Symptoms of Tracheal Foreign Body in Adults

Q: Symptoms of Tracheal Foreign Body in Adults

Hello： Generally, foreign objects entering the trachea can cause severe coughing. <br>If symptoms such as persistent cough, fever, chest pain, or wheezing occur, it is advisable to seek medical attention for evaluation. <br>Wishing you safety and health. <br>Sincerely, Dr. <br>Ch

Symptoms of tracheobronchial foreign body obstruction?

Dr.
Zheng, I apologize for bothering you during this busy time of the pandemic.
Here’s the situation: I have chronic pharyngitis and acid reflux, and while eating, I had some fried food.
Afterward, I drank pearl green tea and suddenly felt discomfort in my throat, accompanied by a sensation of belching.
At that moment, some tapioca pearls went down the wrong way.
I would like to ask, if they were to enter the trachea, what symptoms might occur? Currently, I have no fever, and I climbed two flights of stairs (from the 1st to the 9th floor) while wearing a mask without experiencing any shortness of breath or difficulty breathing.
There is no cough, just a dry cough-like sensation, and no chest tightness or severe pain.
Thank you.

Awei, 30~39 year old female. Ask Date: 2022/06/12

Dr. Zheng Jueyi reply Otolaryngology

Hello: Generally, foreign objects entering the trachea can cause severe coughing.
If symptoms such as persistent cough, fever, chest pain, or wheezing occur, it is advisable to seek medical attention for evaluation.
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: 2022/06/12

More Info

Understanding the symptoms of a tracheal foreign body in adults is crucial, especially in the context of your recent experience with a potential aspiration incident. When a foreign object, such as food or in your case, a tapioca pearl, enters the trachea, it can lead to a range of symptoms that may vary in severity depending on the size and nature of the object, as well as the individual's overall health.

In adults, the symptoms of a tracheal foreign body can include:
1. Coughing: This is often the first response of the body to try to expel the foreign object. It can be a forceful cough or a persistent dry cough, which you mentioned experiencing.

2. Choking Sensation: Many individuals report a feeling of something being stuck in their throat or chest, which can be distressing.

3. Wheezing or Stridor: If the foreign body partially obstructs the airway, it can cause wheezing (a high-pitched whistling sound during breathing) or stridor (a harsh, raspy sound during inhalation). This occurs due to turbulent airflow around the obstruction.

4. Difficulty Breathing: Depending on the degree of obstruction, you may experience shortness of breath or a sensation of not being able to get enough air. In your case, you mentioned no significant breathing difficulties, which is a positive sign.

5. Chest Pain or Discomfort: Some individuals may experience pain or discomfort in the chest area, particularly if the foreign body is causing irritation or inflammation.

6. Voice Changes: If the foreign body is located near the vocal cords, it may lead to hoarseness or changes in voice.

7. Cyanosis: In severe cases, where there is significant airway obstruction, a person may develop cyanosis, which is a bluish discoloration of the skin due to lack of oxygen. This is a medical emergency.

Given that you have chronic pharyngitis and experienced discomfort after eating, it is possible that the sensation you felt was related to irritation from the food or a mild aspiration event. The absence of fever, significant shortness of breath, or severe coughing is reassuring, but it is essential to remain vigilant.

If a foreign body is suspected to be lodged in the trachea, it is crucial to seek medical attention promptly. Healthcare providers may perform a physical examination, listen to your lungs, and possibly conduct imaging studies like a chest X-ray or CT scan to assess the situation. In some cases, bronchoscopy may be necessary to visualize and remove the foreign body.

In conclusion, while your current symptoms do not indicate a severe reaction, it is essential to monitor your condition closely. If you experience worsening symptoms, such as increased difficulty breathing, persistent cough, or any signs of distress, do not hesitate to seek immediate medical care. Always prioritize your health and safety, especially in situations involving potential airway obstruction.

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