Is It Normal to Choke on Nasal Mucus? ENT Insights - Otolaryngology

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Choked on nasal mucus?


Hello Dr.
Cheng: Thank you for your response to my previous inquiry.
However, I feel that my situation yesterday was slightly different, so I apologize for asking again.
The main issue is that I did not feel a significant amount of mucus in my nose; I only sensed a small amount of watery substance when inhaling (which I believe to be nasal mucus, as it was not very thick and in small quantity).
Therefore, I would like to ask if it is normal or common for non-viscous nasal mucus to flow into the throat and trachea during inhalation, causing a sensation of choking and subsequently triggering a cough.
Thank you, Dr.
Cheng.

Axiang, 30~39 year old female. Ask Date: 2015/04/10

Dr. Zheng Jueyi reply Otolaryngology


Dear Ah Xiang,
Hello.
Generally, when inhaling, nasal mucus flows with the air into the throat, but it usually does not enter the trachea; instead, it goes into the esophagus and is swallowed.
If it does enter the trachea, it can trigger a normal cough reflex.
Occasional occurrences are normal, but if it happens frequently, it is advisable to seek medical evaluation.
Wishing you safety and health.
Sincerely,
Dr.
Cheng Jue-Yi
Director, Department of Otolaryngology
Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2015/04/10

More Info


Choking on nasal mucus can be an uncomfortable and concerning experience, but it is not uncommon. The sensation of mucus entering the throat during inhalation can occur for several reasons, particularly when there is a presence of nasal congestion or increased mucus production.
When you breathe in, air flows through the nasal passages and can carry with it any mucus present. If the mucus is thin and watery, it may not cause significant obstruction, but it can still lead to a sensation of choking or coughing if it reaches the throat. This is especially true if you have been experiencing nasal congestion or allergies, which can lead to increased mucus production.
In your case, you mentioned that you felt a small amount of watery mucus in your nose, which could easily be inhaled into the throat. This can happen during normal breathing, particularly if you are lying down or in a position that allows mucus to flow more easily from the nasal passages to the throat. It is also possible that environmental factors, such as dry air or allergens, could contribute to the sensation of mucus accumulation.

Choking on mucus can also be more pronounced in individuals with certain conditions, such as allergic rhinitis, sinusitis, or even gastroesophageal reflux disease (GERD), where mucus can be produced in excess or can be more easily aspirated. In cases of allergies, the body produces more mucus to trap allergens, which can lead to a feeling of congestion and the potential for mucus to be inhaled.

If this sensation occurs infrequently and resolves quickly, it may not be a cause for concern. However, if you find that you are frequently choking on mucus, or if you experience other symptoms such as persistent cough, difficulty breathing, or changes in your voice, it would be advisable to consult with an ENT specialist. They can perform a thorough examination to rule out any underlying conditions that may be contributing to your symptoms.

In terms of management, there are several strategies that may help reduce the occurrence of choking on mucus:
1. Stay Hydrated: Drinking plenty of fluids can help thin mucus, making it less likely to cause choking.

2. Use a Humidifier: Keeping the air moist can help prevent mucus from becoming thick and sticky, which can reduce the likelihood of it being inhaled.

3. Nasal Irrigation: Using saline nasal sprays or performing nasal irrigation can help clear mucus from the nasal passages and reduce congestion.

4. Allergy Management: If allergies are a contributing factor, consider discussing allergy medications or treatments with your healthcare provider.

5. Posture: Being mindful of your posture, especially when sleeping, can help reduce the likelihood of mucus flowing into the throat.

In conclusion, while choking on nasal mucus can be a common occurrence, it is important to monitor the frequency and severity of the episodes. If they become more frequent or are accompanied by other concerning symptoms, seeking medical advice is recommended to ensure there are no underlying issues that need to be addressed.

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