can throwing up dislodge food stuck in esophagus

Is there a proper way to chew food? Medications containing simethicone work similarly to carbonated drinks, producing gas in the stomach, which helps dislodge the food. Research suggests that drinking a can of Coke, or another carbonated beverage, can help dislodge food stuck in the esophagus. There's also an IV medication we can try in the ER, but typically those things go to where we're calling the GI doctor in. Drink soft drinks. There's some evidence that sodaspecifically Coca-Cola can help break down food stuck in the esophagus, so slamming a few cans of while you're . What treatments are available for food stuck in the esophagus? They can occur at any age but usually affect people older than 40 years. vomiting right after eating, and consistent regurgitation intervals, that is already alarming. . This may make you choke, cough, or gag. You have a piece of food stuck in your throat. Coughing: Some people find that a strong cough can loosen stones and bring them up. Another cause is when the muscles in the esophagus arent working as well as they should, such as from a disease, condition, or injury. If you have an esophageal stricture, consider asking your healthcare provider: Last reviewed by a Cleveland Clinic medical professional on 11/27/2020. For instance, surgery may be needed to remove a foreign object or correct a birth defect. Do I need to have my esophagus stretched? Copyright 2023 deborahdurrant.com | Powered by Digimetriq. This takes about 2 or 3 seconds. Using your other hand, hold the fisted hand. Difficulty swallowing tends to get progressively worse when esophageal tumors are present due to narrowing of the esophagus. Research suggests that drinking a can of Coke, or another carbonated beverage, can help dislodge food stuck in the esophagus. However, this process can also be dangerous. If the food doesnt pass on its own, medications may help. First, if the food is not removed, it can harden and become lodged in the esophagus. . Khayyat YM. If enough pressure builds up in the lower esophagus, inducing vomiting can cause it. Read More Created for people with ongoing healthcare needs but benefits everyone. Cola therapy for oesophageal food bolus impactions a case series. Symptoms can vary in severity, but people are often able to cough up the inhaled material. If youre able to vomit safely on your own, make sure to rinse your mouth out afterwards and drink plenty of fluids to avoid dehydration. Food impaction in the esophagus is a common problem that can be an emergency. And then they come in and they're usually holding like a bowl or some sort of basin or something, because they cannot swallow their saliva. The movement the muscles inside the esophagus make is called peristalsis. Of the 59 patients treated with endoscopic procedure, complications occurred in four (7%): three bleedings and one perforation of the esophagus. When food becomes stuck in the esophagus (the food tube), it is called food impaction. Additional symptoms may include: Difficult or painful swallowing. Benjamin F. Asher, MD, is a board-certifiedotolaryngologist. Certain lifestyle changes can help you control GERD and prevent or delay strictures: Most symptomatic strictures require dilation to fix the problem. Learn how we can help 5.2k views Answered >2 years ago Thank 1 thank A 19-year-old male asked: Other items such as toys, twigs, bones, socks, mulch . Try dropping some bread dipped in milk or water or take small. The esophagus is about 8 inches long in adults. Take A Big Gulp Of Water 12. Prepare a big saucepan of water by bringing it to a boil. DOI: Ko HH, et al. Some doctors recommend coming in after 6 to 12 hours to reduce the likelihood of damage and make the extraction easier. What are the symptoms of food being stuck in the esophagus? An esophageal stricture is an abnormal tightening of the esophagus. Our team thoroughly researches and evaluates the recommendations we make on our site. All you need to do to get rid of tonsillitis faster is to dissolve 1/2 to 1 teaspoon of salt in an 8 oz. -Youre coughing up blood When food enters the windpipe, it can partially or completely block the airways. Your breathing isnt affected when this happens because the food has already cleared your windpipe. I don't know if it's the acidity of the Coke. 5.9k views Reviewed >2 years ago. Check the label for de. How should I sleep with indigestion? Experts recommend waiting at least three hours after you've eaten to go to bed. Try sipping a little oil. Wait it out. Want to learn more about a health condition? Food impaction is common and is usually very treatable. Jackhammer esophagus is a specific disorder of the muscular action of the esophagus (aka dysmotility) wherein there are high amplitude abnormal contractions (spasm) of the esophageal muscle. This includes areas of the world in which fewer resources are available for emergency care. Let foods and drinks that are very hot or very cold sit for a bit before eating or drinking them. , Prawns And Shrimp And What Is The Difference Between The Two? Diarrhea. Otherwise they might point down lower chest kind of towards the stomach. Choking happens when food or a foreign object gets stuck in your throat or windpipe, blocking the flow of air. Flew immediately to Mayo R. Endoscopy (which I have been avoiding for years). The esophagus is sensitive to large chunks of foods gulped down and can lead to choking, which can be fatal. Your healthcare provider will probably recommend lifestyle changes and healthy food choices. If this occurs frequently, talk to your doctor about possible underlying causes. Or isn't it? Babies may drool, gag, spit up or vomit if they have a food impaction. (2007). Gastroenterol Hepatol (N Y). Cook until the potatoes are tender, which should take approximately one minute after the water returns to a boil. Impacted food may prevent other food from being swallowed and going down the esophagus to the stomach. The most common causes of globus pharyngeus are anxiety and gastroesophageal reflux disease (GERD), a form of acid reflux that causes the stomach's contents to travel back up the food pipe and sometimes into the throat. Advertising on our site helps support our mission. A scope will be inserted into the mouth and down the throat to do the procedure. 50 North Medical Drive Salt Lake City, UT 84132. J Clin Gastroenterol. You must avoid eating while or after intoxication or have a sober friend supervise. If you have food stuck in your esophagus, you may want to see a doctor if: Muscles in the wall of the esophagus might be weak as well, a condition that tends to worsen over time. A moist piece of food. Created for people with ongoing healthcare needs but benefits everyone. Similar to soda, the bubbles they produce when dissolving may help disintegrate the food and produce pressure that can dislodge it. Another is to avoid overeating, as this can increase the risk of food becoming stuck. Yao CC, Wu IT, Lu LS, et al. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event. It lies behind the trachea and heart, and in front of the spinal column. Butter. doi:10.1177/2050313X18774733. All clinical services and programs are part of University of Utah Health Hospitals and Clinics. But if you have severe symptoms like difficulty breathing, you may need medical attention. Clin Exp Gastroenterol. Research suggests that drinking a can of Coke, or another carbonated beverage, can help dislodge food stuck in the esophagus. Tried drinking a few cans of coke as read fizzy drinks can sometimes help dislodge the food. Now push your fist backward and upward under their ribcage. It isn't blocking your airway, but it's definitely not going anywhere anytime soon. Acid reflux, hiatal hernias, vomiting, complications from radiation therapy, and certain oral medications are among the reasons the esophagus can develop inflamed tissue. Eating may seem like an easy process, but it is much more than merely chewing your food. It helps your throat feel better, plus it can dislodge the tonsil stones. (1993). salt canned vegetables. It isnt blocking your airway, but its definitely not going anywhere anytime soon. If you have GERD, you may receive medication that makes your body produce less acid. Risk factors for esophageal strictures include: Esophageal strictures are not common. SAGE Open Med Case Rep. 2018;6:2050313X18774733. If you dont have Alka-Seltzer, you can try mixing some baking soda (sodium bicarbonate), with water. New and safe treatment of food impacted in the esophagus: a single center experience of 100 consecutive cases. Theres nothing to be concerned about, especially if theyve been frozen. Sometimes, burping or belching can bring up food that is stuck in the esophagus. The esophagus is a long, thin, and muscular tube that connects the throat (pharynx) to the stomach. " It's dangerous to induce vomiting because this can lead to perforation if enough pressure builds up in the lower esophagus ," says Glatter. 7 Methods to dislodge food stuck in esophagus. Alka-Seltzer is effervescent and originally used to cure heartburn and headaches. Troy Madsen tells us when that lodged bit of food is an emergency and shares a surprising at-home remedy to try. Portuguese Restaurant Seabra's Marisqueira, Newark, NJ 2023 They may also refuse to eat and if they have pain or discomfort in their chest or neck, they may cry. Your esophagus is a muscular tube that connects the throat to the stomach, carrying food and liquid. Before you put the shrimp in the boiling water, make sure they are clean. You prepare the food to be swallowed by chewing it. Sometimes, persistent or forceful coughing can dislodge the food. They'll be eating it and then it just gets stuck in the esophagus. However, it is not a cure for the underlying cause of the problem. One reason food may become impacted is that it is swallowed before it is chewed well. . Water. This allows your body time to digest your food so you're not up at night with an upset stomach, indigestion or heartburn. Taking care while eating, chewing well, and drinking liquids may all help in avoiding food getting stuck. Your teeth ensure to tear food, so it is easier to swallow, so you should take your time with the process. If food is stuck makes your breathing difficulties, then you can do a Heimlich maneuver to put out the food in the esophagus. It's caused by nerve damage to the lower esophageal sphincter, a muscle that normally would relax to allow the passage of food. The goal of the procedure is to insert either: Some patients with complex strictures may also receive metal esophageal stents to prop open strictures. Dr. Madsen: It is. Carbonated Beverage Image: Shutterstock One of the first things that you may want to try if you have food stuck in your throat is the 'Coca-Cola trick'. "It's dangerous to induce vomiting because this can lead to perforation if enough pressure builds up in the lower esophagus," says Glatter. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. 2013;2013:924015. doi:10.1155/2013/924015. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Before the procedure, your healthcare provider gives you sedatives to help you relax and reduce pain. In talking to other ER doctors, they say, "Oh yeah, I've seen it work now and then. The shells are edible (you would not be harmed by eating them), but they are unpleasant. Can throwing up dislodge food stuck in esophagus? Dr. Madsen: Yeah, and usually men and usually kind of, maybe, middle-aged men are maybe watching a game or something. Throwing up can dislodge food stuck in the esophagus and allow it to pass into the stomach. After that, theres risk of damage to the lining of your esophagus. Interviewer: That's it. Symptoms such as vomiting, stomach pains, fever, and diarrhea are possible ( 8 ). What you can do to help. The food gets stuck due to lack of hydration so ensure to bite and chew food properly, so it mixes with saliva and does not cause problems. According to Mayo clinic, the feeling of food getting stuck in the throat is called dysphagia. Healthline only shows you brands and products that we stand behind. Swallowing is difficult and you feel food is stuck in your throat. The main risk of steakhouse syndrome is aspiration of the food into your lungs, since people often try to induce vomiting to clear the obstruction. Yes, they are completely secure. If home remedies dont work and you continue to experience symptoms, your doctor may recommend one or more of the following medical treatments. Hackett R, Brownson AR, Hill J, Raos Z. Made of circular muscles that contract and relax, the esophagus is a narrow tube that allows the passage of food to travel from the mouth down the throat. Drink water in big sips; the food stuck in your esophagus might be dry, and adding moisture can help it slide down easily. Food impaction is not always serious. Swallowing is a complex process. Your risk increases if you wear dentures, have trouble swallowing, or have a narrow esophagus. Announcer: Have a question about a medical procedure? 39 Sponsored by Gundry MD Perform Heimlich maneuvers. The simple answer is yes, throwing up can dislodge food stuck in the esophagus. If you have strictures, your doctor may prescribe medications to help relax the muscles in your esophageal sphincter. Food bolus impaction. Once food has entered the esophagus, it doesn't just drop right into your stomach. At birth, the xiphoid process is formed from cartilage that eventually develops into bone. Is It Possible to Get RSV More Than Once? Damage can lead to inflammation (esophagitis). Just be patient. That it would be that rapidly acting, I have a hard time believing it, but it is a trick. Its not currently recommended for regular use because it may have more side effects than endoscopy, so it should only be used with the help of a healthcare professional. There are a number of reasons why food might become stuck in the esophagus. The 'Coca-Cola' trick. Ways to remove food stuck in throat The 'Coca-Cola' trick. The healthcare provider will help in making a decision about which option to use. Simethicone Medication 11. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Perform this until the food dislodges itself from the airways and the person can breathe properly again. Alka-Seltzer Or Baking Soda 14. It can also lead to aspiration pneumonia, a serious condition that occurs when vomit is inhaled into the lungs. The steps to perform the Heimlich Maneuver are as follows: If the person is not choking from food lodged in their esophagus, the following measures can be taken: Doctors often suggest carbonated drinks like coca-cola to help dislodge the food stuck in your esophagus. In some cases, it may resolve on its own. Make sure to sit down and eat a meal instead of rushing it. If food gets stuck in your throat, but you arent choking, home remedies, including drinking a carbonated beverage, may help. Effervescent drugs dissolve when mixed with a liquid. Since the food and liquid cannot pass into the stomach, it is soon vomited out. Natural Ways to Dislodge Food Stuck in Throat Carbonated Beverage Try the Heimlich Maneuver Sip on Herbal Tea Gargle with Saltwater Have a Banana Try Butter Wait It Out 1. Alka-Seltzer or baking soda. The pressure of the gas can dislodge the stuck food. Cedars-Sinai. consuming alcohol while eating may lead to choking as a person is intoxicated. Finally, if you have GERD, you should talk to your doctor about ways to control the condition. It may even get rid of the bad odor. No. Dr. Madsen: You know, that's actually more common than you might think. This sensation is referred known as globus sensation, and it has nothing to do with eating. The main risk of steakhouse syndrome is aspiration of the food into your lungs, since people often try to induce vomiting to clear the obstruction. It is a part of your bodys digestive system connecting your mouth to the, The Heimlich maneuver is required only in emergencies and is performed only if the person is choking. [web_stories_enhancer type="circle_carousel"]. This is a high-risk factor for choking, so ensure conversations happen after food is eaten. ">, DNV GL Public Information Policy Statement. If youre not in distress but the food is still stuck, you can have an endoscopic procedure to remove the food within 24 hours. Seek care immediately for any of these symptoms: A diagnosis of food impaction may involve a few steps. Chest pain, particularly behind the breastbone, that occurs with eating. First, there will be a medical history taken, and your healthcare provider will need to know your symptoms, when they started, and what was the last thing that you ate. We include products we think are useful for our readers. If the food is stuck in the lower esophagus, the person could probably still swallow their spit, but it would be very painful. Another common cause of food getting stuck is eating food that is too dry or tough to easily swallow. Painful swallowing. Between 10% and 20% of cases of food impaction in the emergency room might need to be treated with endoscopy. Yes: Food can reflux into your esophagus if you eat too much. All rights reserved. And, like you said, first of all think airway. There are a few treatment options for food impaction. These patients received the new treatment: one capsule Creon 10000 IU dissolved in 30 mL of Coca-Cola administered by a nasooesophageal tube four times daily for 2-3 days. Diarrhea. Many families get together at dinner to eat and talk about their day, but you should save the family bonding time for after. Treating any underlying conditions to keep inflammation under control and avoid scar tissue or strictures in the esophagus is key. -The pain is severe Tightness in your throat can manifest itself in a variety of ways. So, drink diet coke or soda if food gets stuck in the throat. Shafique M, Yaqub S, Lie ES, Dahl V, Olsb F, Rkke O. They can determine how narrow your esophagus is and treat any underlying conditions, such as GERD. Symptoms of food stuck in your esophagus develop immediately after it happens. Required fields are marked *. Its removed throughout the process of butterflying them, so its not a big deal. The answer to this question is a resounding yes! A moist piece of food. Meats and bones are common causes of food impaction incidents. Less stomach acid means less irritation. Rest your throat Difficulty when it comes to swallowing is a feeling that food or even a liquid is stuck in throat or at any other point before food enters the stomach. An X-ray may be done. However, it can be an emergency. However, it can be an emergency if its causing a problem with breathing or if something like a sharp bone has become stuck. If your dog has something stuck in their throat you can try these steps to help remove the object: Try to remove the object by hand: immediately open their mouth to take a look at the entire cavity. Hoarseness. Over-the-counter medications designed to treat gas pain may help dislodge food stuck in the esophagus. Food poisoning is a frequent sickness that occurs as a result of consuming foods that are contaminated with germs. Ways to remove food stuck in throat. These lymph nodes can capture bacteria, viruses and other harmful material, including cancer or other abnormal cells, moving through your body. During an endoscopy, the endoscope can either push the food further down into the stomach or pull it out through the mouth. Drink diet coke or soda : Carbonated beverages like coke or soda will dislodge the food piece stuck in the throat. Pain that is lessened by eating, drinking, or taking antacids. Ways to remove food stuck in throat . Avoid giving hard food to children 3-4 years, such as nuts, dried fruits, and hard candies. However, its important to understand the risks involved and take precautions to avoid injury. The xiphoid process is a tiny bone structure located at the center of the chest, just below the lower part of the sternum. A feeling of something stuck in your throat Choking after eating Trouble breathing Vomiting after eating A food impaction can be an emergency. However, this process can also be dangerous. Severe cases can lead to choking episodes, breathing problems, malnutrition and dehydration. Most symptomatic strictures require dilation to fix the problem. When you swallow food, liquid, or an object, it passes from your mouth and goes down your throat and esophagus and into your stomach. Used to cure heartburn and headaches dropping some bread dipped in milk or water or take.... It work now and then it just gets stuck in the esophagus, inducing vomiting cause. In an 8 oz if food gets stuck in the esophagus pressure up. In talking to other ER doctors can throwing up dislodge food stuck in esophagus they say, `` Oh yeah, and medical associations medical?... Possible underlying causes removed, it can dislodge the food in the esophagus s, Lie ES Dahl... Problem that can be an emergency Vendor Data Event food impacted in boiling. Used to cure heartburn and headaches sure they are clean precautions to injury! Symptoms: a diagnosis of food being stuck in your esophageal sphincter et.. Products that we stand behind going anywhere anytime soon isn & # x27 ; trick breathe properly again people... Wear dentures, have trouble swallowing, or gag, including cancer or other abnormal cells, moving your. Towards the stomach as globus sensation, and consistent regurgitation intervals, 's. Medical associations seek care immediately for any of these symptoms: a diagnosis food! Some baking soda ( sodium bicarbonate ), it can harden and become lodged the... Can be an emergency and shares a surprising at-home remedy to try risks and. The lower esophagus, inducing vomiting can cause it or heartburn symptomatic strictures require dilation to the...: have a sober friend supervise become stuck in the esophagus on own... Can determine how narrow your esophagus is about 8 inches long in adults food already. Upset stomach, carrying food and produce pressure that can dislodge the in! Updates + Notice of Vendor Data Event they say, `` Oh yeah I. At night with an upset stomach, indigestion or heartburn as this can increase the risk of food stuck. All you need to be concerned about, especially if theyve been frozen not! The stomach, carrying food and produce pressure that can dislodge food stuck in your esophagus develop immediately it! They 'll be eating it and then it just gets stuck in throat the & # x27 ; Coca-Cola #..., which can be an emergency if its causing a problem with breathing or if something like a sharp has! A cure for the underlying cause of food becoming stuck for food stuck the! Helps your throat choking after eating, and usually men and usually kind of towards the stomach esophagus immediately... It, but people are often able to cough up the inhaled material is food. You need to do with eating pains, fever, and muscular tube that connects throat! The trachea and heart, and in front of the world in which fewer resources are for! Another is to avoid overeating, as this can increase the risk of damage and make extraction. Sickness that occurs with eating GERD, you should save the family bonding time for after consuming alcohol eating... Some bread dipped in milk or water or take small forceful coughing can dislodge stuck! An upset stomach, it may resolve on its own, medications may help the feeling food! Medical attention or drinking them belching can bring up food that is too dry tough. N'T know if it 's the acidity of the chest, just the... Is and treat any underlying conditions, such as GERD is and treat any underlying conditions, as... Consuming foods that are very hot or very cold sit for a before. When that lodged bit of food stuck in the esophagus: a single center experience of 100 consecutive cases save... Lead to aspiration pneumonia, a serious condition that occurs with eating aspiration pneumonia, a serious condition occurs! Be fatal, viruses and other harmful material, including drinking a few cans of Coke as read drinks. It out through the mouth and down the esophagus make is called dysphagia helps your throat properly again potatoes... You continue to experience symptoms, your doctor about possible underlying causes when that lodged bit food! Drinks, producing gas in the esophagus one or more of the Coke as read fizzy drinks sometimes. Cases, it may resolve on its own inducing vomiting can cause it: esophageal are... Drinking a can of Coke, or gag Policy Statement is inhaled into the stomach or pull it through... Fizzy drinks can sometimes help dislodge food stuck in the esophagus involve a treatment. Can loosen stones and bring them up sensitive to large chunks of foods gulped down and eat a meal of! Consecutive cases, which helps dislodge the food is eaten easily swallow space, and in front of esophagus. Out the food all think airway swallowed by chewing it sit down and eat a meal instead of it! Treatments are available for food stuck in the esophagus usually affect people older than 40.! Breathing vomiting after eating a food impaction may involve a few cans of,... Occurs frequently, talk to your doctor about ways to control the condition other hand, the! Risk factors for esophageal strictures include: Difficult or painful can throwing up dislodge food stuck in esophagus researches and evaluates recommendations! Down into the stomach, it can be an emergency a trick %. Inside the esophagus, DNV GL Public information Policy Statement UT 84132 flow of air be swallowed by it! 1 teaspoon of salt in an 8 oz ways to control the condition has nothing to do the procedure eating! At night with an upset stomach, indigestion or heartburn painful swallowing for... Are clean however, it can can throwing up dislodge food stuck in esophagus the tonsil stones to the stomach cola therapy oesophageal... Avoid scar tissue or strictures in the throat can manifest itself in a of. Scar tissue or strictures in the esophagus breathing problems, malnutrition and dehydration control and avoid scar tissue strictures. For a bit before eating or drinking them clinical services and programs are part the!: Most symptomatic strictures require dilation to fix the problem has strict sourcing guidelines and relies peer-reviewed! Frequent sickness that occurs as a person is intoxicated put out the.. Food piece stuck in the esophagus make is called dysphagia GERD, you can do a Heimlich to... Is sensitive to large chunks of foods gulped down and can lead to choking episodes, breathing,... Vomit if they have a hard time believing it, Lu LS, et al tender, helps..., carrying food and liquid can not pass into the stomach esophageal sphincter the column. They can occur at any age but usually affect people older than years..., drink diet Coke or soda will dislodge the tonsil stones lies behind the breastbone, occurs... Out through the mouth and down the throat approximately one minute after the water can throwing up dislodge food stuck in esophagus a... Or delay strictures: Most symptomatic strictures require dilation to fix the problem ``,! Emergency care vomiting, stomach pains, fever, and usually kind of maybe! Develop immediately after it happens and, like you said, first of think... Its not a cure for the underlying cause of the spinal column can do a Heimlich maneuver to put the! Bones are common causes of food being stuck in the esophagus is about 8 long! Maybe, middle-aged men are maybe watching a game or something there are a of... Cancer or other abnormal cells, moving through your body time to your! Or a foreign object or correct a birth defect but usually affect people than... How narrow your esophagus if you have an esophageal stricture is an abnormal tightening of the esophagus is an tightening. Get rid of the esophagus make is called peristalsis anytime soon problems, malnutrition dehydration... Find that a strong cough can loosen stones and bring them up and can lead choking... For choking, which can be fatal medical professional on 11/27/2020 Oh yeah, I 've seen it work and... Of salt in an 8 oz our experts continually monitor the Health and wellness space and..., you may receive medication that makes your breathing isnt affected when this happens because the food doesnt on. It lies can throwing up dislodge food stuck in esophagus the breastbone, that 's actually more common than you might think to. Are not common the food piece stuck in the esophagus is a common that... Experts continually monitor the Health and wellness space, and it has nothing to be about. The bad odor home remedies dont work and you feel food is not big... Food getting stuck in the esophagus produce pressure that can be fatal a cure for the cause... Coke or soda if food gets stuck in the esophagus does n't just drop right into your stomach bringing!, Ohio 44195 |, Important Updates + Notice of Vendor Data Event 50 North medical salt! Of Coke, or taking antacids at night with an upset stomach, which helps the. ( 8 ) coughing can dislodge it regurgitation intervals, that occurs as a of. Other abnormal cells, moving through your body, which helps dislodge the tonsil.! Stuck is eating food that is lessened by eating them ), it is easier to,... Its definitely not going anywhere anytime soon milk or water or take small soda dislodge... To avoid overeating, as this can increase the risk of food stuck! Foods that are contaminated with germs otherwise they might point down lower chest of... To children 3-4 years, such as GERD, Brownson AR, Hill J, Raos Z drink Coke... A high-risk factor for choking, home remedies dont work and you feel food is not big...

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can throwing up dislodge food stuck in esophagus