Concerns About Swallowing Antibiotics: What You Need to Know - Otolaryngology

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Issues with swallowing medication?


Hello doctor, I visited an ENT specialist the day before yesterday because I had a cold, and the doctor prescribed me an antibiotic, MOXICLAV 1g.
Just now, when I took the medication, I might not have drunk enough water and suddenly felt it get stuck in my esophagus.
I quickly drank some water, and it seemed to go down, but afterwards, when I swallowed saliva, I felt a slight sensation of something being stuck.
Could it be that the medication is lodged in my throat or trachea? I'm a bit worried that it might still be in my throat.
Right now, I can only keep drinking water.
My boyfriend says I'm too anxious; he has experienced something similar and just ate more, and it was fine the next day.
I'm not sure if I should return for a follow-up appointment for such a trivial matter, especially since I feel like my cold is almost gone.
However, the doctor instructed me to finish the antibiotic course.

Xuan Xuan, 20~29 year old female. Ask Date: 2020/03/05

Dr. Zheng Jueyi reply Otolaryngology


Hello: If there is no obvious difficulty swallowing or pain while swallowing, you may start with self-observation.
However, if your throat pain worsens or you experience difficulty swallowing, you should seek medical attention for evaluation.
Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2020/03/05

More Info


When it comes to swallowing antibiotics, particularly in your case with Moxiclav (a combination of amoxicillin and clavulanic acid), it's understandable to have concerns if you felt a sensation of something stuck in your throat after taking the medication. Here’s what you need to know about this situation and some general advice regarding antibiotic use.

Firstly, it’s important to recognize that swallowing pills can sometimes be tricky, especially if not enough water is consumed. If you felt a sensation of something stuck in your throat, it could be due to the tablet not fully going down or possibly getting lodged in the esophagus. This can happen with any pill, especially if it is larger or if the swallowing technique isn’t optimal. The good news is that drinking water, as you did, usually helps to wash down the pill. If the sensation persists, it may be worth monitoring for a short while. If it continues to feel uncomfortable or if you experience pain, difficulty swallowing, or any other concerning symptoms, it would be prudent to consult a healthcare professional.

Regarding your concern about the antibiotic itself, Moxiclav is prescribed to treat various bacterial infections, and it’s crucial to complete the full course as directed by your physician, even if you start feeling better. This is to ensure that the infection is fully eradicated and to prevent the development of antibiotic resistance, which can occur if antibiotics are stopped prematurely.

Antibiotics can sometimes cause side effects, including gastrointestinal discomfort, allergic reactions, and in some cases, they can disrupt the normal flora of the gut, leading to issues such as diarrhea or yeast infections. However, these side effects are generally manageable, and your healthcare provider can offer guidance on how to mitigate them.

In terms of your boyfriend's experience, it’s common for people to have similar sensations when swallowing pills. Anxiety can exacerbate the feeling of something being stuck, so it’s essential to stay calm. If you find that you frequently have difficulty swallowing pills, you might consider discussing alternative forms of medication with your doctor, such as liquid formulations or smaller tablets.

If you are still feeling discomfort after swallowing the antibiotic, it may be beneficial to try eating soft foods or drinking warm liquids, which can help soothe the throat. However, if the sensation does not improve or worsens, seeking medical advice is the best course of action.

In summary, while it’s normal to feel anxious about swallowing pills, especially antibiotics, most issues can be resolved with adequate hydration and monitoring. Always follow your doctor’s instructions regarding medication, and don’t hesitate to reach out to them if you have ongoing concerns. Your health and comfort are paramount, and your healthcare provider is there to help you navigate any issues that arise during your treatment.

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