Doctor Hoang Tien Minh, from the Emergency Department at Tam Anh General Hospital TP HCM, reported that the patient was admitted experiencing severe fatigue, pale skin, epigastric pain, a choking sensation in her throat, and difficulty breathing.

A chest computed tomography (CT) scan revealed a dilated esophagus filled with fluid and food. Doctors suspected a food obstruction was preventing passage to the stomach.

Doctor Minh examining the patient. Photo: Tam Anh General Hospital

The emergency team consulted with specialists from the Center for Endoscopy and Gastrointestinal Endoscopic Surgery, deciding to perform a gastroscopy. During the procedure, doctors inserted an endoscope into the esophagus, revealing several large food boluses lodged in the esophagus. These obstructions prevented food and fluids from reaching the stomach, leading to reflux and continuous vomiting.

Doctors endoscopically removed the food mass piece by piece, clearing the esophageal lumen. Following the procedure, the patient's vomiting and abdominal pain subsided, and she was discharged the same day.

Doctors advise thorough chewing and slow eating, especially for tough or dry foods, to avoid swallowing large pieces. If food feels stuck, drinking water can help it pass and reduce obstruction. Should symptoms like a distinct choking sensation, inability to swallow food or water, continuous vomiting, or chest or epigastric pain occur, individuals should seek prompt medical attention for evaluation and treatment.

Nhu Ngoc

The patient's name has been changed.