How to Handle Choking: Tips for Relief and Recovery - Otolaryngology

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What should you do if you choke?


Doctor, I choked while eating.
Initially, I had a cough, but now when I swallow, I feel like there is a grain of rice or food stuck in the area between my nose and throat (I'm not sure).
However, I can't swallow it down even when I try to swallow saliva.
Will this resolve on its own? How should I handle this? Thank you.

Monica, 40~49 year old female. Ask Date: 2015/11/30

Dr. Zheng Jueyi reply Otolaryngology


Hello: It is possible that coughing may bring stomach acid up, causing temporary inflammation and discomfort, which usually improves on its own.
However, if the discomfort persists or if you have concerns, you may visit an otolaryngology clinic for an examination.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/11/30

More Info


Choking can be a serious medical emergency, and it’s essential to understand how to respond effectively. Based on your description, it seems you may have experienced a partial obstruction of your airway, which can lead to discomfort and difficulty swallowing. Here’s a comprehensive guide on how to handle choking, along with tips for relief and recovery.


Immediate Response to Choking
1. Assess the Situation: If you are able to cough, speak, or breathe, it indicates that your airway is not completely blocked. In this case, encourage yourself to cough forcefully to try to expel the object. Coughing is your body’s natural reflex to clear the airway.

2. Heimlich Maneuver: If you cannot breathe, cough, or speak, you may be experiencing a complete blockage. In this case, the Heimlich maneuver (abdominal thrusts) can be performed:
- Stand behind the person (or yourself if alone).

- Place your arms around the waist.

- Make a fist with one hand and place it just above the navel.

- Grasp your fist with the other hand and thrust inward and upward sharply.

- Repeat until the object is expelled or the person becomes unconscious.

3. Call for Help: If the choking does not resolve quickly, call emergency services immediately. If you are alone and unable to resolve the choking, try to reach for your phone to call for help while performing the Heimlich maneuver on yourself by leaning over a hard surface.


After the Choking Incident
Once the object is expelled, or if you regain your ability to breathe normally, it’s crucial to monitor your condition. Here are some steps to follow:
1. Stay Calm: Anxiety can exacerbate the situation. Take deep breaths and try to relax.

2. Hydration: If you feel discomfort in your throat, sipping water can help soothe it. However, avoid drinking large amounts immediately after choking, as it may induce further coughing.

3. Avoid Solid Foods: Until you feel completely normal, stick to soft foods and liquids. This will help prevent any further irritation in your throat.

4. Monitor Symptoms: If you continue to feel something stuck in your throat, or if you experience pain, difficulty swallowing, or persistent coughing, seek medical attention. It’s possible that a small piece of food or debris may still be lodged in your throat, which could lead to complications.

5. Follow-Up Care: If you have persistent symptoms after the choking incident, such as pain or difficulty swallowing, consult a healthcare provider. They may perform a physical examination or imaging studies to ensure there are no remaining obstructions or injuries.


Recovery and Prevention
1. Dietary Adjustments: After a choking incident, consider modifying your eating habits. Chew food thoroughly and avoid talking or laughing while eating. This can help reduce the risk of future choking incidents.

2. Education: Familiarize yourself with the signs of choking and the appropriate responses. Consider taking a first aid course that includes training on how to handle choking emergencies.

3. Medical Evaluation: If you frequently experience choking or difficulty swallowing, it may be indicative of an underlying condition such as dysphagia (difficulty swallowing) or esophageal issues. A healthcare provider can evaluate your symptoms and recommend appropriate treatment.

In conclusion, while choking can be alarming, knowing how to respond can save lives. If you experience any lingering symptoms or discomfort after the incident, do not hesitate to seek medical attention. Your health and safety are paramount, and understanding how to handle such situations can empower you to act effectively in emergencies.

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