Choking: Symptoms and When to Seek Help - Pulmonology

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Regarding choking?


Hello Dr.
Wu, I have a situation.
A few days ago, I drank beef noodle soup in the evening and added some chili, which caused my throat to become sensitive.
Since then, I have been feeling that my breathing is not smooth, and I can feel my breathing rate at all times.
Sometimes, I experience a tight feeling in my chest without any significant cough or thick phlegm.
I visited a small clinic where the doctor used a stethoscope and ruled out signs of aspiration pneumonia.
I would like to ask: Q1.
If liquid enters the trachea, what symptoms might occur? Q2.
For the tightness in my chest (sometimes on the left side and sometimes on the right), which specialist should I see? [I occasionally experienced tightness before choking, but it was not frequent.]

Wanfu, 30~39 year old female. Ask Date: 2020/09/18

Dr. Wu Yingxun reply Pulmonology


Hello: Please first have a chest X-ray and then perform pulmonary function tests.

Reply Date: 2020/09/18

More Info


Hello! Thank you for reaching out with your concerns regarding choking and the symptoms you are experiencing. It sounds like you have had a challenging experience with your recent meal, and I’m here to help clarify some important points regarding choking, its symptoms, and when to seek medical help.


Understanding Choking
Choking occurs when an object, such as food or liquid, obstructs the airway. This can lead to a range of symptoms depending on the severity of the obstruction. In mild cases, the person may be able to cough or speak, while in more severe cases, the airway may be completely blocked, leading to a medical emergency.


Symptoms of Choking
1. Mild Choking:
- Coughing
- Gagging
- Wheezing or difficulty breathing
- Feeling of tightness in the throat
2. Severe Choking:
- Inability to cough, speak, or breathe
- Cyanosis (bluish color of the lips or face)
- Loss of consciousness

Your Symptoms
From your description, it seems you are experiencing some discomfort in your throat and chest after consuming spicy beef noodle soup. You mentioned feeling a sensation of breathlessness and chest tightness, which can be concerning.
1. If Liquid Enters the Trachea:
- If liquid accidentally enters the trachea (the windpipe), it can lead to aspiration, which may cause aspiration pneumonia. Symptoms of aspiration pneumonia can include:
- Coughing
- Difficulty breathing
- Chest pain
- Fever
- Increased heart rate
- Since you mentioned that a doctor has already ruled out aspiration pneumonia, it’s a good sign, but you should continue to monitor your symptoms.

2. Chest Tightness:
- The sensation of chest tightness can be caused by various factors, including anxiety, gastroesophageal reflux disease (GERD), or even muscle strain. Given that you have experienced this sensation before, it may be worth exploring further.

- If the tightness persists or worsens, especially if accompanied by other symptoms like shortness of breath, it is crucial to seek medical attention.


When to Seek Help
You should seek medical help if you experience any of the following:
- Persistent difficulty breathing or swallowing
- Severe chest pain or tightness that does not improve
- Symptoms of aspiration pneumonia (as mentioned above)
- Any new or worsening symptoms that concern you

Which Specialist to See
For your symptoms of chest tightness, you may want to start with a visit to a primary care physician. They can perform a thorough evaluation and, if necessary, refer you to a specialist such as a pulmonologist (for lung-related issues) or a gastroenterologist (for digestive issues) depending on their findings.


Conclusion
It’s important to listen to your body and take your symptoms seriously. While it’s good that you have already consulted a doctor, if your symptoms persist or worsen, don’t hesitate to seek further medical advice. Remember, early intervention can often lead to better outcomes. Take care, and I hope you feel better soon!

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