Have you ever been in such a deep slip and ended up waking coughing? Chances are, you choked on your own saliva. Yes, it is very much possible. Saliva is a clear liquid produced by your salivary glands that play a crucial role in digestion and oral health. This is because it washes away bacteria and food particles. The body on an average produces about 1 to 2 litres of saliva daily, and a lot of it is swallowed unconsciously. However, when saliva does not flow smoothly down the throat, it can lead to choking, which can be uncomfortable.

Here's all that you need to know about what causes it, and how can you prevent it.

How to recognize the symptoms of choking on saliva?

This happens when the muscles that are responsible for swallowing weaken or malfunction due to health issues and the symptoms may include:

• Gagging and coughing without eating or drinking
• Gasping for air
• Inability to breathe or speak
• Waking up coughing or gagging

What are the common reasons? Why does it happen?

Some of the common reasons include:

Acid Reflux

Acid reflux occurs when stomach acid travels back into the esophagus and mouth, irritating the esophagus and increasing saliva production to neutralize the acid. This buildup of saliva can lead to choking.

Other symptoms of acid reflux:

• Heartburn
• Chest pain
• Nausea

Diagnosis and Treatment:

Acid reflux can be diagnosed via endoscopy or X-rays. Treatment includes antacids to reduce stomach acid.

Sleep-related Swallowing Disorders

When you are sleeping, some abnormal swallowing can occur during that time and it may cause saliva to pool in the mouth and flow into the lungs. This is what leads to choking. This condition is often linked to obstructive sleep apnea (OSA), which causes breathing to pause during sleep.

What are the treatment options?

CPAP machines to provide continuous airflow

Oral mouth guards to keep the airway open

Lesions or Tumors in the Throat

Growths in the throat, whether benign or cancerous, can narrow the esophagus and impede swallowing.

Symptoms to Watch For:

• Visible lump in the throat
• Hoarseness
• Sore throat

Treatment:

Treatment may involve surgery, radiation, or chemotherapy, depending on the nature of the growth.

Dentures That Don't Fit

Dentures can confuse the brain into perceiving them as food and it may trigger excess saliva production and cause choking. The best way to work this out is by consulting a dentist for proper fitting and adjustment of dentures.

Neurological Disorders

Conditions like Parkinson’s disease and ALS can impair the nerves that control swallowing.

Additional Symptoms:

• Muscle weakness or spasms
• Difficulty speaking

Treatment:

Doctors may prescribe medication to reduce saliva production or teach swallowing techniques.

Heavy Alcohol Use

Excessive alcohol consumption can relax throat muscles, allowing saliva to pool and cause choking.

Prevention Tip:

Moderate alcohol intake and sleep with your head elevated.

Talking Excessively

Speaking continuously without pausing to swallow can lead to saliva entering the windpipe.

Prevention:

Take pauses to swallow while talking.

Allergies or Respiratory Problems

Thickened saliva or mucus due to allergies or infections can obstruct the throat, especially during sleep.

Additional Symptoms:

• Runny nose
• Sore throat
• Sneezing

Treatment:

Antihistamines, cold medication, or antibiotics may be prescribed, depending on the underlying cause.

How can you prevent choking from saliva?

In case of sleep apnea, sleep with your head elevated or on your side. You can also try and avoid lying flat right after eating and eat smaller meals to prevent acid reflux. It is also important that you sip water throughout the day to clear any saliva buildup. In severe cases, use over-the-counter medicines for allergies or consult a healthcare provider.

During those rainy days, children are forced to remain indoors, and this can lead to reduced physical activity during the monsoon. Constant immobility can lead to compromised immunity, weight gain, mood changes, and impact the child’s overall development. Parents must see to it that the child remains active during the rainy season.

Why Monsoon Keeps Children Indoors

Monsoon brings relief from the summer heat, but it also means that the child will not be able to play outdoors. So, the waterlogged grounds, heavy rainfall, and concerns about infections often keep children indoors for extended periods.

Occasional indoor play is not problematic, but weeks of reduced physical activity can take a toll on the child's physical, mental, and emotional well-being.

Also read: Pediatric Sleep: The Foundation Of Healthy Growth, Behavior And Society

Health Risks of Reduced Physical Activity

Regular outdoor play for at least an hour can aid in the child's growth and development. Children can opt for running, cycling, playing sports such as cricket, football, basketball, badminton, and improve bone and muscle health. If children remain indoors, they can become less active and spend a lot of time watching television, using mobile phones, or playing video games.

This increase in screen time can contribute to weight gain, acidity, muscle and joint pain. If the child is unable to play outdoors, then this can impact their immunity. During the monsoon, children may become more prone to infections if physical activity decreases and dietary habits worsen. Combined with seasonal viral illnesses, this can lead to frequent coughs, colds, and fatigue.

Reduced exposure to sunlight during the monsoon may also contribute to lower Vitamin D levels in some children. Vitamin D plays an important role in bone development, muscle strength, and immune health.

Also read: Monsoon Playbook for Parents: Common Home Mistakes That Increase Infection Risk in Children

The Benefits of Outdoor Play for Children

The benefits of outdoor play for children: Outdoor play helps children relieve stress, socialize, and gain confidence. Staying indoors for long periods can lead to boredom, irritability, loneliness, reduced concentration, and mood changes.

Some children may become less energetic, sleep poorly, or show increased dependence on screens for entertainment. So, children should make sure to exercise indoors and improve their well-being.

Tips for Parents to Keep Children Active Indoors

Tips for parents: Parents can make sure that the child does indoor physical activities such as dancing, skipping, yoga, stretching exercises, obstacle courses, and active games to stay fit. Encouraging children to participate in household activities and family games can also reduce excessive screen time.

The child should also have a nutritious diet, stay hydrated, follow a structured sleep routine, and avoid junk food. So, this monsoon, make sure that your child stays healthy and strong!

By Dr. Amar Bhise, Consultant - PICU (Paediatric Intensive Care Unit), Neonatology, Paediatrics, Motherhood Hospitals, Lullanagar Pune

Women’s health is particularly discussed in the context of pregnancy and childbirth, but even hormonal health deserves attention at every stage of life. From puberty to menopause, hormones influence physical, emotional, and reproductive well-being. This article highlights the importance of paying attention to the hormonal health of women.

Women today are experiencing hormonal imbalance. While maternity care remains important, many women are looking for support in managing hormonal issues that affect their daily lives, careers, relationships, and even long-term well-being.

How Hormonal Imbalance Affects Overall Well-Being

Did you know? Hormones play a crucial role in regulating menstrual cycles, mood, sleep, energy levels, metabolism, skin health, bone strength, and fertility. So, understand that when hormones become imbalanced, women can experience various signs and symptoms such as irregular menses, severe menstrual pain, acne, weight gain, hair loss, fatigue, mood swings, sleep disturbances, and difficulty conceiving.

Moreover, various conditions such as Polyendocrine Metabolic Ovarian Syndrome (PMOS), thyroid disorders, endometriosis, and perimenopause-related hormonal changes can affect quality of life.

For many years, women sought medical attention only during pregnancy or when trying to conceive. However, now, women in their twenties, thirties, and forties are seeking guidance for even menstrual health, hormonal disorders, stress-related symptoms, and preventive care.

Women now want answers to symptoms that were previously dismissed as "normal" or simply part of being female. Regular health check-ups, timely evaluation of menstrual irregularities, and management of conditions such as PMOS and thyroid disorders can help women improve their quality of life. Hormonal well-being also plays an important role in maintaining heart health, bone density, metabolic health, and mental wellness.

Also read: Postpartum Breast Cancer May Be Biologically More Aggressive; Here’s Why

Signs Women Should Never Ignore

Many women are no longer willing to dismiss symptoms as a "normal part of being a woman." Heavy periods, severe menstrual pain, persistent fatigue, unexplained weight gain, and ongoing mood disturbances should not be ignored and may require medical evaluation.

Tips to Support Better Hormonal Health

Vital tips for improving hormonal health in women: It will be necessary for women to have a well-balanced diet rich in fruits, vegetables, whole grains, and protein. Exercise daily and support metabolism and hormone balance. Aim for 7–8 hours of quality sleep every night. Stay stress-free by doing yoga, meditation, or relaxation techniques. Women should quit smoking, alcohol, and illicit drug use, and not ignore irregular periods, severe menstrual pain, or unexplained weight changes. It is also necessary for women to schedule timely gynecological and health check-ups.

Hormonal health influences every stage of a woman's life, affecting both physical and emotional well-being. Hence, women must ensure timely check-ups not only during pregnancy or menopause but also at every stage of life. Women should prioritize hormonal health not only during pregnancy or menopause but throughout their lives. Early awareness, timely evaluation, and preventive care can go a long way in improving long-term health and quality of life. Don’t wait anymore and seek timely help. So, women, get going now!

By Dr. Pavana H.N. Consultant - Obstetrician & Gynaecologist, Motherhood Hospitals, Sector 48, Noida

Joint replacement surgery was one of the most successful surgeries in modern medicine, allowing millions of people to enjoy the benefits of mobility and pain relief despite the debilitating effects of advanced arthritis and joint damage.

The use of robotic-assisted technology is ushering in a new era in orthopaedic surgery today. Robots are not taking the place of surgeons, but they are helping to improve accuracy in surgery, to aid in planning, and to help provide more personal care.

Robotic Surgery Supports, Not Replaces, the Surgeon

As an orthopaedic surgeon, I see patients all the time who think that the surgery is done by itself, the robot. In fact, this is a procedure that is performed by the surgeon and the robot.

The robot serves as an advanced surgical assistant, giving the surgeon real-time guidance and very accurate measurements, but all key decisions and surgical steps are still left up to the surgeon.

Precision Drives Better Joint Replacement Outcomes

Also read: Your Joints Are Working Overtime. Are You Helping Them or Hurting Them?

Precision is the biggest benefit of robotic joint replacement. Each patient's anatomy is different and subtle differences in bone alignment, ligament balance and implant placement can affect the long-term success of a joint replacement. Robotic systems utilize detailed imaging and computer mapping to develop a plan for a surgery that is unique to the patient before or during the surgery. This will help to maintain a more accurate placement of the implant so that the joint can be more accurately recreated and moved as it is designed to move.

This accuracy can mean a clinically significant benefit. Correct positioning of the implant can minimize the need for excessive bone removal, enhance joint stability, balance the soft tissues, and possibly increase the duration of the implant's life. Many patients also find that they recover more easily, experience less post-operative pain, and are more confident in getting back to everyday life, but results vary depending on many factors such as overall health, rehabilitation and the severity of the joint disease.

Robotic technology is increasingly being applied in knee and hip replacement surgeries, especially for those suffering from osteoarthritis. Robotic assistance is a major advantage in knee replacement surgery due to the critical role accurate positioning plays in ensuring the function and satisfaction of the implant. Robotic systems offer continuous feedback, allowing surgeons to make accurate adjustments during the procedure, which would be difficult without them.

Who Is the Right Candidate for Robotic Joint Replacement?

But keep in mind that not all patients require robotic surgery. While the use of acetals and PEKK has become more common in recent years, conventional joint replacement is still an excellent treatment, having been used for decades with great success. There are a number of factors which influence the choice of robot assistance, such as patient anatomy, case complexity, surgeon experience and availability of suitable technology. However, just because there is a robot does not automatically equate to a successful outcome; the skill and experience of the surgeon operating the robot still plays the primary role in the success of surgery.

Another false belief is that robotic surgery has no risks. As with all surgery, there are risks associated with joint replacement which include infection, blood clots, stiffness, loosening of the implant or revision surgery. Robotic technology aids in a more accurate surgery, however, it cannot eliminate all complications. It's still crucial to carefully select the right patient, to perform a careful surgery and to provide full rehabilitation after the surgery.

The Future of Personalized Orthopaedic Surgery

Also read: Osteoporosis Affects Nearly 20% Of US Women Aged 50+: Why Screening Is Key

The advancement toward personalized medicine is one of the most thrilling developments in robotic-assisted surgery. With the advent of modern technology, the surgeon is able to use more than a basic one size fits most implant and surgery planning to fit the individual patient's anatomy and functional requirements. This individualised treatment is designed to improve patient comfort, return the joint to a more normal movement and maximise the long term function.

The recovery from a robotic joint replacement is comparable to that of traditional surgery, but some patients may experience faster recovery from the surgery because the surgery has been conducted with greater precision on the soft tissue. Early mobilization, proper physiotherapy, pain management and following the proper rehabilitation protocols are all important, regardless of the use of robots or not. Surgery is just the start of the healing process.

Robotic technology is also revolutionizing the surgeon's education and training. Real-time data and guidance, coupled with advanced navigation systems, improve decision-making and consistency in implant placement during surgery. With the ongoing advancement of AI and machine learning, future robotic platforms can enhance surgical planning even more by forecasting patient-specific outcomes and supporting complex clinical decisions.

While these are great strides, technology should never replace the human element in medicine. While the latest in cutting-edge equipment is essential for a successful joint replacement, the experience of the surgeon, clinical judgment, communication and patient-surgeon relationship are all vital to the success of the procedure. Each treatment plan is a custom one that is based on both the technology and realistic expectations along with evidence-based care.

The patient should be knowledgeable about the surgery options, results to be expected, benefits to be accrued, and possible risks involved in the surgery. While robotic surgery is an important advancement in orthopaedics, it is just one part of a patient's care plan and is not a substitute for surgical skill.

Orthopaedic surgery is definitely going to be a more technologic future. Robotic assisted joint replacement is a major advancement toward more precise, personalized, and patient-centered surgery. Research is ongoing and technology is becoming more available to be used to help manage degenerative joint disease, and this role is likely to increase over time. Finally, the mission continues to be the same: to get patients moving, to alleviate pain, and to restore an active and independent life with confidence.