Choked and worried about it going into the airway?
I choked on crushed pearls or tapioca while drinking, and I coughed lightly at the moment, feeling like the food went down.
Because the particles are smaller, I'm worried that they might have gone into my trachea or bronchi.
I found many alarming cases of bronchial foreign bodies online, which made me anxious.
At that time, I felt a bit dizzy and short of breath, but I'm not sure if it was just my anxiety causing it.
I want to know if something really did go down my respiratory tract, would I be unable to control a strong cough at the moment of choking (even if the food particles are very small)? I'm concerned that if I go to the hospital for an examination due to choking, it might waste medical resources.
Should I go to a clinic or a major hospital for an examination, or should I observe if there are any specific symptoms or abnormalities? (I know that searching for my symptoms online can cause unnecessary panic and misunderstanding, but I read that the quiet period for bronchial foreign bodies can last for years, which still makes me feel uneasy.)
Bryan, 10~19 year old female. Ask Date: 2022/01/14
Dr. Wang Lanfeng reply Pulmonology
Hello: The bronchial tubes in the human body instinctively produce a cough response to external irritants in order to expel foreign objects.
Based on your description, the sago pearls you accidentally inhaled may have already been expelled due to your coughing reflex.
Even if they were not expelled, given the size of the sago pearls, some of them may be absorbed by the bronchial tubes.
If they are not absorbed, they could potentially cause an inflammatory response.
You should monitor your symptoms, and if you continue to experience coughing or fever, please seek medical attention at a pulmonology clinic as soon as possible.
Thank you.
Reply Date: 2022/01/14
More Info
Choking on food, especially small particles like tapioca pearls or sago, can indeed be a concerning experience. It's understandable to feel anxious after such an incident, particularly with the wealth of information available online about airway obstructions and foreign bodies in the respiratory tract. Let's break down your concerns and provide some guidance on when to seek medical help.
First, it's important to understand the mechanics of choking. When a person chokes, the airway becomes obstructed, which can lead to difficulty breathing, coughing, or even loss of consciousness in severe cases. If you experienced a brief cough and felt the food go down, it is likely that you cleared the airway successfully. However, the sensation of dizziness and shortness of breath could be attributed to a few factors, including anxiety, which is common after a choking incident.
In general, if a small piece of food or a foreign object enters the airway, the body typically responds with a strong cough reflex. This reflex is designed to expel any obstruction. If you were able to cough, even lightly, it suggests that your airway was not completely blocked. However, if you were to choke severely, you would likely experience a more intense coughing fit, difficulty speaking, or an inability to breathe.
Now, regarding your specific situation, here are some guidelines on when to seek medical attention:
1. Persistent Symptoms: If you continue to experience symptoms such as coughing, wheezing, difficulty breathing, or a feeling of something stuck in your throat, it is advisable to seek medical help. These symptoms could indicate that a piece of food is still lodged in your airway or that there is irritation or inflammation.
2. Severe Symptoms: If you experience severe difficulty breathing, chest pain, or loss of consciousness, you should seek emergency medical attention immediately. These are signs of a serious airway obstruction.
3. Observation Period: If you feel fine after the initial incident, it may be reasonable to monitor your symptoms for a short period. If you notice any changes or develop new symptoms, it would be wise to consult a healthcare professional.
4. Medical Evaluation: If you are still feeling anxious about the incident, or if you have any lingering concerns, visiting a healthcare provider for peace of mind is a valid choice. They can perform a physical examination and may recommend imaging studies if they suspect any complications.
5. Avoiding Future Incidents: To prevent choking in the future, consider eating slowly and chewing food thoroughly. Avoid talking or laughing while eating, and be cautious with small food items that can easily become lodged in the throat.
In summary, while it is natural to feel anxious after a choking incident, the key is to listen to your body. If you have any persistent or worsening symptoms, do not hesitate to seek medical attention. It's always better to err on the side of caution when it comes to airway concerns. Your health and peace of mind are paramount, and healthcare professionals are there to help you navigate these situations safely.
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