Choking on Medication: When to Seek Emergency Care? - Family Medicine

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Choking on medication?


If you accidentally choked while taking medication and are experiencing pain in the left side of your chest 15 minutes later, it is important to monitor your symptoms closely.
The pain could be a result of irritation or inflammation in the esophagus or a potential aspiration of the medication into the airway.

If you are concerned about a pill being lodged in your trachea or the possibility of aspiration pneumonia, it is advisable to seek medical attention.
Visiting the emergency department would be prudent, especially if you experience difficulty breathing, persistent pain, coughing, or any other concerning symptoms.

John, 20~29 year old female. Ask Date: 2021/01/16

Dr. Wu Zongying reply Family Medicine


Hello: If you choke on water or liquid, as long as you cough it out immediately, there should be no problem.
However, if it enters the trachea, there may be a risk of aspiration pneumonia.
If you experience persistent chest pain, or even have fever, chills, or productive cough, it is advisable to seek medical evaluation.

Reply Date: 2021/01/16

More Info


Choking on medication can be a concerning situation, and it's important to understand the potential implications and when to seek emergency care. If you experience choking while taking medication and subsequently feel pain in your chest, especially on the left side, it is crucial to take this seriously.
When a person chokes, there is a risk that the medication could become lodged in the airway, which could lead to obstruction. If the obstruction is partial, the person may still be able to breathe, cough, or speak, but if it is complete, they will be unable to do so. In cases of partial obstruction, the body may be able to clear the obstruction through coughing. However, if you are experiencing pain in your chest after choking, it could indicate that the medication has caused irritation or injury to the esophagus or that it is lodged in a way that is affecting your breathing.

The pain you are feeling could also be a sign of aspiration, which occurs when food or medication enters the airway and lungs instead of the esophagus. This can lead to aspiration pneumonia, a serious condition that requires medical attention. Symptoms of aspiration pneumonia may include coughing, difficulty breathing, fever, and chest pain.
Given that you have experienced pain for 15 minutes after choking, it is advisable to seek emergency care. Medical professionals can perform a thorough evaluation, including a physical examination and possibly imaging studies, to determine if the medication is lodged in your airway or if there are any other complications. They may also assess your lung function to check for signs of aspiration pneumonia.

In emergency settings, healthcare providers may use various interventions, such as bronchoscopy, to remove any foreign objects from the airway or to treat any complications that may have arisen from the choking incident. It is always better to err on the side of caution when it comes to choking, especially if there are accompanying symptoms like chest pain.

In summary, if you choke on medication and experience chest pain, it is important to seek emergency care promptly. Do not wait for symptoms to worsen, as timely intervention can prevent serious complications. Always remember that your health and safety are paramount, and it is better to have a medical professional evaluate your condition than to risk potential complications from choking or aspiration.

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