Can Food Get Stuck in the Trachea? Swallowing Issues - Pulmonology

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Swallowing difficulties


I would like to ask the doctor if food can accidentally enter the trachea while eating.
Recently, I experienced a strange sensation in the middle area of my left second rib shortly after swallowing.
I suspect that something may have gone down the wrong way, but at that moment, I only felt discomfort and did not immediately cough.
It was only after about a minute that I had a slight cough, and then I didn't cough again.
In this case, is it possible that food or a foreign object entered the trachea?

Xiao Ke, 20~29 year old female. Ask Date: 2019/06/28

Dr. Yang Wenda reply Pulmonology


Hello: Your swallowing function is normal for your age, and there should be no issue with food entering the trachea (unless you are laughing uncontrollably while eating).
Typically, if food does enter the trachea, it will result in severe coughing.
This is for your reference.

Reply Date: 2019/06/28

More Info


When it comes to swallowing issues and the potential for food to enter the trachea, it's important to understand the anatomy and physiology of the swallowing process. The trachea, or windpipe, is the airway that leads to the lungs, while the esophagus is the tube that carries food to the stomach. During normal swallowing, a complex series of actions occur to ensure that food goes down the esophagus and not into the trachea. This process is controlled by the epiglottis, a flap of tissue that covers the trachea during swallowing to prevent food and liquids from entering the airway.

In your case, the sensation you felt in the area of the left rib, shortly after swallowing, could be attributed to a few different factors. It’s possible that you experienced a momentary discomfort due to the swallowing process itself, especially if you were eating quickly or not chewing your food thoroughly. Rapid eating can lead to a feeling of fullness or pressure in the chest, which might be mistaken for something being stuck.

If food were to enter the trachea, it typically results in immediate coughing or choking as the body attempts to expel the foreign object. The fact that you only experienced a mild cough after a minute and no significant distress suggests that it is less likely that food entered your trachea. However, if you had a sensation of something being stuck, it could be due to a few reasons:
1. Esophageal Spasm: Sometimes, the esophagus can spasm, causing discomfort that may feel like something is stuck. This can happen after swallowing large pieces of food or when eating too quickly.

2. Gastroesophageal Reflux Disease (GERD): If you have a history of acid reflux, the sensation of something being stuck could also be related to reflux, where stomach acid irritates the esophagus.

3. Dysphagia: This is a condition characterized by difficulty swallowing, which can lead to food feeling stuck in the throat or chest. It can be caused by various factors, including muscle disorders or structural abnormalities.

4. Anxiety: Sometimes, anxiety about swallowing can manifest as physical sensations in the chest or throat, leading to a feeling of discomfort.

Given that you did not experience severe symptoms such as persistent coughing, difficulty breathing, or significant pain, it is likely that your discomfort was temporary and related to the swallowing process rather than a serious issue. However, if you continue to experience this sensation, or if it worsens, it would be prudent to consult a healthcare professional for further evaluation. They may recommend a swallowing study or other diagnostic tests to assess your swallowing function and rule out any underlying conditions.

In summary, while it is possible for food to accidentally enter the trachea, it is usually accompanied by immediate coughing or choking. The sensation you experienced could be due to a variety of benign factors related to swallowing. If symptoms persist, seeking medical advice is the best course of action to ensure your safety and health.

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