Choking (Asphyxia)

12 min read

Choking, also known as asphyxia, is a condition in which the body is deprived of oxygen. It can be caused by a variety of factors, including blockage of the airway, suffocation, or drowning. Choking can be a life-threatening emergency, and it is important to be aware of the causes, prevention, and management of this condition.

Causes of Choking

Choking can be caused by a variety of factors, including blockage of the airway, suffocation, or drowning. Blockage of the airway can be caused by a foreign object, such as food, a toy, or a piece of clothing. Suffocation can be caused by a lack of oxygen in the environment, such as in a confined space or in water. Drowning is a form of asphyxia caused by submersion in water.

Prevention of Choking

Choking can be prevented by taking certain precautions. It is important to be aware of the potential hazards in the environment, such as small objects that can be swallowed or inhaled. It is also important to be aware of the potential hazards in the water, such as strong currents or deep water. Additionally, it is important to be aware of the signs and symptoms of choking, and to seek medical attention immediately if someone is choking.

Management of Choking

If someone is choking, it is important to act quickly and appropriately. The Heimlich maneuver is a common technique used to dislodge a foreign object from the airway. If the Heimlich maneuver is unsuccessful, CPR may be necessary. It is important to seek medical attention immediately if someone is choking, as the condition can be life-threatening.

Symptoms

Signs and Symptoms of Choking

The signs and symptoms of choking can vary depending on the severity of the blockage. Common signs and symptoms include:

  • Difficulty breathing
  • Gasping for air
  • Inability to speak or make noise
  • Clutching the throat
  • Turning blue or pale
  • Loss of consciousness

When to Seek Medical Attention

If you suspect someone is choking, it is important to act quickly. If the person is able to cough, encourage them to keep coughing to try to clear the blockage. If the person is unable to cough, speak, or breathe, call 911 immediately and begin performing the Heimlich maneuver or abdominal thrusts. If the person loses consciousness, begin CPR.

If the person is able to breathe and speak after the blockage is cleared, seek medical attention. Even if the person appears to be okay, they may have suffered internal damage and should be evaluated by a doctor.

Take the Choking (Asphyxia) Assessment

Causes

Food and Liquids

One of the most common causes of choking is eating or drinking too quickly. When food or liquids are consumed too quickly, they can become lodged in the throat and block the airway. This is especially true for young children, who may not be able to chew their food properly or swallow it correctly. Additionally, certain types of food, such as nuts, popcorn, and hard candy, can be more difficult to swallow and can cause choking.

Foreign Objects

Another common cause of choking is foreign objects. Small objects, such as coins, buttons, and toys, can become lodged in the throat and block the airway. This is especially true for young children, who may put small objects in their mouths. Additionally, adults may choke on dentures, jewelry, or other objects that can become lodged in the throat.

Medical Conditions

Certain medical conditions can also cause choking. For example, people with sleep apnea may experience episodes of choking due to the obstruction of the airway. Additionally, people with neurological conditions, such as cerebral palsy, may have difficulty swallowing and can choke on food or liquids. Finally, people with certain types of cancer, such as throat or lung cancer, may experience difficulty swallowing and choking.

Conclusion

Choking, or asphyxia, is a condition in which a person is unable to breathe due to a blockage in the airway. It can be caused by a variety of factors, including foreign objects, food, and liquids. Additionally, certain medical conditions can also cause choking. If you or someone you know is experiencing difficulty breathing, it is important to seek medical attention immediately.

Getting a Diagnosis

Signs and Symptoms

The signs and symptoms of choking can vary depending on the severity of the situation. Common signs and symptoms include difficulty breathing, coughing, wheezing, and a feeling of tightness in the throat. In some cases, the person may be unable to speak or make any sound.

Physical Examination

A physical examination is an important part of diagnosing choking. During the examination, the doctor will look for signs of difficulty breathing, such as wheezing or labored breathing. They will also check for signs of obstruction in the throat, such as swelling or a foreign object.

Imaging Tests

Imaging tests, such as X-rays or CT scans, may be used to help diagnose choking. These tests can help the doctor identify any foreign objects that may be causing the obstruction. They can also help to determine the severity of the situation and the best course of treatment.

Treatment

Treatment for choking depends on the severity of the situation. In mild cases, the person may be able to cough up the object that is causing the obstruction. In more severe cases, the person may need to be intubated or have surgery to remove the object.

Conclusion

Choking is a medical emergency that requires immediate attention. The diagnosis of choking is based on the patient's symptoms and a physical examination. Imaging tests may be used to help diagnose the condition and determine the best course of treatment. Treatment for choking depends on the severity of the situation and may include coughing up the object, intubation, or surgery.

Questions for Your Doctor

Symptoms of Choking

The most common symptom of choking is difficulty breathing. Other symptoms may include coughing, wheezing, and a feeling of tightness in the chest. If you are experiencing any of these symptoms, it is important to seek medical attention right away.

Risk Factors for Choking

There are several risk factors for choking, including age, diet, and lifestyle. It is important to discuss any risk factors you may have with your doctor. This will help them determine the best course of treatment for you.

Treatment Options for Choking

Treatment for choking will depend on the severity of the condition. In some cases, the doctor may recommend lifestyle changes, such as quitting smoking or changing your diet. In more severe cases, the doctor may recommend medications or surgery. It is important to discuss all of your treatment options with your doctor.

Prevention of Choking

The best way to prevent choking is to be aware of the risk factors and take steps to reduce them. This may include avoiding certain foods, quitting smoking, and avoiding activities that could lead to choking. It is also important to be aware of the signs and symptoms of choking and seek medical attention right away if you experience any of them.

Conclusion

Choking is a serious medical condition that can lead to death if not treated quickly. It is important to discuss your symptoms, risk factors, treatment options, and prevention strategies with your doctor. This will help them determine the best course of treatment for you.

Treatment

Treatment for Adults

If an adult is choking, the first step is to ask them if they can speak or cough. If they can, encourage them to keep coughing to try to clear the blockage. If they cannot speak or cough, perform the Heimlich maneuver. To do this, stand behind the person and wrap your arms around their waist. Make a fist with one hand and place it just above their navel. Grasp your fist with your other hand and press into their abdomen with a quick, upward thrust. Repeat this until the blockage is cleared. If the person is unconscious, call 911 and begin CPR.

Treatment for Infants

If an infant is choking, lay them face down on your forearm, with their head lower than their chest. Support their head and neck with your hand. With the heel of your other hand, give five quick, downward thrusts between the infant’s shoulder blades. If the blockage is not cleared, turn the infant over and place two fingers in the middle of their chest and give five quick chest compressions. If the infant is still not breathing, call 911 and begin CPR.

Prevention

The best way to prevent choking is to be aware of potential choking hazards. Be sure to keep small objects out of reach of children, and cut food into small pieces for young children. Additionally, it is important to be aware of the signs of choking and know how to respond in an emergency.

Drugs & Medications

Signs and Symptoms of Asphyxia

The signs and symptoms of asphyxia vary depending on the cause, but may include: difficulty breathing, gasping for air, blue or gray skin color, confusion, dizziness, loss of consciousness, and seizures. If left untreated, asphyxia can lead to brain damage, organ failure, and death.

Treatment for Asphyxia

Treatment for asphyxia depends on the cause. If the person is choking, the Heimlich maneuver may be used to dislodge the object blocking the airway. If the person is drowning, CPR may be used to restore breathing. If the person is suffocating, oxygen may be administered to help restore oxygen levels in the body. In some cases, medications may be used to help open the airways and restore breathing.

Prevention of Asphyxia

The best way to prevent asphyxia is to avoid situations that can lead to it. This includes avoiding choking hazards, such as small objects that can be swallowed, and avoiding activities that can lead to drowning or suffocation. It is also important to be aware of the signs and symptoms of asphyxia and to seek medical attention immediately if they occur.

Diet

Foods to Avoid

Foods that are particularly dangerous when it comes to choking include:

  • Popcorn
  • Nuts
  • Grapes
  • Candy
  • Chewing gum
  • Raw vegetables
  • Hot dogs
  • Marshmallows
  • Chunks of peanut butter

These foods should be avoided, especially if you are at risk of choking. If you must eat them, make sure to cut them into small pieces and chew them thoroughly.

Foods to Eat

In addition to avoiding choking hazards, it is important to eat foods that are easy to swallow and digest. These include:

  • Soft fruits and vegetables, such as bananas, applesauce, and cooked carrots
  • Soft grains, such as oatmeal and cooked rice
  • Soft proteins, such as eggs, fish, and tofu
  • Soft dairy products, such as yogurt and cottage cheese

These foods are easy to swallow and digest, reducing the risk of choking. Eating a balanced diet that includes these foods can help reduce your risk of choking.

Lifestyle

1. Avoid Eating Too Quickly

Eating too quickly can increase the risk of choking. It is important to take your time when eating and chew your food thoroughly. This will help to break down the food into smaller pieces, making it easier to swallow.

2. Avoid Eating While Distracted

Eating while distracted can also increase the risk of choking. It is important to focus on your food and not be distracted by other activities, such as watching television or talking on the phone. This will help to ensure that you are aware of what you are eating and can chew it properly.

3. Avoid Eating Hard or Sticky Foods

Hard or sticky foods can be difficult to swallow and can increase the risk of choking. It is important to avoid these types of foods, or at least cut them into smaller pieces before eating. This will help to reduce the risk of choking.

4. Avoid Eating While Laughing or Talking

Laughing or talking while eating can also increase the risk of choking. It is important to focus on your food and not be distracted by other activities. This will help to ensure that you are aware of what you are eating and can chew it properly.

5. Seek Medical Attention Immediately if Choking Occurs

If you or someone else is choking, it is important to seek medical attention immediately. Choking can be life-threatening if not treated quickly. It is important to call 911 or go to the nearest emergency room if you or someone else is choking.

Conclusion

Choking (Asphyxia) is a serious medical condition that can be life-threatening if not treated quickly. Fortunately, there are some lifestyle tips that can help reduce the risk of choking. These include avoiding eating too quickly, avoiding eating while distracted, avoiding hard or sticky foods, avoiding eating while laughing or talking, and seeking medical attention immediately if choking occurs.