From the Research
If you're experiencing esophageal irritation after choking, rest your throat and stick to soft, cool foods and liquids for 24-48 hours, as this approach is supported by the most recent and highest quality study available 1. The causes of esophageal irritation after an episode of choking can be multifactorial, including:
- Foreign bodies scraping against the delicate lining of the esophagus, causing inflammation and discomfort 2
- Iatrogenic or traumatic esophageal injuries, which can lead to perforation or infection 3, 4
- Spontaneous esophageal perforation, which can occur after vomiting or straining, and is often associated with increased intra-abdominal pressure 3 To manage esophageal irritation, it is essential to:
- Avoid hot, spicy, acidic foods, alcohol, and smoking, which can worsen irritation
- Use over-the-counter throat lozenges, liquid antacids like Maalox or Mylanta, or pain relievers such as acetaminophen to manage discomfort
- Sip warm (not hot) tea with honey to soothe the area However, it is crucial to seek immediate medical attention if you experience:
- Difficulty swallowing
- Inability to swallow liquids
- Chest pain
- Shortness of breath
- Fever
- Worsening or persistent symptoms after 2-3 days, as these could indicate complications like a perforation or infection 1, 4, 5 The most recent and highest quality study available 1 suggests that conservative management strategies, such as observation and awaiting spontaneous disimpaction, may be effective in managing esophageal soft food bolus impaction, but caution should be exercised when using these strategies, and definitive endoscopic management should be considered within 24 hours.