How to Handle a Choking Sensation After Accidental Ingestion

Accidental ingestion of foreign objects?

Recently, I have a puppy at home and noticed that it has ticks.
However, when I applied the medication, I forgot to wear a mask.
After applying the medication, I washed my hands and cleaned up, but I felt something strange in my throat, as if there was something hard lodged in it.
I accidentally swallowed it, and since then, my throat has felt like something is stuck, and I also have a tightness in my chest.
How should I handle this?

Zhang, 10~19 year old female. Ask Date: 2020/11/12

Dr. Hong Yuanbin reply Internal Medicine

Hello, based on your description, it does not seem like an accidental ingestion.
Additionally, whether it is a tick or any other object you came into contact with, the likelihood of it getting stuck in your throat is very low unless it is something sharp like a fishbone.
I suggest you drink some warm water and try to relax.
You should only seek consultation with an otolaryngologist if the pain persists for several days.
Thank you for your question.

Reply Date: 2020/11/12

More Info

Experiencing a choking sensation after accidental ingestion can be quite alarming and uncomfortable. It is essential to approach this situation with caution and awareness of the potential underlying causes. Here’s a comprehensive guide on how to handle this situation, along with some medical insights.

Immediate Steps to Take
1. Stay Calm: Anxiety can exacerbate the sensation of choking. Take deep breaths to help calm yourself down.

2. Assess Symptoms: Pay attention to your symptoms. If you are experiencing severe difficulty breathing, persistent chest pain, or if the sensation worsens, you should seek immediate medical attention.

3. Drink Water: Sometimes, drinking a glass of water can help clear the throat and alleviate the sensation of something being stuck. Take small sips and see if this helps.

4. Coughing: If you feel something lodged in your throat, try to cough forcefully. This can help dislodge any small particles that may be causing the sensation.

5. Avoid Solid Foods: Until you feel better, avoid eating solid foods that could further irritate your throat or exacerbate the choking sensation.

When to Seek Medical Help
- Persistent Symptoms: If the sensation of something stuck in your throat persists for more than a few hours, or if you develop additional symptoms such as fever, difficulty swallowing, or increased pain, it is crucial to consult a healthcare professional.

- Severe Symptoms: If you experience severe chest pain, difficulty breathing, or if you start to cough up blood, call emergency services immediately.

Possible Medical Explanations
The sensation you are experiencing could be due to several factors:
1. Irritation: The throat may be irritated from the accidental ingestion of the medication or from the chemicals in the flea treatment. This irritation can cause inflammation, leading to a sensation of tightness or choking.

2. Esophageal Spasm: Sometimes, the esophagus can spasm in response to irritation, which can create a feeling of something being stuck.

3. Anxiety: Psychological factors can also play a role. Anxiety about having ingested something harmful can lead to heightened awareness of bodily sensations, which may feel like choking.

4. Allergic Reaction: If you are allergic to any of the ingredients in the flea treatment, this could lead to swelling in the throat, which may cause a choking sensation.

Follow-Up Care
- Consult a Doctor: If symptoms persist, it is advisable to see a healthcare provider. They may perform a physical examination and possibly order imaging studies, such as an X-ray or endoscopy, to determine if there is any obstruction or other underlying issue.

- Medication Review: Discuss any medications you have taken, including the flea treatment, with your doctor. They can provide guidance on whether any side effects could be contributing to your symptoms.

- Hydration and Diet: Maintain good hydration and consider a soft diet until your throat feels normal again. This can help minimize irritation.

Conclusion
While the sensation of choking after accidental ingestion can be distressing, many cases resolve with simple measures such as drinking water and resting. However, it is essential to monitor your symptoms closely and seek medical attention if they worsen or do not improve. Always prioritize your health and safety, and do not hesitate to reach out to a healthcare professional for guidance and support.

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