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Recognition and diagnosis of choking primarily involves identification of the signs and symptoms like coughing and wheezing (see Signs and Symptoms). Immediate recognition of the symptoms is important, but based on the short length of some episodes, diagnosis during the first 24 hours only occurs in 50–60% of cases. [12]
Choking can happen in a range of situations, but experts say that the main causes in children are food, coins, toys and balloons. In adults, “the most common causes of choking almost always ...
Vomiting or choking during feeding can trigger laryngospasm that leads to a BRUE or ALTE. This is a likely cause if the infant had vomiting or regurgitation just prior to the event, or if the event occurred while the infant was awake and lying down. In healthy infants with a suggestive GER event, no additional testing is typically done.
Assess the patient to determine if other signs and symptoms are present: flushed face, hot, dry skin, low output, concentrated urine, anorexia, constipation, diarrhea, or vomiting. Older children may complain of sore throat, headaches, aching, and nausea, as well as, other symptoms. [17] Pulse should be checked at distal and proximal sites.
Children of this age usually lack molars and cannot grind up food into small pieces for proper swallowing. [8] Small, round objects including nuts, hard candy, popcorn kernels, beans, and berries are common causes of foreign body aspiration. [2] Latex balloons are also a serious choking hazard in children that can result in death.
A recent study published in the journal Pediatrics reveals that more than 12,000 children end up in the emergency room every year for choking on food and 60 percent of cases involve children ages ...
Signs and symptoms of familial dysautonomia usually commence during infancy and worsen with age, and may include gastrointestinal dysmotility (including erratic gastric emptying, gastroesophageal reflux, abnormal esophageal peristalsis, oropharyngeal incoordination), [3] dysphagia (as poor suckling in infancy) and frequent choking/gagging, recurrent vomiting, poor weight gain [6] /growth, [7 ...
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