Severe Coughing and Throat Discomfort After Inhaling Medication: What to Do? - Otolaryngology

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After inhaling "Bidalin," I experienced severe choking and my throat feels very uncomfortable?


Hello Doctor: I have been experiencing a sore throat these past few days and purchased "Bidadin" to spray.
Last night, while using the spray, I accidentally inhaled a deep breath and ended up choking severely.
I coughed intensely for about five minutes and had difficulty breathing.
Later, the coughing eased, but I produced a lot of phlegm.
Whenever I take a deep breath, my throat suddenly becomes very itchy and triggers the urge to cough.
After a night of rest, this morning it is still the same; taking a deep breath causes my throat to become very itchy and makes me want to cough.
Doctor, could it be that Bidadin has burned my trachea? Thank you, Doctor.

KAO, 30~39 year old female. Ask Date: 2018/03/13

Dr. Zheng Jueyi reply Otolaryngology


Hello: It is common for throat inflammation and swelling to occur due to choking.
If the pain or discomfort persists, it is advisable to seek medical evaluation.
Wishing you safety and good health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2018/03/13

More Info


It sounds like you are experiencing significant discomfort after accidentally inhaling medication, specifically "必達定" (likely referring to a corticosteroid inhaler). The symptoms you describe—severe coughing, throat irritation, and increased mucus production—are concerning and warrant careful attention.

Firstly, it is important to understand that inhaling medication can sometimes lead to irritation of the respiratory tract, especially if the medication is not intended for inhalation or if it is inhaled inappropriately. In your case, the coughing and throat irritation you are experiencing could be a result of the medication irritating the mucous membranes in your throat and airways. This irritation can lead to a reflex cough, which is your body’s way of trying to clear the irritant from your airways.

Here are some steps you can take to manage your symptoms:
1. Stay Hydrated: Drink plenty of fluids, especially warm liquids like herbal tea or warm water with honey. This can help soothe your throat and thin out mucus, making it easier to expel.

2. Use a Humidifier: Adding moisture to the air can help soothe irritated airways and reduce coughing. If you don’t have a humidifier, taking a hot shower and inhaling the steam can provide similar relief.

3. Avoid Irritants: Stay away from smoke, strong odors, and other irritants that could exacerbate your symptoms. This includes avoiding smoking or exposure to secondhand smoke.

4. Cough Suppressants: If your cough is persistent and bothersome, over-the-counter cough suppressants may help. However, it’s important to use these cautiously and ideally under the guidance of a healthcare professional.

5. Monitor Your Symptoms: Keep track of your symptoms. If you notice any worsening of your condition, such as difficulty breathing, chest pain, or if the cough persists for more than a few days, it is crucial to seek medical attention.

6. Consult a Healthcare Provider: Given that you experienced a significant coughing episode and ongoing throat irritation, it would be wise to consult with a healthcare provider. They can assess whether there is any damage to your airways and provide appropriate treatment. This may include a prescription for a different medication or additional supportive care.

7. Avoid Further Inhalation: Until you have consulted with a healthcare provider, avoid using the inhaler again, especially if you are unsure about the proper technique or if it is causing you discomfort.

In terms of whether the medication has caused a "burn" in your trachea or airways, it is possible that the irritation you are feeling is due to the inhalation of the medication rather than a chemical burn. However, only a healthcare professional can accurately assess any potential damage through a physical examination or imaging if necessary.

Lastly, if you have a history of respiratory issues or if you are using inhalers regularly, it may be beneficial to receive training on the proper inhalation technique to prevent similar incidents in the future. Proper technique can significantly reduce the risk of coughing and irritation.

In summary, while your symptoms are likely due to irritation from the inhaled medication, it is essential to monitor your condition closely and seek medical advice if symptoms persist or worsen. Your health and comfort are paramount, and a healthcare provider can offer the best guidance tailored to your situation.

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