What should you do if someone is choking. Find out the common causes and risks of choking, as well as step-by-step instructions on how to perform back blows and abdominal thrusts to clear a blocked airway.

The Dangers of Windpipe Choking

Choking happens when someone’s airway suddenly becomes blocked, either fully or partially, preventing them from being able to breathe. This is an extremely dangerous situation that requires immediate action, as the human brain can begin to suffer irreversible damage within just 5 minutes of interrupted breathing. Without prompt intervention, a person experiencing severe choking will eventually lose consciousness and could die.

Common Choking Hazards

There are certain food items and scenarios that pose a higher risk of choking, especially for children. Some of the most common choking hazards include:

• Hot dogs
• Hard candy
• Chewing gum
• Nuts and seeds
• Chunks of meat or cheese
• Whole grapes
• Popcorn
• Chunks of peanut butter
• Raw vegetables
• Raisins

Factors that Increase Choking Risk

Certain factors can heighten a person’s risk of choking, including:

1. Advanced age: As people grow older, their gag reflex may decrease, making them more susceptible to choking.
2. Alcohol consumption: Drinking excessive alcohol can impair the swallowing mechanism and gag reflex.
3. Swallowing disorders: Conditions like Parkinson’s disease that disrupt the swallowing process can lead to recurrent choking episodes and chest infections.
4. Taking large bites: Trying to swallow a bite of food that is larger than the mouth can handle increases the risk of the food becoming lodged in the airway.
5. Inattention while eating: Talking, laughing, or not chewing thoroughly while eating can cause someone to accidentally inhale or swallow food the wrong way.

What to Do for Mild Choking

If the airway is only partially blocked and the person is still able to speak, cry, cough, or breathe, this is considered a case of mild choking. In these situations, you should:

• Encourage the person to keep coughing to try to clear the blockage
• Ask them to try to spit out the object if it’s in their mouth
• Do not put your fingers in their mouth, as they may accidentally bite you
• If coughing does not clear the blockage, begin performing back blows

Clearing a Severe Airway Blockage

When choking is severe and the person is unable to speak, cry, cough, or breathe, immediate action is required. To perform back blows and abdominal thrusts:

1. Stand behind the person and slightly to one side. Support their chest with one hand and lean them forward to allow the object to come out of their mouth.
2. Give up to 5 sharp back blows between the shoulder blades with the heel of your hand.
3. If the blockage does not clear, give up to 5 abdominal thrusts.
4. Alternate between back blows and abdominal thrusts until the object is cleared or the person becomes unconscious.
5. If the person loses consciousness and is not breathing, begin CPR with chest compressions.

Remember, do not perform abdominal thrusts on babies under 1 year old or pregnant women. Always seek immediate medical attention after a choking incident, as abdominal thrusts can cause serious injuries that require examination by a healthcare professional.

Recognizing and Addressing Choking Complications

Even after a choking incident has been resolved, there are still some potential complications to watch out for:

• Persistent cough – This could indicate that something is still stuck in the throat and requires medical attention.
• Feeling that something is still stuck – The person may need to be examined by a doctor to ensure no foreign object remains lodged in the airway.
• Injuries from abdominal thrusts – These forceful maneuvers can cause internal injuries that require evaluation by a medical professional.

Don’t hesitate to seek urgent medical care at the nearest A&E, walk-in clinic, or by contacting your GP if any concerning symptoms arise after a choking episode.

Preventing Choking Emergencies

The best way to handle a choking situation is to prevent it from happening in the first place. Some tips to reduce the risk of choking include:

• Supervising young children closely during mealtimes
• Avoiding giving high-risk foods to children under age 4
• Chewing food thoroughly and eating slowly
• Refraining from talking, laughing, or multitasking while eating
• Being cautious about consuming alcohol, which can impair swallowing

By understanding the common causes of choking and taking proactive measures, you can help prevent these life-threatening emergencies from occurring.

What should I do if someone is choking?

Choking happens when someone’s airway suddenly gets blocked, either fully or partly, so they can’t breathe.

This information applies to adults and children over 1 year old.

If you want advice for babies under 1 year old, see What should I do if a baby is choking?

Mild choking: encourage them to cough

If the airway is only partly blocked, the person will usually be able to speak, cry, cough or breathe.

They’ll usually be able to clear the blockage themselves.

To help with mild choking in an adult or child over 1 year old:

• encourage them to keep coughing to try to clear the blockage
• ask them to try to spit out the object if it’s in their mouth
• don’t put your fingers in their mouth to help them as they may bite you accidentally

If coughing doesn’t work, start back blows.

Severe choking: back blows and abdominal thrusts

Where choking is severe, the person won’t be able to speak, cry, cough or breathe. Without help, they’ll eventually become unconscious.

To carry out a back blow on an adult or child over 1 year old:

• Stand behind them and slightly to one side. Support their chest with 1 hand. Lean them forward so the object blocking their airway will come out of their mouth, rather than moving further down.
• Give up to 5 sharp blows between their shoulder blades with the heel of your hand. The heel is between the palm of your hand and your wrist.
• Check if the blockage has cleared.
• If not, give up to 5 abdominal thrusts.

Abdominal thrusts

Don’t give abdominal thrusts to babies under 1 year old or pregnant women.

To carry out an abdominal thrust:

• Stand behind the person who’s choking.
• Place your arms around their waist and bend them forward.
• Clench 1 fist and place it right above their belly button.
• Put the other hand on top of your fist and pull sharply inwards and upwards.
• Repeat this movement up to 5 times.

If the person’s airway is still blocked after trying back blows and abdominal thrusts, get help immediately:

• Call 999 and ask for an ambulance. Tell the 999 operator the person is choking.
• Continue with the cycles of 5 back blows and 5 abdominal thrusts until help arrives.

If they lose consciousness and aren’t breathing, you should begin cardiopulmonary resuscitation (CPR) with chest compressions.

Find out how to do compression-only CPR and CPR with rescue breaths

Complications

Get urgent medical help at an A&E, NHS walk-in centre or a GP if:

• they have a persistent cough after choking
• they feel something is still stuck in their throat

Abdominal thrusts can cause serious injuries. A health professional such as your GP or a doctor in A&E should always examine someone after they have received abdominal thrusts.

Further information

Page last reviewed: 21 August 2018
Next review due: 21 August 2021

Common Choking Hazards and What to Do if You Choke

Last updated on 9 February 2021

Dr Dennis Chua, ear, nose and throat surgeon at Mount Elizabeth Hospital, explains what happens when food goes down the wrong pipe, and the most common scenarios where it happens.

If you swallow correctly, food is meant to go down your oesophagus into your stomach. When food goes down the ‘wrong pipe’, i.e. your trachea (commonly known as the windpipe), it causes choking.

Choking can be partial, where the airway is partly blocked. This may result in a chest infection, with symptoms such as coughing, wheezing or breathlessness.

When the airway is fully blocked, it is an emergency that requires immediate treatment to remove the object that is blocking the airflow. The human brain begins to die within 5 minutes of interrupted breathing. Irreversible brain damage occurs in about 10 minutes.

Most common choking foods

Common food items resulting in choking, especially in children, include

• Hot dog
• Hard candy
• Chewing gum
• Nuts and seeds
• Chunks of meat or cheese
• Whole grapes
• Popcorn
• Chunks of peanut butter
• Raw vegetables
• Raisins

Most common choking risks and scenarios

Advanced age

As you grow older, your gag reflex may decrease and this increases the chance of choking.

Drinking alcohol

Your swallowing mechanism and gag reflex can be impaired if you’ve had excessive alcohol.

Diseases resulting in swallowing problems

Parkinson’s disease is an example of a condition that disrupts the swallowing mechanism. Patients are prone to choking and recurrent chest infections.

Big bites

Taking a big bite of a steak larger than what your mouth can chew can result in improper swallowing and breathing, and thus choking. Eating too many small items like nuts at once can also result in choking since these nuts are small and can end up in the airway.

Inattention while eating

Sometimes when you’re talking, laughing and eating at the same time, your coordination of swallowing and breathing can lapse and result in choking. For kids, running while eating increases the chance of choking as the child may inhale the food while taking a deep breath.

What to do if you are choking?

You should immediately perform the universal sign of choking by grasping your neck with both hands if possible.

If you are alone, you should call the ambulance immediately. You can then attempt to self-perform the Heimlich manoeuvre to try to dislodge the food item as shown below.

• Place a fist slightly above your navel
• Grasp your fist with the other hand and bend over a hard surface – a countertop or chair will do
• Shove your fist inward and upward

What to do if someone else is choking?

A person experiencing severe choking will not be able to speak, cry, cough or breathe. Without help, they will eventually become unconscious. To help with severe choking:

• Stand behind the person who is choking, slightly to one side. Support their chest with one hand. Lean them forward so the object blocking their airway will come out of their mouth, rather than moving further down.
• Give up to 5 sharp blows between their shoulder blades with the heel of your hand.
• Check if the blockage has cleared. If not, give up to 5 abdominal thrusts.
• To carry out an abdominal thrust, stand behind the person who is choking.
• Place your arms around their waist and bend them forward.
• Clench one fist and place it right above their belly button.
• Put the other hand on top of your fist and pull sharply inwards and upwards.
• Repeat this movement up to 5 times.
• If the person’s airway is still blocked, continue with the cycles of five back blows and 5 abdominal thrusts until help arrives.
• If the person is choking mildly, encourage the person to keep coughing to try to clear the blockage, and ask them to try to spit out the object if it is in their mouth.

What about food that gets stuck in the throat?

Sometimes food goes down the ‘right pipe’ but gets stuck. For food that is stuck in the throat and not the airways, you can try drinking some water to see if it can move down.

However, if it is a bone that is stuck in the throat, do NOT attempt to remove it by yourself. Trying to remove the bone by using your fingers or swallowing mashed food like banana can lead to injury around the throat.

If food is stuck in your throat and cannot be removed, head to the accident and emergency (A&E) department immediately. Food that is stuck in the throat increases the risk of aspiration, where the food enters the windpipe, and this can be dangerous. A doctor can help to remove the food item safely. If the object is stuck at a deeper site in the throat, specialised equipment will be needed to remove the object.

During a medical emergency in Singapore, you can also call +65 6473 2222 for an ambulance that will transport you to the nearest hospital or a hospital of your choice. Learn more about Parkway Emergency services.

Article reviewed by Dr Dennis Chua, ENT specialist in Mount Elizabeth Hospital

References

What Should I Do If Someone Is Choking? (2018, August 21) Retrieved December 04, 2020, from https://www. nhs.uk/common-health-questions/accidents-first-aid-and-treatments/what-should-i-do-if-someone-is-choking/

Choking and the Heimlich Maneuver

When food or another foreign object becomes stuck in the airway it can cause choking. Choking prevents oxygen from getting to the lungs and the brain. Lack of oxygen to the brain for more than 4 minutes may cause brain damage or death. It is important for all people to recognize and know how to handle choking at home and in public places. Experts recommend using abdominal thrusts to treat someone who is choking.

How can I prevent choking?

You can prevent choking in adults by following these precautionary measures:

• Cut food into small pieces.

• Chew food slowly and thoroughly, especially if wearing dentures.

• Avoid laughing and talking while chewing and swallowing.

• Avoid excessive intake of alcohol before and during meals.

You can prevent choking in infants and children by following these precautionary measures:

• Keep marbles, beads, thumbtacks, latex balloons, coins, and other small toys and objects out of reach, particularly in children younger than 4 years old.

• Prevent children from walking, running, or playing when they have food and toys in their mouth.

• Youngsters under the age of 4 should not be fed foods that can easily become lodged in the throat, such as hot dogs, nuts, chunks of meat or cheese, grapes, hard or sticky candy, popcorn, chunks of peanut butter, or raw carrots.

• Supervise mealtimes with young children.

• Prevent older siblings from giving a dangerous food or toy to a young child.

What is the recommended first-aid technique for choking?

A series of under-the-diaphragm abdominal thrusts are recommended for a person who is choking on a piece of food or a foreign object. This technique is used only when a person is choking due to something blocking the airway. Choking is when a person can’t speak, cough, or breathe. An airway obstruction can lead to a loss of consciousness and death. When applying the abdominal thrusts, be careful not to use too much force so you don’t damage the ribs or internal organs. Only use abdominal thrusts on a conscious person if “back slaps” fail to relieve the airway obstruction. If the person is unconscious, use chest compressions.

Abdominal thrusts lift the diaphragm and forces enough air from the lungs to create an artificial cough. This cough is intended to move air through the windpipe, pushing, and expelling the obstruction out of the airway and mouth:

• Reach around the person’s waist.

• Position one clenched fist above the navel and below the rib cage.

• Grasp your fist with your other hand. Pull the clenched fist sharply and directly backward and upward under the rib cage 6 to 10 times quickly.

• If the person is obese or in late pregnancy, give chest compressions.

• Continue uninterrupted until the obstruction is relieved or advanced life support is available. In either case, the person should be examined by a healthcare provider as soon as possible. 

Abdominal thrusts can be painful and even injure the person. Only use abdominal thrusts in actual emergencies, when it is certain that the person is choking. Use this method only in adults.

A different technique is used in infants and small children. Discuss the proper first-aid choking technique for your child with his or her healthcare provider.

How can I learn the right way to help someone who is choking?

Using abdominal thrusts is simple to learn and is often taught during first-aid and cardiopulmonary resuscitation (CPR) classes. Contact your local chapter of the American Red Cross or American Heart Association or contact your local hospital or healthcare facility for a class schedule and more information.

What Is the Heimlich Maneuver?

Have you ever been so hungry that you feel like you could eat a horse? Unleashed on an all-you-can-eat pizza buffet, you attack with gusto! Breadsticks, pizza, more breadsticks…you start stuffing your face like there’s no tomorrow.

Unfortunately, eating very fast can be dangerous. Sometimes when people do so, they forget to chew well. This can lead to the very scary experience of choking on food. 

When people choke on food, they often grasp their throats. That’s because food is stuck there, preventing them from breathing. During very serious choking incidents, they may even start to turn blue or lose consciousness. 

If you’re ever around a person who’s choking on food or other objects, find an adult immediately. They may be able to help by using a special technique designed to clear the air passage. It’s called the Heimlich Maneuver. Read on to learn more!

Although choking has occurred since the beginning of time, the abdominal thrust technique for first aid has only been around since 1974. That’s when Dr. Henry Heimlich introduced his method for removing food stuck in the airway. It involves performing several quick abdominal thrusts to force air upward to push the food back out through the mouth.

Choking occurs when food goes down your windpipe (trachea) instead of your esophagus (the tube that goes from your throat to your stomach). This can happen when the epiglottis (a small piece of cartilage in the back of the throat) fails to close in time. This stops it from sealing off your trachea when you’re swallowing food or liquid.

Usually, when this happens, your body forces you to cough. Coughing uses the air in the lungs to force the food or liquid out of the trachea. When something completely blocks the trachea, though, air can’t get into or out of the lungs. That’s what we call choking.

When people choke, they often panic. They may gesture wildly and grab at their throat. They may also begin to turn blue as their bodies are deprived of oxygen they need to live. If this goes on long enough, they may become unconscious from lack of oxygen.

If you notice someone choking, it’s important to get help for them as quickly as possible. The Heimlich Maneuver uses the oxygen trapped in a person’s lungs to dislodge whatever is blocking the airway. This is accomplished by using abdominal thrusts. They force the air in a person’s lungs back up the trachea. This dislodges the blockage.

The Heimlich Maneuver is usually done by one person on another. But you can perform it on yourself. How can this be done? One way is to bend over a chair and use the back of the chair to force the air out of your lungs.

If you’d like to learn how to do the Heimlich Maneuver, you should learn from a trained professional. Perhaps you or your class or your entire family could take a first aid class! These are often offered by organizations such as the Red Cross.

Standards:

CCRA.L.3, CCRA.L.6, CCRA.R.1, CCRA.R.2, CCRA.R.4, CCRA.R.10, CCRA.SL.1CCRA.W.2, CCRA.W.4, CCRA.W.7, CCRA.L.1, CCRA.L.2

What Causes Choking at Night During Sleep?

So what exactly causes you to choke in your sleep?

Choking occurs when your breathing is impeded by a constricted or obstructed throat or windpipe. Choking in your sleep is caused by the relaxation of soft tissue in the neck. As your throat collapses air cannot reach the lungs effectively, it causes you to wake up suddenly from the choking. You can stop breathing for around 10 seconds, starving the brain of oxygen. People who suffer from undiagnosed Obstructive Sleep Apnoea can wake many times every hour from this process.

Does it mean I have OSA? If you experience frequent choking in your sleep, it is highly likely that you have Obstructive Sleep Apnoea – and a sleep test should be conducted as soon as possible to confirm. More often than not, the choking does not cause a person to wake up, and so they may be unaware this is happening until somebody else tells them that they were choking. Studies have shown that sufferers can take up to seven years before seeking treatment.

 Read: “Should I Take A Sleep Test?“

Choking and Sleep Apnoea

You may have been told or noticed that you suddenly gasp or choke during the night.  It is a distressing event to experience and worse to observe. Choking during sleep is a common symptom of the sleeping disorder Obstructive Sleep Apnoea (OSA). OSA affects an estimated 4 million adults in the UK and 87% of those people have not been diagnosed and therefore, do not receive treatment.

Other Common OSA Symptoms:
• Excessive daytime tiredness
• Loud and constant snoring
• Anxiety and depressions
• High blood pressure
• Headache (particularly in the morning)

OSA is also more common in men and associated with overweight individuals (BMI over 25%). 

If you are experiencing these symptoms, you need to take a sleep test. Our sleep test will confirm if you have OSA in 7 days and allow you to begin the treatment; in as little as two weeks.

Intus Healthcare Advice: OSA is treatable is almost every case, but OSA must be confirmed, either by a doctor or a sleep test before treatment or equipment can be purchased.

Are there any remedies to help prevent choking in sleep?

Treatments for sleep choking can vary on the severity of the condition. The first step you should take is to adjust your sleeping position at night so that you are always lying on your side, as this can help reduce the risk. You may also want to consider modifying your lifestyle by reducing your alcohol intake, avoiding smoking and maintaining a healthy diet.

1. Positional Therapy

Positional therapy is used to treat people who have sleep apnoea primarily when they sleep on their backs. When they sleep on their sides, their breathing returns to normal. For positional therapy, you will wear a special device around your back or waist. This will keep you sleeping on your side. Or, you might try a small vibrating device on the back of your neck. It won’t wake you up, but will start vibrating when you roll onto your back — which sends your body a message that prevents the rollover. Many people need positional therapy in addition to other sleep apnoea treatments.

2. Nutrition, lifestyle and weight loss

If appropriate, a nutrition and weight-loss program can often provide benefit. Living with a healthier body is known to have a significant, direct positive effect on sleep, OSAHS and many other health issues. A direct link between excess weight and both OSAHS and snoring severity has been shown, so if you are overweight you may find that weight loss provides an improvement in your OSA symptoms.

CPAP treatment should then solve the problem of choking in sleep and allow you to sleep properly again. We will help you with the next step if you are diagnosed.

If you would like any advice, then please call us on 0800 024 8050.

Choking First Aid (Infant, Up to Age 1 Year)

Choking happens when an object gets stuck in the throat or airway. This can block the flow of air and cut off oxygen to the brain. Your baby will have a weak cough and trouble breathing or noisy breathing.

Young babies may choke if they swallow breastmilk or formula too quickly or if they have too much mucus.

Any object small enough to go into your baby’s airway can block it. This includes small food pieces like nuts, grapes, beans, popcorn, hotdogs, or food that hasn’t been chewed well. Household objects like buttons, marbles, coins, latex balloons, and beads are also common choking hazards. Small toy parts can also cause your child to choke.

If your baby is choking, give first aid right away. This will clear the airway so your baby can breathe.

Signs of a blocked airway

These are signs of choking:

• Violent coughing

• A high-pitched sound when breathing in

• Your baby can’t cough, breathe, or cry

• Face turns pale and bluish 

At the first sign of choking

If your baby is conscious, having troublebreathing, and can’t cry or make sounds, start first aid for choking right away. This will clear the airway. Follow these guidelines:

1. Don’t put your finger into the baby’s mouth to remove the object. Your finger could push the object farther into the baby’s throat.

2. Have someone call 911 if you’re not alone.

3. Sit down. Then lay the baby stomach-down along your forearm. Support the baby’s face (head) and neck in your hand. If you need to, support your arm with the baby along your thigh. Make sure the baby’s head is slightly lower than the rest of his or her body. This will help dislodge the object more easily from the throat.

4. Use the heel of your free hand to give 5 quick thumps (back blows) between the baby’s shoulder blades.

5. If the object is still lodged, turn the baby face up on your forearm. Support the head. Place 2 or 3 fingers in the middle of the baby’s breastbone. Push down about 1/2 to 1 inch. Do this 5 times fast.

6. Check the baby’s mouth to see if the object is dislodged. If not, repeat steps 3 and 4 until the baby’s airway is clear and the baby is breathing normally.

If your baby is not breathing, becomes unconscious, or is unresponsive, follow these guidelines if you are not alone:

1. Have someone call 911 right away.

2. Lay the baby on a firm, flat surface, such as a table, the floor, or the ground.

3. Start infant CPR (cardiopulmonary resuscitation):

   • Give 30 chest compressions. To do this, use 2 fingers to gently push down on the center of your baby’s chest, just below the nipple line. Push in about 1.5 inches (4 cm). Do this 30 times fast. It should take about 20 seconds.

   • Tilt the baby’s head back and chin down. Check inside the mouth for an object. If you see it, carefully try to sweep it to the side. Be very careful to not push it further into the throat.

   • Give 2 rescue breaths. To do this, gently lift the chin up with one hand and tilt the head back. Cover your baby’s mouth and nose with your mouth. Gently give 2 puffs of air into your baby’s mouth and nose. Each breath should take about 1 second. Watch to see if the baby’s chest rises.

   • If the baby doesn’t start breathing, do another 30 chest compressions followed by 2 rescue breaths.

4. Continue CPR ( repeat all of step 3) until emergency service arrives or your baby starts breathing.

If your baby is not breathing, becomes unconscious, or is unresponsive, follow these guidelines if you are alone:

1. Lay the baby on a firm, flat surface such as a table or the floor or ground.

2. Do CPR for 2 minutes (5 cycles):

   • Give 30 chest compressions. To do this, use 2 fingers to gently push down on the center of your baby’s chest, just below the nipple line. Push in about 1.5 inches (4 cm). Do this 30 times fast. It should take about 20 seconds.

   • Tilt the baby’s head back and chin down. Check inside the mouth for an object. If you see it, carefully try to sweep it to the side. Be very careful to not push it further into the throat.

   • Give 2 rescue breaths. To do this, gently lift the chin up with one hand and tilt the head back. Cover your baby’s mouth and nose with your mouth. Gently give 2 puffs of air into your baby’s mouth and nose. Each breath should take about 1 second. Watch to see if the baby’s chest rises.

   • If the baby doesn’t start breathing, do another 30 chest compressions followed by 2 rescue breaths.

3. Call 911 after the 5th cycle.

4. Continue CPR (repeat step 2) until emergency service arrives or your baby starts breathing.

If you are alone, not trained in CPR, and a phone is nearby, call 911.

Prevention

• Watch your child during meals. Children should sit down to eat. Cut food into small, bite-sized pieces.

• Check each room in the house every day for small objects like buttons, coins, and toy parts.

• Try to find the cause of the choking and avoid future problems.

• Choose large, sturdy toys that don’t have sharp edges or small, removable parts. Safe toys are those that won’t fit into a toilet tissue roll.

• Check toys often for loose or broken parts.

• Remove drawstrings from clothing. Avoid tying balloons, long strings, or ribbons near the crib.

Follow-up care

Follow up with your child’s healthcare provider, or as advised.

Special note to parents

Anyone caring for an infant should learn infant or child CPR. Ask your child’s healthcare provider about CPR classes in your area.

Call

911

Call 911 if any of these occur:

• Continued choking or trouble breathing

• Wheezing or any unusual breathing noises after a choking incident. An airway that is partially blocked can become completely blocked.

• Skin, lips, and nails look blue or dusky

• Child is not alert or is unresponsive

What You Should Know About Choking On Saliva – South Florida ENT

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Salvia is that clear liquid produced by the salivary glands. Saliva aids in digestion while washing bacteria and food from the back of the mouth. The body produces typically 1 to 2 liters of saliva per day which the body swallows without difficulty. However, there will probably come a time in our lives when we will choke on saliva. For most people, this is not a severe health concern. People who choke on their saliva receive a diagnosis of hypersalivation which is characterized by an overproduction of saliva. Although choking on saliva happens to everyone, repeatedly choking on saliva may signal an underlying medical problem.

The Symptoms Of Choking On Saliva

If the muscles involved in swallowing deteriorate or stop functioning correctly, then choking on saliva can occur. Gagging and coughing when you have not eaten or drank anything is a symptom of choking on saliva. You may also notice the following symptoms:

• Gasping for air
• Inability to breathe or talk
• Waking up coughing or gagging

Causes Of Choking On Saliva

Possible reasons a person might choke on saliva include the following:

• Acid Reflux. When stomach acid drifts back into the esophagus and mouth, saliva production increases to wash away the acid. Saliva pools in the back of mouth causing choking.
• Sleep-related abnormal swallowing. Saliva collects in the mouth during sleep and flows into the lungs, which lead to aspiration and choking.
• Lesions in the throat. Benign and cancerous lesions narrow the esophagus and make swallowing saliva difficult, causing choking.
• Poor-fitting dentures. Salivary glands produce saliva when they detect objects in the mouth. Dentures may be mistaken for food, causing excessive production of saliva in the mouth leading to choking.
• Neurological disorders. These disorders can damage the nerves in the back of the throat. The result is often difficulty swallowing and choking on saliva.
• Heavy alcohol use. Excessive alcohol consumption slows muscle response — saliva pools in the back of the mouth instead of flowing down the throat.
• Excessive talking. When you talk excessively and don’t stop to swallow, saliva can go down the windpipe into the lungs triggering choking.
• Allergies. The thick mucus that accompanies allergies might not flow smoothly down the throat. The saliva collects in the back of the throat, causing one to choke.
• Hypersalivation during pregnancy. Nausea and morning sickness often comes with hypersalivation, which may cause choking.
• Drug-induced hypersalivation. Certain medications can cause increased saliva production. These medications include clozapine, aripiprazole, and ketamine.

How To Prevent Choking On Saliva

Prevention involves the reduction of saliva production, improving the flow of saliva down the throat, and the treatment of underlying health problems that may contribute to the problem. Some helpful tips include the following:

• Slow down and swallow when speaking.
• Sleep with head propped up to allow saliva to flow down throat.
• Try sleeping on the side instead of back.
• Consider raising the head of the bed to keep stomach acid in the stomach.
• Drink alcohol in moderation.
• Eat small meals.
• Sip water regularly to help clear saliva from your mouth.
• Avoid sucking on candy.
• Chew sugarless gum.

What is the danger of laryngeal edema, and how to remove it – useful tips

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Laryngeal edema is a dangerous pathological condition in which the tissues swell and the lumen of the windpipe narrows. Because of this, a person may suffocate. When the swelling develops rapidly, a person needs an ambulance.

Symptoms of laryngeal edema

When a person has laryngeal edema, the symptoms are as follows:

• Sensation of a foreign body or a lump in the throat
• • Voice change – severe hoarseness
  • Hyperemia (redness) of the mucous membrane of the throat
  • Noisy
  • Sore throat
  • Inability to swallow saliva
  • Choking

  Also, some cases of edema are characterized by an increase in temperature.

  Puffiness can manifest itself at different rates, depending on the cause. In some cases, symptoms develop with lightning speed, and a person can die from asphyxiation if medical attention is not provided in time.

  Causes of laryngeal edema

  Laryngeal edema can develop in inflammatory ENT diseases, allergies, and also due to other reasons.

  Inflammatory diseases

  Quite often, swelling is associated with various diseases of the pharynx and larynx. It is caused by laryngitis, pharyngitis and laryngeal angina.Edema occurs in the inflamed submucosal layer and subglottic space and gradually grows, narrowing the lumen of the windpipe. It can also be caused by infectious diseases: influenza, SARS, scarlet fever, measles, diphtheria.

  Allergy

  One of the common causes of laryngeal edema is allergies. At the same time, puffiness develops rapidly, immediately after the allergen hits the mucous membrane. The most common irritants are pollen, animal hair and dust. Also, allergic laryngeal edema can develop if a person has taken an allergen with food, or has an intolerance to certain medications.

  Other reasons

  • Ingress of foreign bodies into the larynx
  • Mechanical injuries of the neck
  • Inhalation of aggressive chemicals
  • Tumors in the larynx
  • Phlegmon and abscesses in the neck

  Diagnostics

  Visual examination is used for the diagnosis of edema. The doctor sees that the tissues of the larynx are swollen, the lumen has narrowed. To establish the cause, the ENT performs an indirect laryngoscopy. It shows inflammation, swelling, damage, tissue thickening.Sometimes, to clarify the diagnosis, additional examinations can be prescribed – at the discretion of the doctor.

  What to do if you have laryngeal edema

  Laryngeal edema, first aid:

  1. Free your neck
  2. Take a comfortable sitting position
  3. If you are indoors, open the window wide to provide fresh air
  4. Put cold on your neck compress
  5. If the swelling develops rapidly – call an ambulance
  6. Instill a vasoconstrictor into the nose – to make it easier to breathe
  7. Rinse the throat with epinephrine hydrochloride
  8. If you are allergic, the laryngeal edema is removed with antihistamines

  When a person has severe laryngeal edema than remove – the doctor knows.We need to call an ambulance. The doctor will deliver an injection, if necessary, make a tracheostomy and conduct resuscitation.

  Laryngeal edema in a child

  If you notice laryngeal edema in a child, immediately call an ambulance. This can be deadly for the baby. Children’s lumens of the respiratory organs are noticeably narrower than in adults. Therefore, their swelling develops rapidly and quickly leads to suffocation.

  While you are waiting for doctors, calm your child. Free his neck, make a warm bath for hands and feet.If the child is allergic, give antihistamines.

  Treatment of swelling of the throat and larynx

  To remove the swelling, you need to eliminate the cause. If a patient has an inflammatory airway disease, they are treated with medications and special procedures. With allergic edema, a course of antihistamines helps, but the best treatment is specific immunotherapy. With edema caused by tumors of the larynx, surgery is performed to remove them.

  More precise treatment can be obtained from an ENT doctor. He will determine the cause of the puffiness and select a comprehensive therapy. This will help not only relieve the attack, but also avoid dangerous edema in the future.

  Possible complications

  With severe edema, acute stenosis of the larynx may develop. The lumen of the organ is almost completely narrowed, which makes it difficult for the patient to breathe. His breathing becomes noisy, with severe shortness of breath. You have to strain your neck muscles to take a breath. Because of this, little air enters the body, and oxygen starvation develops.The skin turns pale at first, then turns blue. The pulse slows down. As a result, asphyxia occurs, and the person dies.

  Prevention

  To prevent the tissues of the larynx from swelling, it is recommended to treat ENT diseases in time, get vaccinated against infections, and regularly see a doctor. If you have an allergy, always carry antiallergenic drugs with you to relieve the attack.

  Make an appointment

  How to prevent aspiration | Memorial Sloan Kettering Cancer Center

  This information explains what you can do to prevent aspiration when eating, drinking, or tube feeding.

  to come back to the beginning

  About aspiration
  

  Aspiration is the entry of food or liquid into the respiratory tract instead of the esophagus. The esophagus is the tube that carries food and fluids from the mouth to the stomach. Aspiration can occur when you eat or drink, or when you are receiving tube feeding. It is also possible with vomiting or heartburn.

  You may be at risk of aspiration if you have trouble swallowing. This is because food or liquid can get stuck in the back of the throat and enter the airways.Aspiration can cause pneumonia, respiratory infections (infections of the nose, throat, or lungs), and other health problems.

  Signs of aspiration
  

  Signs of aspiration include:

  • cough;

  90,013 suffocation;

  • vomiting;
  • sore throat;
  • vomiting.

  You and your caregiver should watch for these signs before, during, and after you eat or drink, or while you are feeding with a tube.

  If you develop any of these signs, stop eating, drinking, or tube feeding. Call your healthcare provider right away.

  to come back to the beginning

  Prevention of aspiration
  

  Follow the guidelines below to prevent aspiration from food and drink by mouth:

  • Do not be distracted by, for example, talking on the phone or watching TV, while eating or drinking.
  • Cut food into small pieces that fit whole in your mouth. Always chew food thoroughly before swallowing.
  • Eat and drink slowly.
  • Sit up straight when eating or drinking as much as possible.
  • If you eat or drink in bed, use a wedge-shaped pillow to raise yourself up. This pillow can be ordered online or purchased from your local surgical supply store.
  • Remain in a seated position (45 degrees minimum) for at least 1 hour after eating or drinking (see.picture 1).

  Figure 1. Sitting at a 45 degree angle

  • If possible, always keep the head of the bed raised using a wedge-shaped pillow.

  Follow these guidelines to prevent aspiration when tube feeding:

  • Sit upright if possible while receiving power from the tube.
  • If you are tube feeding in bed, use a wedge-shaped pillow to raise yourself up.This pillow can be ordered online or purchased from your local surgical supply store.
  • Remain in a seated position (45 degrees minimum) for at least 1 hour after tube feeding has ended (see Figure 1).
  • If possible, always keep the head of the bed raised using a wedge-shaped pillow.

  to come back to the beginning

  Maintaining the rhythm of food intake
  

  To avoid aspiration, it is important to take your time when eating.To avoid eating more than you can digest, follow these guidelines:

  • If you are tube feeding bolus, do not inject more than 360 milliliters (ml) of formula at a time. Inject each serving for at least 15 minutes.
  • If you are tube feeding, do not inject more than 480 ml of formula at a time. Inject each serving for at least 30 minutes.
  • If you are feeding with a tube inserted into the small intestine (duodenum or jejunum), do not give more than 150 ml of formula at a time.

  If you have any questions, call your Clinical Dietitian Nutritionist at 212-639-7312 or a qualified nutritionist at 212-639-6984.

  to come back to the beginning

  When to contact your healthcare provider
  

  Contact a healthcare professional if you develop any of the following symptoms:

  • Any sign of aspiration, such as coughing or gagging;
  • temperature 100.4 ° F (38 ° C) or higher;
  • breathing problems;
  • whistle when breathing;
  • pain on breathing;
  • cough with mucus.

  If you have trouble breathing or have any other emergency, call 911 right away or go to the nearest emergency room.

  to come back to the beginning

  90,000 Tracheitis, treatment of acute and chronic tracheitis in the NEARMEDIC network of clinics

  Symptoms of tracheitis

  • paroxysmal cough;
  • Difficulty breathing
  • intercostal retractions;
  • noisy breathing;
  • sore throat;
  • voicelessness;
  • respiratory failure;
  • Difficulty swallowing;
  • increased temperature;
  • general weakness.

  Distinguish between acute, chronic and allergic forms of tracheitis.

  Acute tracheitis

  This disease occurs as a result of the penetration of viruses or microbes into the body (staphylococcus, streptococcus).

  Symptoms of acute tracheitis in adults are manifested by sore throat, rawness, hoarseness, dry cough, burning sensation behind the breastbone. Sometimes patients complain of fever and lethargy. When the infection spreads down the respiratory tract, tracheobronchitis occurs, in which case dry wheezing can be heard.

  The infection is transmitted by airborne droplets. Sputum production, accompanied by coughing, occurs mainly at night and in the morning.

  Four to five days after the onset of the disease, sputum discharge begins, a dry cough is replaced by a wet one, and the signs of tracheitis gradually subside. From this period, the patient is no longer contagious, and after a week he is already completely safe for others.

  Most often, acute tracheitis is treated without the need for hospitalization. Therapy is aimed at eliminating the causes of the disease (viral or bacterial infections), and at relieving symptoms, manifested in the form of a painful cough.Dry cough accompanying tracheitis is treatable in a short period of time, but it is important to complete the prescribed course of therapy to the end in order to avoid relapse.

  Treatment of acute tracheitis with symptoms that pose a threat to the patient (asthma attacks, high fever and other complications) provides for inpatient treatment.

  Chronic tracheitis

  This disease is manifested by sluggish inflammation of the trachea and is not infectious. The causes of this ailment lie in a decrease in immunity, frequent hypothermia, poor nutrition and alcohol consumption.Under the influence of these reasons, conditionally pathogenic flora is activated and inflammation of the upper respiratory tract occurs.

  Very often, chronic inflammation of the laryngeal mucosa occurs in smokers. In this case, the disease immediately begins in a chronic form, bypassing the acute one. Exposure to nicotine causes a “barking” cough in the morning, accompanied by a discharge of viscous yellow or greenish phlegm.

  Chronic tracheitis can develop from an acute form, or result from diseases leading to stagnation of blood in the respiratory organs (kidney disease, heart disease, pulmonary emphysema, and others).Treatment of chronic tracheitis is similar to that of acute tracheitis. When separating mucopurulent sputum, broad-spectrum antibiotics are prescribed in conjunction with concomitant therapy.

  Allergic tracheitis

  In this case, inflammation of the mucous membrane of the windpipe is caused by various allergens: food, paints, medicines, pollen and even house dust. This ailment very often occurs in combination with other allergies.

  This form of the disease is manifested by bouts of dry cough, especially pronounced at night and in the morning.In addition, the patient is worried about loss of voice and a sore throat.

  Allergic inflammation of the trachea may also be accompanied by shortness of breath, suffocation, headache. In this case, the temperature does not rise.

  Treatment of tracheitis

  • In the presence of a viral or microbial infection, interferon and antibiotics (ampicillin, doxycillin, azithromycin, etc.) are indicated. Medicines should only be selected by a doctor;
  • Excellent results are obtained by water and water-steam inhalations;
  • For wet and dry coughs, expectorants (ambroxol, bromhexine, licorice root) are prescribed.They contribute to the liquefaction and discharge of phlegm;
  • In a chronic inflammatory process, the same symptomatic treatment is indicated as in an acute one. In this case, it is important to improve the state of the immune system and, of course, quit smoking. The preparation bronchipret, made on the basis of herbal ingredients, helps with this form of the disease. It promotes the liquefaction and evacuation of sputum and mucus;
  • Treatment of the allergic form of the disease is carried out by an immunologist.In this case, examinations are carried out to identify the allergen and antihistamines are prescribed.

  Untreated tracheitis in adults is very dangerous. In the absence of adequate therapy, a descending infection occurs that spreads to the bronchi and lungs. A formidable complication of the allergic form is bronchial asthma.

  Treatment of tracheitis during pregnancy requires special care and constant monitoring by a doctor. Depending on the nature of the disease and the duration of pregnancy, the specialist will develop the most gentle and effective therapy system, correcting it if necessary.

  If you have signs of tracheitis, see a good doctor immediately. You can visit both the therapist and the allergist at any of the NEARMEDIC clinics. The doctor will prescribe tests that can be taken in the treatment rooms of the clinics, then prescribe treatment.

  90,000 Memo to Parents – about croup syndrome in children

  Memo to Parents – about croup syndrome in children
  (developed by specialists of the Federal State Autonomous Institution “National Medical
  Research Center for Children’s Health “)

  In children of the first years of life, false croup occurs quite often, so parents need to have an idea about this special disease. Recognizing the symptoms of croup early will help you cope with this condition more quickly.
  
  

  What is false croup?

  • Croup is difficulty breathing due to narrowing of the larynx. To feel where the larynx is, you can put your hand on the front of your neck and make any sound. The larynx will vibrate under your hand.
  • True croup is an inflammation of the larynx in diphtheria, when the lumen of the larynx is blocked by dense films.Fortunately, thanks to mass vaccinations around the world, this formidable serious illness is extremely rare today.
  • False croup is a condition in which it becomes difficult for a child to breathe due to swelling and narrowing of the airways. The reason is a viral infection that leads to swelling of the mucous membrane not only in the nasopharynx, but also in the larynx of the trachea. The most common cause of croup is the parainfluenza virus. The mucous membrane becomes inflamed under the influence of the virus, swells, and although films, as in diphtheria, are not formed, the result is the same – it is difficult for the child to breathe.
  • The part of the airway in the larynx is quite narrow, and if the mucous membrane swells, it can completely block the larynx, and air will not enter the lungs. In children under 5-6 years of age, the airways are narrower than in adults, therefore, croup against the background of a viral infection usually develops in the first years of life, not occurring in older children and adults.
  If a baby has a cold cough becomes “barking”, and the voice is hoarse, inhalation becomes noisy and difficult, it can be assumed that he develops croup syndrome.
  

  Can false croup be prevented?

  • Not all children have croup. But one or two false croup at a young age is a common situation that does not raise concerns about the future.
  • What predisposes to the development of croup? Obviously, there are children with features of the anatomy of the larynx, respiratory tract, who are more prone to this disease. Often, some of the parents of such babies also had croup in childhood. On the other hand, there are viruses that cause croup more often than others.Therefore, meeting with these infectious agents increases the likelihood of developing false croup.
  • In most cases, false croup develops no more than one or two times in a lifetime. But there are children in whom almost every respiratory illness is complicated by croup.
  • With age, the likelihood of developing croup decreases, and after 6-7 years, this condition usually occurs only in special cases; in children with malformations of the larynx and trachea or in children with allergic reactions (laryngeal edema is associated not with a viral infection, but with allergies).

  How does it all start?
  Usually, the usual symptoms of an acute respiratory infection appear first, that is, a runny nose, cough, and possibly a fever. The first signs of the proximity of a false croup appear or intensify in the evening and early in the morning: this is a growing dry “barking” cough and a hoarse voice. Then the inhalation becomes “noisy” – at first only during crying or anxiety, that is, when the baby breathes deeper and faster. After a while, in the absence of treatment, these symptoms persist in a calm state.
  With croup, it is difficult for the baby to inhale, that is, the inhalation is noisy, with effort, and the exhalation remains normal. During inhalation, you can see how the jugular fossa (a depression in the lower part of the neck between the collarbones) is drawn inward. This symptom appears only with pronounced swelling of the respiratory tract and is the reason for immediate assistance to the child.
  
  

  What to do with false rump?

  • So, the main three signs of the development of a false croup in a child are hoarseness, a rough “barking” cough (you can’t confuse it with anything!) And noisy breathing.In a child with a viral infection (with a runny nose), these symptoms usually appear suddenly at night or in the morning.
  • If this happened in your child, first of all, you need to calm yourself and the child, because with excitement, crying, the muscles of the larynx contract, and it becomes even harder to breathe.
  • Call an ambulance!
  • To relieve the condition, you can apply a cold one to the front of the neck. You can open a window. Steam inhalation may help somewhat.
  • However, these funds do not help everyone and, in addition, the procedure can waste valuable time!
  • If you have experienced this condition before, most likely you have a nebulizer, budesonide for inhalation at home and clear instructions from your pediatrician about the sequence of your actions.
  • If this is not the case, and the situation is new for you, call the ambulance, do not waste time watching the child.
  • Usually, for croup, the doctor prescribes special inhalations with a hormonal drug. Do not be intimidated by the word “hormonal”, because this drug acts only locally – in the respiratory tract, eliminating inflammation, and no other medicine for false croup will be so effective.
  • In severe cases, the doctor will give the child a hormonal drug (prednisone or dexamethasone) intramuscularly. Don’t worry about side effects, because short courses of hormonal therapy are safe and life-saving in such situations!
  • If you are offered to hospitalize a child, do not refuse, because after temporary relief of breathing problems I can recur!
  
  

  What if not croup?

  Even if you are an experienced parent and know how to deal with false croup in your children, you need to remember that there are conditions that can be confused with false croup.These include, for example, inflammation of the epiglottis (the cartilage that covers the larynx when swallowing). This disease is called epiglottitis: the child’s temperature usually rises above 39 ° C, sore throat worries, mouth is difficult to open, salivation appears (problems with swallowing). In this case, hormonal drugs will not help. The child needs to be urgently hospitalized, and it is necessary to transport him in the presence of medical personnel, in a sitting position, without causing any discomfort in order to reduce his anxiety. If the epiglottis is inflamed, the child is admitted to the hospital and treated with antibiotics. But this disease is rare, and viruses cause false croup, therefore, in the vast majority of cases, it is pointless to treat croup with antibiotics.

  90,000 MRI of throat, larynx, pharynx, trachea

  Medical and Diagnostic Center “Kutuzovsky” offers to make an MRI of the throat, pharynx and larynx in Moscow with or without contrast using modern equipment.

  The larynx is the part of the respiratory system located between the pharyngeal cavity and the trachea. MRI of the throat and larynx is a research method in which it is possible to obtain clear and high-quality images of the area under study with high resolution. The informativeness of the diagnostic results makes it possible to establish an accurate diagnosis and prevent the development of various diseases.

  The photos show:

  • individual features of the throat structure;
  • sizes, shape, structure and contours of the lymph nodes;
  • soft tissues and blood vessels;
  • structural features of the nasopharynx and upper esophagus;
  • the presence of formations.

  What does an MRI of the larynx show?

  MRI of the larynx and throat allows to detect the arising pathologies of the upper respiratory tract. This study is used to detect malignant tumors and is considered one of the most accurate. The principle of its operation is based on capturing molecular vibrations in the generated magnetic field and subsequent processing of the obtained data with a special program. As a result, a snapshot is obtained that allows you to detect pathologies of any tissue. With the help of magnetic resonance imaging of the throat, diseases such as:

  • neck injuries and their consequences;
  • pathology of the thyroid gland and vocal cords;
  • phlegmon of soft tissues of the cervical region;
  • inflammation of the lymph nodes;
  • congenital soft tissue cysts.

  Laryngeal edema is not an independent disease, but it is a symptom that indicates various abnormalities in the body. Laryngeal edema can be associated with injury, infection, allergic reactions, or swelling.

  In addition, MRI of the larynx is prescribed if the following symptoms are present:

  • Difficulty breathing or swallowing
  • attacks of suffocation;
  • pain and burning sensation in the throat;
  • Constant (or intermittent) hoarseness of the voice;
  • Asymmetry in the neck, asymptomatic swelling.

  Also, MRI of the throat makes it easy to determine the presence of foreign bodies in the larynx that do not contain metal. The resulting image displays all tissues, in contrast to other instrumental studies. In addition, magnetic resonance imaging is completely safe, which distinguishes it from, for example, radiography.

  One of the indications for the appointment of magnetic resonance imaging of the throat is the suspicion of a neoplasm or the need to assess the effectiveness of the antitumor therapy.

  Many specialists can prescribe an MRI of the throat, including: otolaryngologist, surgeon, neurologist, oncologist.

  MRI of the larynx and throat with contrast

  MRI of the larynx and throat can be performed using a special contrast agent. When conducting such a study, the drug is administered intravenously. Thanks to the contrast agent, it is possible to assess the prevalence of the pathological process and establish its nature.

  In our clinic we use contrast agents Magnevist and Gadovist.Both of these drugs are based on gadolinium salts, a rare earth metal with a silvery color. Gadolinium salts are non-toxic and are rapidly excreted from the body. However, there is a risk of an allergic reaction to the contrast agent (it is necessary to consult a specialist before starting the examination).

  As a rule, MRI of the throat with contrast is used to diagnose cancer. Due to the increased blood circulation in the tumor, gadolinium salts accumulate in it, which makes it possible to clearly see the localization of the neoplasm and its boundaries in the picture. In the structure of oncological diseases, malignant neoplasms localized in the neck and head region account for 6%. The first place is occupied by tumors of the larynx. Squamous cell carcinoma is most often diagnosed by specialists. The first symptoms of the disease are hoarseness and sore throat.

  Preparation for MRI of the throat (contraindications)

  MRI of the throat does not require any preliminary manipulations. Before undergoing an MRI of the larynx, the doctor should make sure that there are no contraindications.They are:

  • The patient is less than 7 years old. It is believed that children do not have the proper perseverance and will not be able to behave calmly during the procedure.
  • Early pregnancy (first trimester). At this time, there is a small chance of harming the fetus. To completely eliminate the risk, other methods are used.
  • Allergies and renal failure. They become contraindications in cases of using a contrast medium during MRI.
  • Availability of pacemakers or metal prostheses.

  Before the examination, it is necessary to get rid of metal objects and things that can be damaged by a magnetic field. They are:

  • Watches, piercings, coins.
  • Bank plastic cards.
  • Electronic devices such as a mobile phone.

  Advantages and disadvantages of MRI of the larynx

  The larynx is quite complex in structure.The diagnosis of diseases of this department is hampered by the large overcrowding of various important organs in a small volume. In many cases, it is not possible to detect ailments in a timely manner. An MRI of the throat prevents the doctor from examining the bone structures. This is the disadvantage of this diagnostic method.

  The indisputable advantages of MRI of the throat over other studies include:

  • safety and non-invasiveness. The body is not exposed to harmful radiation.Therefore, MRI of the pharynx can be performed several times in a row;
  • Imaging in three planes at once, layer-by-layer with a layer thickness of up to 0.5 mm. This allows the study to examine the internal organs from all sides;
  • the ability to detect diseases at an early stage;
  • high information content: MRI can replace all examinations of the larynx, such as ultrasound, laryngoscopy, X-ray;
  • for a clearer image, it is possible to use special contrast agents.

  Examination of the larynx using tomography allows doctors to assess the prevalence of the pathological process and to clarify the nature of changes in soft tissues.

  In modern medicine, magnetic resonance imaging is considered the most reliable way to diagnose many diseases. It allows you to see soft tissue, tendons, blood vessels, lymph nodes, and more. No other hardware study can provide such a complete picture today.Therefore, in many cases, an MRI of the pharynx is considered mandatory.

  You can sign up for a paid MRI of the throat and larynx at the best price by calling the indicated numbers and through a special contact form.

  90,000 Lump in the throat turned out to be a sign of deadly diseases

  https://ria.ru/20210427/kom-1730073275.html

  A lump in the throat turned out to be a sign of deadly diseases

  A lump in the throat turned out to be a sign of deadly diseases – RIA Novosti, 27.04.2021

  A lump in the throat turned out to be a sign of a deadly disease

  The feeling of a lump in the throat may indicate dangerous diseases, therapist Irina Eskova told Channel Five about this. RIA Novosti, 27.04.2021

  2021-04-27T03: 07

  2021-04-27T03: 07

  2021-04-27T07: 47

  society

  health

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  MOSCOW, April 27 – RIA Novosti. The feeling of a lump in the throat may indicate dangerous diseases, therapist Irina Eskova told Channel Five about this. According to her, a lump in the throat is a great danger when it comes to infection with viruses. “With angina, for example, the inflammatory process can lead to edema, suppuration, and this can provoke suffocation and blockage of the airways – this is very dangerous,” Eskova explained.The specialist warned that in such a situation, it is necessary to immediately seek medical help. In addition, a sensation of a lump in the throat can occur with malignant neoplasms, in this case it becomes difficult not only to eat, but also to drink water and even breathe. , traumatic brain injury and various kinds of neuroinfections, the doctor said. According to Eskova, it is not uncommon for a lump in the throat to be a symptom of diseases of the gastrointestinal tract, for example, heartburn, ulcers and hiatal hernia.”An enlarged thyroid gland with diffuse toxic goiter can also squeeze the soft tissues of the larynx. In diseases of the cervical spine with displacement of the disc, a lump in the throat is caused by compression of the nerve roots. At the same time, it is accompanied by pain when swallowing, which can be given to the ear and lower jaw”, – said the physician. Eskova added that the sensation of a lump in the throat most often appears with strong nervous tension or stress for a long time. After returning to normal, this feeling disappears.

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  society, health

  MOSCOW , April 27 – RIA Novosti. The feeling of a lump in the throat may indicate dangerous diseases, therapist Irina Eskova told Channel Five about this.

  According to her, a lump in the throat is a great danger when it comes to infection with viruses. “With angina, for example, the inflammatory process can lead to edema, suppuration, and this can provoke suffocation and blockage of the airways – this is very dangerous,” Eskova explained.

  April 23, 03:00 AM The doctor told what diseases acne on the face indicates.

  The specialist warned that in such a situation it is necessary to immediately seek medical help. In addition, a feeling of a lump in the throat can occur with malignant neoplasms, in this case it becomes difficult not only to eat food, but also to drink water and even breathe.

  If, along with this sensation, serious perspiration appears and it becomes difficult to swallow, this may be the result of a stroke, traumatic brain injury and all sorts of neuroinfections, the doctor said. According to Eskova, it is not uncommon for a lump in the throat to be a symptom of diseases of the gastrointestinal tract, for example, heartburn, ulcers and hiatal hernia.

  “An enlarged thyroid gland with diffuse toxic goiter can also compress the soft tissues of the larynx.In diseases of the cervical spine with a displacement of the disc, a lump in the throat is caused by compression of the nerve roots. At the same time, it is accompanied by pain when swallowing, which can be given to the ear and lower jaw, “the doctor said.

  Eskova added that the sensation of a lump in the throat most often appears with strong nervous tension or stress for a long time. this feeling disappears.

  April 26, 12:03

  Scientists predicted a surge in heart disease due to pandemic 90,000 Laryngeal stenosis in a child – ProMedicine Ufa

  Stenosis of the larynx in children – a disease characterized by a narrowing of the lumen, as a result of which breathing is qualitatively difficult for a certain period of time.

  Mortality among young children with advanced stenosis is too high and at the very first symptoms the countdown goes on for hours and minutes of the child’s life.

  Stenosis of the larynx in children always begins the same: with signs of a common cold. At first, the child becomes very anxious and restless, the first cough appears, the temperature rises. For several days, the full visibility of a viral infection may remain and nothing more. But the clinical picture changes quite quickly, sometimes several hours are enough for the baby to begin to develop suffocation.

  Reasons

  The cause of stenosis can be not only viruses or bacteria, but also allergic reactions to home treatment: honey, raspberries, inhalations with herbs, pine buds, fir oil. Very often, children give out a suffocation on the smell of Vietnamese balsam “Zvezdochka”, flowering plants, cosmetics, perfume, gasoline and other chemicals. Food allergens are also unsafe in this regard: citrus fruits, red vegetables and fruits, chicken eggs, sea fish, seafood, nuts, chocolate and other sweets.

  Symptoms

  The first signs of an illness in a baby may not be noticed even by the most attentive parents. This is explained by the fact that the symptoms of stenosis are very similar to the clinical manifestations of ordinary acute respiratory infections. The crumbs may have a slight increase in body temperature, as well as a runny nose.

  The next stage of development of stenosis is characterized by severe paroxysmal cough, hoarse voice and rapid noisy breathing. Fear among parents should also be caused by the fact that the child’s condition is rapidly deteriorating, he becomes lethargic and irritable, which indicates the onset of hypoxia.

  Diagnostics

  Stenosis of the larynx in children is diagnosed by a differential method, as a result of which it is possible to identify the causes and distinguish between laryngeal stenosis from laryngospasm, tracheal stenosis, an attack of bronchial asthma. Stenosis is detected by examination and palpation against the background of severe symptoms.

  To qualitatively identify the cause of stenosis, the following examinations are performed: tomography, laryngoscopy, radiography of the larynx and the entire esophagus, ultrasound examination of the thyroid gland, bacteriological examinations from the pharynx, tracheobronchoscopy.

  Treatment

  Laryngeal stenosis in children develops too quickly and there is no need to waste time. In case of obvious suffocation, an injection of prednisone can be given to make breathing easier for the baby. You just need to know for sure that there is no other choice and judge, if possible, sensibly: if the doctors are already on the way, and hot steam and rubbing the legs help, the child is breathing, then you should not inject the drug.

  Calling an ambulance followed by a visit to the local pediatrician is vital for recovery.First, the attack can be repeated, but the drug cannot be injected every time. The child is in dire need of good and complex treatment, undergoing a course of physiotherapy, antibiotic treatment and elimination of laryngeal edema.

  At the time of an attack, there is often a critical situation, then specialists have to carry out an operation on the spot. A section is made in the trachea to allow air to enter, a special tube is inserted.

  During a crisis, constant monitoring is necessary and it can only be provided under stationary conditions.

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