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What causes excessive coughing while drinking?

Does it ever happen that people get coughing fits when they are trying to drink liquid? I have noticed this more with hot liquids like coffee and tea than with any other drink, but I will sometimes seize up while sipping a drink and just lapse into coughing that I can't control. Why?
Coughing during drinking is a concern. I would strongly recommend that you see your doctor to have this evaluated. This biggest concern that one has when hearing about coughing while drinking is that of aspiration. Aspiration is the medical term for when food or liquids go down the trachea (the "air pipe") instead of the esophagus (the "food pipe.") This event of "going down the wrong pipe" is a concern. When the found enters the lungs it causes some irritation and therefore the body triggers the cough reflex to clear the airways. This is a big concern. Food or liquids going down the airway is concerning as this can result in pneumonia. Aspiration pneumonia can result as bacteria that normally live in the mouth can enter the lungs and cause an infection. In addition, the acid in the gastrointestinal tract can enter the lungs and cause a "chemical burn" or aspiration pneumonitis. The fact that you have it with liquids, and not solids, suggests that there may be a neurologic cause. The swallow reflex is a complicated series of events that any nerve damage can alter and cause aspiration. When people have problems with solids we often think of a mechanical problem. I would strongly suggest you see you doctor as this is a concern.
This answer is for general informational purposes only and is not a substitute for professional medical advice.
If you think you may have a medical emergency, call your doctor or (in the United States) 911 immediately. Always seek the advice of your doctor before starting or changing treatment. Medical professionals who provide responses to health-related questions are intended third party beneficiaries with certain rights under ZocDoc’s Terms of Service.

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