Choking Hazards: What to Do When Food Gets Stuck - Otolaryngology

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Choking on an object?


Hello, Doctor.
I am a student.
While I was eating sweet and sour pork ribs during evening study at school, I stood up to talk to a classmate and suddenly choked on a whole piece of pork rib.
I was still able to speak, but it was very uncomfortable.
I asked a classmate next to me if they had any water, and after drinking some, it cleared up.
The next day, I went to an ENT specialist (I live in a dormitory without family accompanying me).
The doctor performed a nasopharyngoscopy and said everything was fine, and it should have gone down to my stomach.
However, he mentioned that I might still feel a foreign body sensation in my throat for a day or two.
Why is that? Is it because the rib scratched my throat? Doctor, am I at risk of any long-term effects like brain damage due to lack of oxygen? (I apologize, Doctor.
I know I’m asking a lot of questions, and I’m making it difficult for you to respond.
I always worry my parents at home too.
But I really hope you can help me.
I still have many things I want to accomplish in life.) Thank you.
🙏

Xiao Zhan, 10~19 year old female. Ask Date: 2024/03/16

Dr. Zheng Jueyi reply Otolaryngology


The common sensation of a foreign body in the throat may be related to irritation caused by a foreign object.
If there is no significant difficulty swallowing or throat pain, you may monitor the situation on your own.
However, if you experience any of the above symptoms, it is advisable to return for a medical evaluation.

Reply Date: 2024/03/16

More Info


Choking is a serious concern, especially when it involves food that can obstruct the airway. In your case, it sounds like you experienced a mild choking incident with the sweet and sour pork ribs, but since you were still able to talk, it indicates that your airway was not completely blocked. This is often referred to as a "partial obstruction."
When food gets stuck in the throat, the body can react in various ways. The sensation of something being lodged in the throat can persist even after the obstruction has been cleared. This lingering feeling can be due to several factors:
1. Irritation or Scratching: The food item, especially if it is hard or has sharp edges, can cause minor abrasions or irritation in the throat. This can lead to inflammation, which may create a sensation of discomfort or the feeling of a foreign body in the throat.

2. Muscle Spasms: After a choking incident, the muscles in the throat may react by spasming, which can also contribute to the feeling of something being stuck.

3. Psychological Factors: Sometimes, after a choking incident, individuals may become more aware of their throat and swallowing, leading to heightened sensitivity and the perception of discomfort.

Regarding your concern about potential oxygen deprivation and long-term effects, it is important to note that if you were able to speak and breathe normally during the incident, the risk of serious complications such as brain damage from lack of oxygen is very low. However, if there had been a complete blockage, it could have led to more severe consequences. Since you were evaluated by an ENT specialist and they found no immediate issues, it is a positive sign.
To alleviate the discomfort you are experiencing, consider the following:
- Stay Hydrated: Drinking plenty of water can help soothe the throat and wash away any irritants.

- Warm Salt Water Gargle: Gargling with warm salt water can help reduce inflammation and irritation in the throat.

- Soft Foods: Eating soft foods that are easy to swallow may help ease the discomfort.

- Avoid Irritants: Stay away from spicy or acidic foods that could further irritate your throat.

If the sensation persists or worsens, or if you experience any difficulty swallowing, pain, or other concerning symptoms, it would be wise to follow up with a healthcare provider for further evaluation.

In the future, to prevent choking incidents, consider the following tips:
- Chew Thoroughly: Make sure to chew food well before swallowing, especially with tougher items like meat.

- Avoid Distractions: Try to focus on eating without engaging in conversations or standing up while eating, as this can increase the risk of choking.

- Know the Heimlich Maneuver: Familiarize yourself with the Heimlich maneuver and how to assist someone who is choking, as this knowledge can be invaluable in emergencies.

In summary, while your experience was concerning, it appears that you are recovering well. Continue to monitor your symptoms, stay hydrated, and practice safe eating habits to minimize the risk of future choking incidents.

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