Dealing with Food Aspiration: When to Seek Medical Attention - Otolaryngology

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Choked on a grain of rice?


Hello, doctor.
I would like to ask about an incident that occurred on Friday during dinner.
While eating rice with soup, I accidentally inhaled some rice grains while trying to sip the soup, which caused me to cough.
At that moment, I didn't feel too much discomfort and continued eating.
Later that night, I felt a sensation of something stuck in my throat.
I tried to cough it out, but nothing came up.
The next day, I noticed that my throat was slightly inflamed and painful.
I have a history of nasal allergies, and my throat has been producing phlegm, along with nasal congestion.
Over the weekend, I attempted to induce coughing again, but the sensation remained in my throat (swallowing saliva was fine, but drinking warm water made me feel like there was something stuck).
I'm worried that it might be lodged in my trachea.
I also tried deep breathing to see if it would help it return to my esophagus.
On Monday, I attempted to swallow water as a test, but it was difficult to assess due to the throat inflammation.
For the past few days, I haven't felt the urge to cough unless I specifically try to.
I'm unsure if I should drink warm water to help with the inflammation or seek medical attention.
Thank you.

emily, 20~29 year old female. Ask Date: 2023/12/04

Dr. Zheng Jueyi reply Otolaryngology


It is not recommended to drink hot water, as it can cause further swelling of the soft tissues in the throat, leading to a more pronounced sensation of foreign body presence.
If discomfort persists, it is advisable to seek medical evaluation and treatment from an otolaryngologist.

Reply Date: 2023/12/04

More Info


When dealing with food aspiration, it is crucial to understand the potential complications and when to seek medical attention. Aspiration occurs when food, liquid, or other substances enter the airway instead of the esophagus, which can lead to choking, coughing, or even more severe respiratory issues such as aspiration pneumonia. In your case, it seems you experienced a mild aspiration incident while eating, which is not uncommon. However, the symptoms you describe warrant careful consideration.

Firstly, the immediate response to aspiration typically involves coughing, which helps clear the airway. If you were able to cough and continue eating without significant distress, it may indicate that the aspiration was not severe. However, the subsequent development of a sensation of a foreign body in your throat, along with inflammation and pain, suggests that the aspiration may have caused irritation or even a mild injury to your throat or airway.

Given your symptoms of throat inflammation, pain, and the sensation of something being stuck, it is advisable to monitor your condition closely. Here are some key points to consider:
1. Persistent Symptoms: If the sensation of a foreign body in your throat persists, or if you experience worsening pain, difficulty swallowing, or increased coughing, it is essential to seek medical attention. These could be signs of a more serious issue, such as a blockage or an infection.

2. Signs of Aspiration Pneumonia: Be vigilant for symptoms of aspiration pneumonia, which may include fever, chills, increased cough, difficulty breathing, or chest pain. If you develop any of these symptoms, you should seek medical care immediately.

3. Hydration and Soothing Remedies: Drinking warm fluids can help soothe an irritated throat. Warm water, herbal teas, or broths may provide relief. However, if swallowing becomes painful or difficult, it is better to avoid solid foods and seek medical advice.

4. Avoiding Irritants: Given your history of nasal allergies, it is wise to avoid irritants such as smoke, strong odors, or allergens that could exacerbate your throat discomfort.

5. Medical Evaluation: If your symptoms do not improve within a few days, or if you have any concerns about your breathing or swallowing, it is crucial to consult a healthcare professional. They may perform a physical examination, and if necessary, imaging studies or endoscopy to assess your throat and airway.

In summary, while mild aspiration incidents can often resolve on their own, your ongoing symptoms suggest that it would be prudent to consult a healthcare provider. They can provide a thorough evaluation and determine if any further intervention is necessary. Remember, it is always better to err on the side of caution when it comes to respiratory health.

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