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.

India is seeing a steady and worrying rise in breast cancer cases, with numbers nearly doubling over the past ten years in many urban areas. What was once considered a gradual increase has now become much more visible across the country.

Over the last two decades, breast cancer cases have been slowly increasing. But in the last decade, the rise has been sharper. At the same time, there has been a major shift in the type of cancers affecting women. Earlier, cervical cancer was the most common. Today, breast cancer has taken that position across India.

Why Breast Cancer Cases Are Rising?

One of the biggest reasons behind this rise is that lifestyles have changed, especially among urban dwellers. Diets are now richer in fats, with physical activities taking a backseat, leading to obesity becoming normal. These factors, along with hormonal changes, delayed pregnancies, and genetic risks, all contribute to a higher chance of developing breast cancer.

At the same time, there is also a more encouraging side to this story. More women today are getting diagnosed earlier than before. A decade ago, many patients would come in with advanced stages of the disease. Now, a larger number are being detected in Stage 1 and Stage 2. This shift is important because early detection significantly improves survival.

Better awareness and easier access to screening have played a big role in this change. Campaigns during Breast Cancer Awareness Month have helped bring conversations around breast cancer into the mainstream. More women are now opting for regular check-ups and mammograms, which means cancers are being caught earlier.

However, the overall numbers still remain a concern. It is estimated that one in every 25 to 28 women in India will develop breast cancer at some point in their lives. When this is applied to the country’s population, it translates into a very large number of women being affected.

The important thing to understand is that this rise is not due to one single reason. It is a mix of lifestyle changes, increased awareness, better detection, and possibly hormonal and environmental factors that are still being studied.

Importance Of Early Screening

The way forward is clear. Regular screening is one of the most effective tools available today. Women above the age of 40 should ideally undergo a mammogram every year, even if there are no symptoms. Early-stage breast cancer can be treated very effectively, with cure rates going up to nearly 99% when detected at the earliest stage.

While the numbers may seem alarming, there is also a sense of progress. More awareness, better screening, and earlier diagnosis mean that outcomes are improving. The focus now needs to be on making screening a routine habit and encouraging healthier lifestyles.

Breast cancer is on the rise in India, but with the right approach, it is also one of the cancers where early action can make the biggest difference.

Magnesium is an essential mineral that plays a crucial role in over 300 biochemical reactions in the body. From regulating muscle and nerve function, to supporting a healthy immune system, to building protein, maintaining blood sugar and blood pressure levels, and aiding in energy production, magnesium plays an important role in our health.

Importantly, it helps in getting a good night’s sleep by promoting relaxation, calming the nervous system, and helping your body produce melatonin, the so-called sleep hormone. Magnesium supplements are among the most popular dietary supplements in America, the Washington Post reported.

“There’s a lot of interest in magnesium right now — all of my patients are asking me about it,” Bethany Marie Doerfler, a clinical research dietitian at the Northwestern Digestive Health Center, was quoted as saying.

“There’s a lot of insomnia in the United States, and many of my patients are saying, ‘Can I use magnesium, can it be helpful?’”

Studies have proven that high levels of magnesium in the diet can lower the risk of heart disease and strokes. It also increases bone mineral density, protecting against fractures and osteoporosis.

Yet despite its well-documented benefits, researchers have found that a majority of people consume less magnesium than the recommended amounts.

How Much Magnesium Do You Need?

According to the American health officials, women aged between 19 and 30 should consume 310 milligrams of magnesium daily (350 milligrams if they’re pregnant), and 320 milligrams if they are 31 or older.

For men, the recommendation is that they consume 400 milligrams if they’re 19 to 30 years old, and 420 milligrams if they’re 31 or older.

Doerfler noted that one can get plenty of magnesium simply by eating a few daily servings of the right plant foods.

According to the National Institutes of Health some top dietary sources of magnesium, include

• Pumpkin seeds
• Chia seeds
• Almonds
• Spinach,
• Cashews
• Peanuts
• Shredded wheat cereal
• Soymilk
• Black beans

Who Is At Risk Of Magnesium Deficiency?

Most people get enough magnesium from food, but certain groups are more vulnerable to deficiency. These include people with gastrointestinal disorders such as Crohn’s disease or coeliac disease, those with type 2 diabetes, people who consume excessive alcohol, and older adults.

If you’re low on magnesium, you might notice symptoms such as muscle twitches, spasms, fatigue, low appetite, nausea, or an irregular heartbeat. However, the only way to confirm a deficiency is through a blood test prescribed by your doctor.

Can Magnesium Supplements Really Help?

While magnesium deficiency can lead to cramps, most cases of muscle cramps are not due to low magnesium. Research shows limited evidence that supplements prevent cramps, especially in older adults.

The link between magnesium and better sleep is also unclear. Some studies found it helped people fall asleep faster, while others found no significant difference.

When it comes to migraines, evidence is stronger. Studies suggest that taking 122–600 mg of magnesium daily for 4–24 weeks may reduce the frequency and severity of migraines in some people.

Are Magnesium Supplements Safe?

In general, magnesium supplements are safe when taken in the recommended amounts. However, too much can lead to nausea, abdominal cramps, and diarrhea, because magnesium draws water into the intestines.

Taking extremely large doses (around 5,000 mg daily) can cause magnesium toxicity, which is dangerous. Always check with your doctor before starting supplements, especially if you take other medications.

The doors of the Char Dham temples have opened for pilgrims, marking the beginning of India’s most spiritual journey. The 2026 Char Dham Yatra has officially started in Uttarakhand, with Gangotri and Yamunotri opening on Akshaya Tritiya after a six-month winter break. Vedic hymns, breathtaking views, and an immersive religious experience invite thousands of pilgrims every year. However, despite being sacred and special, this trip is a strenuous one as well. Char Dham Yatra 2026, too, may attract lakhs of pilgrims, but the strenuous trek may not be best suited for everyone. On this special occasion, experts interacted with Health and Me to share some precautions that pilgrims must take.

Who should avoid going for Char Dham Yatra?

Dr Basavaraj S Kumbar, Consultant – Internal Medicine, Aster Whitefield Hospital, said, “Char Dham Yatra is a spiritually uplifting experience. From a medical standpoint, it is also physically challenging due to changes in altitude, long hours of travel, and adverse weather conditions. That is why some people may not be physically ready to perform the journey without training.”

Dr Manjusha Agarwal, Consultant – Internal Medicine, Gleneagles Hospital Mumbai, spoke about the group of people who must avoid going for the yatra. “Many people tend to go on the Char Dham Yatra covering Yamunotri, Gangotri, Kedarnath, and Badrinath. It is a spiritually significant pilgrimage, but it also demands good physical fitness due to high altitude, steep climbs, and unpredictable weather. Hence, understand that the yatra is suitable for individuals with stable health, especially those without heart disease, severe asthma, advanced kidney disease, arthritis, stroke, or uncontrolled blood pressure. Even older people or those with chronic illnesses like cancer, osteoarthritis, emphysema, or chronic obstructive pulmonary disease (COPD) should avoid the yatra. Pregnant women in later stages are also generally advised to avoid the yatra.”

Generally, the yatra is well within reach of persons who are in good health and have quite a good fitness level, that is, if they carry out proper preparation. On the contrary, persons suffering from uncontrolled long-term illnesses such as heart diseases, severe asthma, chronic obstructive pulmonary diseases, or uncontrolled diabetes or those who have recently had surgeries may have to reconsider or, for the time being if not permanently, altogether refrain from the trip unless, of course, a doctor has given them the green light. Ageing people can travel, but only after being medically checked and with medical assistance.

What are the risks of being at higher altitudes?

Altitudes are the greatest danger during the yatra, as they are the primary cause of breathlessness, weariness, or even altitude sickness. In fact, this makes pre-travel preparation very important. The best scenario would be that individuals should start their preparation at least 4 to 6 weeks before their departure by engaging in walks, light aerobics, and breathing exercises that will help them improve their stamina and the capacity of their lungs. Increasing daily steps and practising walking on slopes will bring about the most considerable effect.

Precautions to take

Dr Kumbar said that water intake and diet are important too when going for a strenuous trip like the Char Dham Yatra.. It is always easy to overlook the significance of staying hydrated throughout your trip. Taking necessary medications, having a first aid kit with you, and getting yourself a health assessment from a doctor before your trip is highly advisable.

It is an easy concept to remember. Not only is it a pilgrimage, but it is also an extremely strenuous physical activity. With proper preparation, this pilgrimage can easily be undertaken. However, without any preparation, the journey becomes unnecessarily challenging, particularly in the higher regions.

Preparing for Char Dham Yatra

Dr Agarwal shared some simple pro tips for people going for Char Dham Yatra. The expert listed the following tips for pilgrims:

1. Those who are going should prepare 4–6 weeks in advance
2. Regular walking, light cardio, breathing exercises, and stair climbing help build stamina and core strength
3. Staying hydrated, avoiding smoking and alcohol, and gradually increasing endurance are key to having a good yatra
4. Acclimatisation days should be included during travel to adjust to altitude and avoid any problems like breathlessness
5. Carrying essential medications and prescriptions and pacing oneself during the trek can ensure a safer and more comfortable pilgrimage experience
6. Make sure to do yoga and pranayama, keep painkillers, anti-nausea medication, antacids, anti-diarrheal, and cough/cold medicine handy.
7. Stay hydrated by drinking enough water, don’t overexert, and take frequent breaks

What is Char Dham Yatra?

The Char Dham Yatra is a pilgrimage across four sacred shrines: Kedarnath, Badrinath, Yamunotri, and Gangotri. Each of the temples is surrounded by mountain roads, rivers, and snow-clad peaks. The temples will be open for a short window before closing again ahead of winter. During this narrow window, travellers must plan their trip wisely and in advance. The Char Dham journey begins from Rishikesh, Haridwar, and Dehradun.