Accidental Ingestion of Herbal Cough Syrup: When to Seek Medical Attention? - Otolaryngology

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Accidental aspiration of Nien Tzu An Chuan Bei Pi Pa Gao into the trachea?


Hello doctor, I accidentally swallowed loquat syrup into my trachea while taking it.
I didn't choke because it is viscous, but it seems to have entered the trachea.
Although I am not experiencing difficulty breathing, I feel like I have to exert more effort to breathe than usual.
Should I seek medical attention?

Niming, 20~29 year old female. Ask Date: 2017/07/26

Dr. Zheng Jueyi reply Otolaryngology


Hello: Generally, if there is no sensation of choking, it is less likely that the substance has entered the trachea.
If there are no obvious symptoms, you may observe the situation first.
However, if coughing or fever persists, medical evaluation is necessary.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/07/26

More Info


Accidental ingestion of herbal cough syrup, such as loquat syrup, can be concerning, especially if there is a possibility that it has entered the airway. While you mentioned that you did not experience choking or significant breathing difficulties, it is still important to be cautious and aware of potential complications that can arise from such an incident.

When it comes to accidental ingestion of substances that may enter the trachea or lungs, there are several factors to consider. First, the viscosity of the syrup can play a role in how it behaves once it enters the airway. In your case, since you described the syrup as sticky, it may adhere to the airway walls, potentially leading to irritation or inflammation. This could explain the sensation of needing to breathe more forcefully than usual, as your body may be trying to clear the airway of any residual syrup.

Here are some key points to consider regarding when to seek medical attention after such an incident:
1. Breathing Difficulties: If you experience any worsening of your breathing, such as increased shortness of breath, wheezing, or a feeling of tightness in the chest, you should seek medical attention immediately. These symptoms could indicate that the syrup is causing an obstruction or irritation in the airways.

2. Persistent Coughing: If you develop a persistent cough that does not improve or worsens over time, it is advisable to consult a healthcare professional. A cough could be a sign that your body is attempting to clear the airway, but it could also indicate that there is irritation or inflammation present.

3. Fever or Signs of Infection: If you develop a fever, chills, or any signs of respiratory infection (such as increased mucus production, chest pain, or fatigue), you should seek medical attention. These symptoms could suggest that an aspiration event has led to an infection, such as aspiration pneumonia.

4. Changes in Voice or Swallowing: If you notice any changes in your voice, such as hoarseness, or if you have difficulty swallowing, these could be signs that the syrup has caused irritation or injury to the throat or vocal cords.

5. Medical History: If you have any underlying respiratory conditions, such as asthma or chronic obstructive pulmonary disease (COPD), it is particularly important to monitor your symptoms closely and seek medical attention if you notice any changes.

In general, if you have any concerns about your health following the accidental ingestion of the syrup, it is always better to err on the side of caution and consult a healthcare professional. They may recommend a physical examination, chest X-ray, or other diagnostic tests to ensure that there are no complications from the incident.

In summary, while you may not be experiencing severe symptoms at this moment, it is important to remain vigilant. If you notice any changes in your breathing, develop a cough, or experience any other concerning symptoms, do not hesitate to seek medical attention. Your health and safety are paramount, and healthcare professionals are equipped to assess and manage any potential complications from this type of incident.

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