The feeling of choking when swallowing spittle may be related to reflux pharyngitis, epiglottis cyst, esophageal cancer, etc. According to the cause of the disease and the characteristics of the disease, we need to choose the general treatment, medication and surgical treatment to control the disease and improve the symptoms.
1. Reflux pharyngitis: when stomach contents reflux to the throat, it can cause edema of the mucous membrane of the throat, and when swallowing and spitting, it can cause difficulty in swallowing at the entrance of the esophagus, and after choking the mucous into the larynx and the trachea, it can cause breath-holding and choking sensation. It is necessary to avoid spicy and stimulating diet, eat small and frequent meals, avoid eating and drinking 3 hours before bedtime, and elevate the upper body by 30° when sleeping.
At the same time, oral acid-suppressing drugs such as omeprazole and pro-gastrointestinal dynamics drugs such as mosapride. If conservative treatment is ineffective, various types of fundoplication can be chosen.
2. Epiglottis cysts: Epiglottis mucous gland ducts can be blocked under the effect of developmental malformation, inflammatory stimulation and other factors, and then mucous gland cysts can occur. In some cases, with the increase of cysts, compression symptoms can gradually appear, that is to say, spitting and swallowing with a sense of suffocation. Laryngoscopic cauterization of epiglottis cyst is the main method.
3. Esophageal cancer: this disease mainly originates from the malignant tumor of esophageal squamous epithelium and columnar epithelium, which is related to diet, heredity, infection and other factors. Difficulty in swallowing is a typical symptom of this disease, and the compression of trachea or bronchus by cancer tumor may cause shortness of breath or dry cough, and when reflux occurs, mucus will be choked into the trachea and suffocation will occur. Surgery, radiotherapy, chemotherapy and other comprehensive treatments can be chosen according to the condition.
When you feel that you can’t swallow the vomit and have a choking feeling, it is recommended to actively seek medical treatment, multidisciplinary systematic examination, after clarifying the cause of the disease, and follow the doctor’s instructions to standardize the treatment.