experience any of the symptoms mentioned above, especially difficulty breathing, persistent coughing, or chest pain, seek medical attention immediately. It’s better to err on the side of caution, as aspiration can lead to serious complications, including aspiration pneumonia.


When to Go to the Hospital
You should consider going to the hospital if:
- You develop a persistent cough that does not improve.

- You experience difficulty breathing or wheezing.

- You feel a sensation of something stuck in your throat or chest.

- You develop a fever or chills after the incident.


Preventive Measures for the Future
To avoid similar situations in the future, consider the following tips:
- Take Your Time: When taking medication, especially capsules, take your time and ensure you are in a calm environment.

- Stay Upright: Always take medications while sitting or standing upright to facilitate swallowing.

- Drink Adequate Water: Ensure you drink enough water with your medication to help it go down smoothly.


Conclusion
In summary, while it’s reassuring that you are not currently experiencing severe symptoms, it’s essential to remain vigilant. If you notice any changes or develop concerning symptoms, do not hesitate to seek medical help. Aspiration can lead to complications, and timely intervention is crucial. Always prioritize your health and safety, and consult with a healthcare professional if you have any doubts or concerns.

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