Can Swallowing Issues Cause Foreign Body Aspiration? - Otolaryngology

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Foreign body obstruction?


Doctor, I took a B-complex supplement called He Li Ta Ming after lunch today.
While I was taking it, I was distracted and swallowed it along with water without any swallowing action.
Afterwards, I felt strange and induced vomiting.
I'm concerned that without a swallowing action, the supplement could have entered my trachea.
I visited a clinic in the afternoon, but they didn't take any X-rays.
I'm really worried.

A Chang, 30~39 year old female. Ask Date: 2022/03/01

Dr. Zheng Jueyi reply Otolaryngology


Hello, if a foreign object enters the trachea, it should trigger a severe cough reflex under normal circumstances.
If there are no obvious coughing symptoms, the object is likely to have entered the esophagus and moved to the stomach.
If you have already sought medical attention, you can monitor your condition.
However, if discomfort persists, it is advisable to return for further examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2022/03/01

More Info


Swallowing issues can indeed lead to foreign body aspiration, which is a serious medical concern. When we swallow, a complex series of actions occurs that involves the coordination of various muscles and reflexes to ensure that food and liquids go down the esophagus and not into the trachea (windpipe). If this process is disrupted, such as by distraction or improper swallowing technique, there is a risk that food or other substances can enter the airway instead of the esophagus.

In your case, it sounds like you were distracted while taking your medication, which may have affected your swallowing reflex. If you did not actively swallow and instead allowed the substance to go down without the proper swallowing action, there is a possibility that it could have entered your trachea. This is particularly concerning with small, solid objects or pills, as they can easily become lodged in the airway, leading to choking or aspiration pneumonia if they are not expelled or removed.

The symptoms of aspiration can vary. Some individuals may experience immediate coughing, choking, or difficulty breathing, while others may not notice any symptoms right away. If you felt "weird" after taking the medication, it could be a sign that something went awry during the swallowing process. It is also important to note that even if you did not experience immediate symptoms, aspiration can still lead to complications later on, such as inflammation or infection in the lungs.

Since you visited a clinic and did not receive imaging, it is understandable that you might still feel anxious about the situation. If you are experiencing any persistent symptoms such as coughing, wheezing, difficulty breathing, or fever, it is crucial to seek further medical evaluation. A healthcare provider may recommend a chest X-ray or other imaging studies to check for any signs of aspiration or related complications.

In the meantime, here are some steps you can take to ensure your safety and well-being:
1. Monitor Symptoms: Keep an eye on any respiratory symptoms. If you notice any changes, such as increased coughing, difficulty breathing, or fever, seek medical attention immediately.

2. Stay Hydrated: Drink plenty of fluids to help clear your throat and esophagus. This can also help if you feel any discomfort.

3. Avoid Distractions While Eating: In the future, try to focus on your meals and medications without distractions. This can help ensure that you swallow properly and reduce the risk of aspiration.

4. Consult a Specialist: If you continue to feel anxious or have concerns about your swallowing ability, consider consulting a speech-language pathologist who specializes in swallowing disorders. They can provide an assessment and recommend strategies to improve your swallowing technique.

5. Follow Up with Your Doctor: If you have ongoing concerns, do not hesitate to follow up with your healthcare provider. They can provide reassurance and further evaluation if necessary.

In summary, while swallowing issues can lead to foreign body aspiration, it is essential to monitor your symptoms and seek medical advice if you have any concerns. Taking precautions during meals and medications can help prevent similar situations in the future.

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