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If the person doesn't give the signal, look for these indications: Inability to talk. Difficulty breathing or noisy breathing. Squeaky sounds when trying to breathe. Cough, which may either be weak or forceful. Skin, lips and nails turning blue or dusky. Skin that is flushed, then turns pale or bluish in color.
There are two main types of choking. One is known as a partial airway obstruction or mild choking, and the other is a complete airway obstruction, or severe choking.
The simple answer is yes you should visit the doctor after choking.
Choking occurs when the airway is blocked by food, drink, or foreign objects. Aspiration occurs when food, drink, or foreign objects are breathed into the lungs (going down the wrong tube). It might happen during choking, but aspiration can also be silent, meaning that there is no outward sign.
When choking is severe, the person won't be able to speak, cry, cough or breathe as most of their airway is blocked. Without help, they will eventually lose consciousness. If this happens, quickly perform the Heimlich manoeuvre on them and get help immediately by calling emergency services or visiting the A&E.
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What should I do if someone is choking? encourage them to keep coughing to try to clear the blockage. ask them to try to spit out the object if it's in their mouth. don't put your fingers in their mouth to help them as they may bite you accidentally.
Signs and Symptoms clutching at the throat. neck or throat pain. inability to speak, breathe or swallow. coughing. wheezing or other unususal breathing sounds. gagging. a change in colour (eg. blue lips or red face) chest pain.
Lower the person on his or her back onto the floor, arms to the side. Clear the airway. If a blockage is visible at the back of the throat or high in the throat, reach a finger into the mouth and sweep out the cause of the blockage. Don't try a finger sweep if you can't see the object.
When you choke on a bite of food or another object, trapping it your airway, that object can cause damage to the delicate lining of your airway itself. Once you've dislodged the object, you will feel your breathing hugely improved, but your airway may begin to swell over time from the damage left behind.
Aspiration is when something you swallow "goes down the wrong way" and enters your airway or lungs. It can also happen when something goes back into your throat from your stomach. But your airway isn't completely blocked, unlike with choking. People who have a hard time swallowing are more likely to aspirate.

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