Need help: Choking on nasty tasting pills.

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78SilvAnniv
Regular Member


Date Joined Apr 2008
Total Posts : 289
   Posted 4/6/2009 10:47 AM (GMT -7)   
I would like to know any/all of your tips and secrets about getting a pill down quick and painlessly.  Preferably tastelessly, as well.
 
I have never had problems taking pills; medications or vitamins.  They slide right down.  If they are coated, I can swallow them with no water.  If they are 'dry', I can get them down with just a bit of water, shaking the floating caplets at the top of the water in my mouth by bending over a bit so when I swallow, the pill goes first.  With dry pills, I shake them to the back of my throat with my face pointed towards the ceiling and then swallowing quickly so the water chases them down.  The dry/powdery little imodium caplets would dissolve quickly and I'd need to swallow fast so I wouldn't get that taste in my mouth.  Usually I am successful, but if not, I'd just drink a bit more water to flush the taste out of my mouth.  No biggie.
 
The problem I am having is with my Promethazine anti-nausea tablets.  These babies taste terrible!  Cut in halves or quarters are a bit worse because they begin to dissolve a little quicker and they really taste nasty and the flavor lingers. 
Last night was the third time I've had this particular problem:  I swallow, and the darn pill gets sort of stuck/lodged at an area of my throat that I cannot reach (like just an inch or so beyond where the gag reflex would be) and then stays there until they dissolve.  I am coughing, massaging my throat, gagging, bending over and hacking and swallowing a waterfall of liquid and nothing helps!  I then have a 'burned spot' that remains sore for a day or so.  Very similar to a sore throat like when your glands are swollen, but just a little lower.
I found a diagram of the throat and it appears the pill is getting stuck around either the epiglotis folds, the very back of the tongue or just above the larynx.
 
Is there any trick I can use so I don't experience this again? 
I swear, I am a step away from coating the pill in butter and using my cat's pill-gun tonight! devil
I am so frustrated, I am about ready to use the cat-pill-gun for myself and start giving myself the pills that way.  I wonder if the scruff-hold will work or if I should wrap myself up in a blanket, burrito style, have the husband sit on me and when I open my mouth to yowl, he can shoot the pill down the hatch?!
Heidi
I have the ability of single-minded determination and accurate project focu....Hey, look, a cat!
 
Crohn's and UC are pretty darn crappy, but if you can't laugh at yourself, you'll cry......I'd much rather laugh.
2001 Dx'd with UC.  No remission.  No improvement with Remicade.  5/2008 surgery, removal of 6" of left side colon.  Dx changed to Crohn's.  Remission for 8-9wks after surgery, symptoms returned after resuming 6MP.  Changed maintenance med to Methotrexate (MTX) and had great results with IM injections.  Nausea and symptoms returning with oral MTX.  Switched back to IM injections and am slowly improving.


FallColors
Veteran Member


Date Joined May 2007
Total Posts : 1220
   Posted 4/6/2009 10:59 AM (GMT -7)   
Hello Heidi!

When I took flagyl (such a memorable yummy taste!), I would fill my mouth full of with water, tilt my head up, drop in the pill and swallow fast! Then drink a whole glass of water in big gulps.

But you could hide it in food. Like insert it in a jello square or in something else that will slip right down (ice cream if you can take it). It will be interesting to see what others suggest!!
Diagnosed with rectal Crohn's in early 2007.  Several peri-rectal abscesses and two fistulae with setons.  Allergic to Remicade and Humira.  Currently on 6MP, and vitamins D and B-12.


MMMNAVY
Veteran Member


Date Joined Jul 2006
Total Posts : 6927
   Posted 4/6/2009 11:10 AM (GMT -7)   
how about using the melt away zofran? You might have some swelling in your throat...


Forum Co-moderator - Crohn's Disease:_All comments have the caveat contact your local health care provider.

I will find a way or make one. –Phillip Sidney 1554-1586

All that I am and all that I shall ever be, I owe to my Angel Mother.

The Bucket List- Have you found joy in your life?  Has your life brought joy to others?

Make sure your suffering has meaning…


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 4/6/2009 11:18 AM (GMT -7)   
When I was on flagyl I wrapped them in my little brother's fruit roll ups to give them a coated exterior.
27 Year old married female law student (last year!!). Diagnosed w/ CD 4 years ago, IBS for over 10 years before that, which was probably the CD. I am sort of lactose intollerant too but can handle anything cultured and do well w/ lactose pills and lactaid. For crohns I am currently on Pentasa 4 pills/4x day and hysociamine prn. I also have bad acid reflux and have been on PPI's since age 13. I have been through prilosec, prevacid, and nexium. Currently I am on Protonix in the morning and Zantac at night.  I take xanax prn for situational anxiety (aka no easy bathroom access). 


yogaprof
Veteran Member


Date Joined Apr 2006
Total Posts : 1665
   Posted 4/6/2009 11:25 AM (GMT -7)   
you cracked me up. have you ever seen the "how to give a cat a pill" email? can you have your husband wrap you in a towel? I had a cat on meds and no matter WHAT I did, he somehow kept them in his mouth and then stuck them to the floor, ugh!
sorry, I have no great answer. a different med or smaller dosage?? yp
49 y/o woman.  Diagnosed 4/06 after colonscopy, SBFT, CT-scan all showed crohns. 3 months later, after pred and remicade, all tests showed no crohns. December '06 had adhesions cut through a laparoscopy. Now taking Glycolax, Ultra Fiber Plus, Florastor, and DHEA. Have become gluten-free diet per naturopath's tests.


crohnielass
Veteran Member


Date Joined Mar 2009
Total Posts : 1118
   Posted 4/6/2009 11:28 AM (GMT -7)   
Hi Sorry you are having a hard time I struggle with tablets i now have all my meds in liquid form or melts which is so much  better
most of them taste ok apart trom the one i take for anxiety which is quite bitter but i just keep a glass of juice ready hopefully some of the others can give you more suggestions hope you can get it sorted xx

Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 4/6/2009 11:31 AM (GMT -7)   
Wow I take Phenergan every night and never have had an issue with it tasting bad or getting stuck. And whats weird is I take about 12 or so other pills at the same time with no problem. The one that gets me all the time was Pred when I was on it. Those taste like YUCK!! Only thing I can think of is like Fallcolors says, and to put it with something smooth foodwise to help. Good luck!
Gail*Nanners* Co-Moderator for Anxiety/Panic Forum
Been living with Crohn's Disease for 33 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, and Calcium and Xanax as needed. Resections in 2002 and 2005. Also diagnosed with Fibromyalgia and Osteoarthritis and Anxiety. Currently my Crohns is in remission.
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

chroniemomx2
Veteran Member


Date Joined Apr 2005
Total Posts : 2346
   Posted 4/6/2009 11:43 AM (GMT -7)   
When I had to take flagyl...which tastes horrible and dissolves quickly... I would put a little bit of chocolate milk in my mouth and then pop the pill and chase it down with more chocolate milk. I went down easy and I never tasted it. Good luck!

jujub
Forum Moderator


Date Joined Mar 2003
Total Posts : 10392
   Posted 4/6/2009 11:54 AM (GMT -7)   
The tip of putting water in your mouth, tilting your head back, dropping the pill in and then swallowing is great for bad-tasting pills. Taking them with orange juice may also help hide the taste, if you can drink OJ.

It sounds as if you're accustomed to taking your pills with as little water as possible. I'd suggest you try taking these with more water to get them down. Pills dissolving in your esophagus can damage the lining and start real problems.

Good luck! Those of us with IBD become professional pill swallowers, but every once in a while we meet one that threatens to defeat us.
Judy
 
Moderate to severe left-sided UC diagnosed 2001.
Flared for 5 years, finally in remission with Remicade since March 2006.
Avascular necrosis in both shoulders is my "forever" gift from steroids.
Colazal,  Remicade, Nature's Way Primadophilus Reuteri. 
"My life is an ongoing medical adventure"
 
.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 4/6/2009 12:35 PM (GMT -7)   
LOL, the things we have to go through eh....some find that taking a sip of water (or milk to help cut back on the bad aftertaste some pills have) before you put the pill(s) in your mouth help with them not getting stuck, and guzzling rather than taking a big gulp will help get the pill(s) down too, I don't know if tipping your head back or even bending over will help, but I would definitely relax myself more when taking those types of pills (difficult to get down for whatever reason) since being aprehensive or anxious about it will probably make it harder to get the pill(s) down.

Good luck :)
My bum is broken....there's a big crack down the middle of it! LOL :)


78SilvAnniv
Regular Member


Date Joined Apr 2008
Total Posts : 289
   Posted 4/6/2009 12:54 PM (GMT -7)   
I think my problem may be a combination of a lack of water and a stick-y tablet.
I will adjust and drink more water when swallowing pills AND I will be picking up some fruit roll-ups to wrap around those nasty promethazine tablets.

*and a 'thanks' for the reminder of the nasty prednisone pills! I'd forgotten about them!

...and yes, I have read the how to pill a cat/dog!...which is hilarious, btw. I am also a member at a Cat Forum and I've posted tips/tricks for getting pills down reluctant (chainsaw) cats safely. That was why I'd made that crack about using their piller on me, tonight!
I've had Zofran, but at the time it was ineffective. I may be able to give it another shot, I'll give my Dr a call and ask.

Thank you all, for helping me come up with ideas to make these bitter pills go down easier.
heidi
I have the ability of single-minded determination and accurate project focu....Hey, look, a cat!
 
Crohn's and UC are pretty darn crappy, but if you can't laugh at yourself, you'll cry......I'd much rather laugh.
2001 Dx'd with UC.  No remission.  No improvement with Remicade.  5/2008 surgery, removal of 6" of left side colon.  Dx changed to Crohn's.  Remission for 8-9wks after surgery, symptoms returned after resuming 6MP.  Changed maintenance med to Methotrexate (MTX) and had great results with IM injections.  Nausea and symptoms returning with oral MTX.  Switched back to IM injections and am slowly improving.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 4/6/2009 1:15 PM (GMT -7)   
Well...."it was a big pill to swallow" but I'm glad we've managed to help you with it LOL!

:)
My bum is broken....there's a big crack down the middle of it! LOL :)


FallColors
Veteran Member


Date Joined May 2007
Total Posts : 1220
   Posted 4/6/2009 1:56 PM (GMT -7)   
Okay, how many pills can you all swallow at one time? I can do about 10. But I can't swallow even one with out water. Yuck!
Diagnosed with rectal Crohn's in early 2007.  Several peri-rectal abscesses and two fistulae with setons.  Allergic to Remicade and Humira.  Currently on 6MP, and vitamins D and B-12.


Kanditron
Regular Member


Date Joined Oct 2006
Total Posts : 148
   Posted 4/6/2009 3:59 PM (GMT -7)   
it's gross but I'll chew up some food and stick my nasty tasting pills in that and swallow it down.. don't spit the food in your had just you know..keep the food in your mouth.. lucky for me, my gross pills are pills i take at night so no one sees me doing this.. haha.
26 y/o
Diagnosed with UC in 06 then it was changed to CD in 07
Currently on: 36 mg steroids, Colazal, Remicade.
I've been on: Pentasa, asacol, methotrexate, immuran (I had a bad reaction to it), Enemas.. on and on and on..
I've had flare ups in my stomach but most of my symptoms resemble UC.. so my doc is unsure of what I have or if it's both.. I'm irritated by this fact.
myspace.com/kandice789


mintyamy
Regular Member


Date Joined Mar 2009
Total Posts : 50
   Posted 4/6/2009 5:55 PM (GMT -7)   
fruit roll ups, fruit by the foot, and swedish fish are all good at hiding pills in. They are pliable enough and are easy to wrap areound pills. The "mini" swedish fish are almost a large pill size, and a small pill can easily be tucked in.


isergodur
Veteran Member


Date Joined Jan 2009
Total Posts : 831
   Posted 4/6/2009 6:03 PM (GMT -7)   
I always fill my mouth with water stick the pill in my mouth and swallow ASAP..

I can now take up to 5-6 pills at the same time, practice makes perfect hehe..

But the Pred tastes horrible so i always take them one at a time with lots of water..

Good luck i have swallowed so many pills for the last months that it is just like breathing now :)
24 year old female
Diagonsed with Crohns disease in December 2008..
Medication - Asacol, Remicade, Entocort


LMills
Veteran Member


Date Joined Apr 2008
Total Posts : 1753
   Posted 4/6/2009 6:06 PM (GMT -7)   
Put it in a spoon of yogurt or other thick substance so you can easily swallow in one bite without hurting your throat or tasting anything. That's how I had to get my prednisone down at first...I cannot stand when it gets stuck on my tongue or on the top of my throat...
20 years old, Diagnosed with moderate to severe Crohn's and Colitis in May of 2008.
Currently taking:
Prednisone 10 mg, pentasa 2 pills 4x a day, bentyl as needed, omeprazole in the morning, prenatal multivitamin, humira every other week, and Align probiotics given to me by my GI.
Surgery for ectopic pregnancy most likely the result of severe Crohn's inflammation in July of 2008.
Diet almost completely without refined sugars, wheat, flour, gluten, high lactose dairy, and/or junk food in general.
Learning how to live again.
"He who has a why to live for can bear with almost any how."


78SilvAnniv
Regular Member


Date Joined Apr 2008
Total Posts : 289
   Posted 4/6/2009 6:21 PM (GMT -7)   
mintyamy said...
fruit roll ups, fruit by the foot, and swedish fish are all good at hiding pills in. They are pliable enough and are easy to wrap areound pills. The "mini" swedish fish are almost a large pill size, and a small pill can easily be tucked in.

Aaaaarrrrgggghhhh!  Desecrator!  DeseCRAtor!  I could never desecrate the enjoyment of nibbling on my Swedish Fish in such a heineous manner!  They are my one snack I savor.  Yuummmm!  ...I guess if I swallowed them down, it wouldn't be a problem, but I take little bites.  The mini Swedish Fish are a 2-bite fish and the regular size are a 4-6 bite fish.  I have to chew them.  I cannot just swallow them without chewing.
I think I'd have trouble with yogurt, because I am very fussy about the textures in my mouth and yogurt just cannot have any lumps/bumps...and I would know that pill was there...  Jello may be okay, but I'm not too keen on cold foods, so ice cream is definitely out.
I will check out the fruit roll ups, though. 
 
I only take my medications 1-2 pills at a time, though my vitamins I can take up to 5 small ones at the same time and the two big ones (E and C) seperately.
Heidi
I have the ability of single-minded determination and accurate project focu....Hey, look, a cat!
 
Crohn's and UC are pretty darn crappy, but if you can't laugh at yourself, you'll cry......I'd much rather laugh.
2001 Dx'd with UC.  No remission.  No improvement with Remicade.  5/2008 surgery, removal of 6" of left side colon.  Dx changed to Crohn's.  Remission for 8-9wks after surgery, symptoms returned after resuming 6MP.  Changed maintenance med to Methotrexate (MTX) and had great results with IM injections.  Nausea and symptoms returning with oral MTX.  Switched back to IM injections and am slowly improving.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 4/6/2009 7:08 PM (GMT -7)   
try honey :)
My bum is broken....there's a big crack down the middle of it! LOL :)


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 4/6/2009 7:08 PM (GMT -7)   
you are all killing me with the sweedish fish talk. That is the one thing I miss THE MOST about having my red dye allergy. Though whole foods has some dye free knock offs at insane prices.
27 Year old married female law student (last year!!). Diagnosed w/ CD 4 years ago, IBS for over 10 years before that, which was probably the CD. I am sort of lactose intollerant too but can handle anything cultured and do well w/ lactose pills and lactaid. For crohns I am currently on Pentasa 4 pills/4x day and hysociamine prn. I also have bad acid reflux and have been on PPI's since age 13. I have been through prilosec, prevacid, and nexium. Currently I am on Protonix in the morning and Zantac at night.  I take xanax prn for situational anxiety (aka no easy bathroom access). 


pillpopper
Regular Member


Date Joined Jan 2009
Total Posts : 209
   Posted 4/6/2009 7:33 PM (GMT -7)   
I used to hate taking pills because they would hang up half way down, and you'd get that Arm+Hammer baking soda taste in your mouth and throat...
Now I've mastered the big swallow, which is eleven on the tongue,walk over to the kitchen sink,bend over,
turn on faucet,and put face in the stream of water, and suck...(no more vitamins for me)
11-9-9. I can get the Pentasa to hang off the tip of my tongue...(like a wind chime)
diagnosed 1981
remission until 2006
Remacade,resection
B-12,Pentasa,Loperamide,
Entocort, 6mp,Hydrochlorothiazide
Remission since surgery
and 8-week Remacade.
d since 1981(enjoy the look
on Dr's faces)


Trigirl
Veteran Member


Date Joined Jan 2006
Total Posts : 768
   Posted 4/6/2009 8:20 PM (GMT -7)   
I dip yucky pills in honey and down they go with a swish of water. I like my fish plain and unbothered thank-you.

78SilvAnniv
Regular Member


Date Joined Apr 2008
Total Posts : 289
   Posted 4/6/2009 8:22 PM (GMT -7)   
pb4 said...
try honey :)

0_o  I just went to the cupboard and had a big spoonful.  Now the burning sensation in my throat is GONE.  Thanks!
 
Popper, I don't think I can drink from the faucet (too proper of a mother) but I can use a bigger glass of water to chase everything down.
I have the ability of single-minded determination and accurate project focu....Hey, look, a cat!
 
Crohn's and UC are pretty darn crappy, but if you can't laugh at yourself, you'll cry......I'd much rather laugh.
2001 Dx'd with UC.  No remission.  No improvement with Remicade.  5/2008 surgery, removal of 6" of left side colon.  Dx changed to Crohn's.  Remission for 8-9wks after surgery, symptoms returned after resuming 6MP.  Changed maintenance med to Methotrexate (MTX) and had great results with IM injections.  Nausea and symptoms returning with oral MTX.  Switched back to IM injections and am slowly improving.


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 4/6/2009 8:25 PM (GMT -7)   
To numb the burning sensation after throwing up I gargle w/ baking soda and warm water.
27 Year old married female law student (last year!!). Diagnosed w/ CD 4 years ago, IBS for over 10 years before that, which was probably the CD. I am sort of lactose intollerant too but can handle anything cultured and do well w/ lactose pills and lactaid. For crohns I am currently on Pentasa 4 pills/4x day and hysociamine prn. I also have bad acid reflux and have been on PPI's since age 13. I have been through prilosec, prevacid, and nexium. Currently I am on Protonix in the morning and Zantac at night.  I take xanax prn for situational anxiety (aka no easy bathroom access). 


78SilvAnniv
Regular Member


Date Joined Apr 2008
Total Posts : 289
   Posted 4/6/2009 8:50 PM (GMT -7)   
It's been about 30 min and my throat STILL feels great!

Fitz, that is another great tip. Baking Soda neutralizes acid.
I have the ability of single-minded determination and accurate project focu....Hey, look, a cat!
 
Crohn's and UC are pretty darn crappy, but if you can't laugh at yourself, you'll cry......I'd much rather laugh.
2001 Dx'd with UC.  No remission.  No improvement with Remicade.  5/2008 surgery, removal of 6" of left side colon.  Dx changed to Crohn's.  Remission for 8-9wks after surgery, symptoms returned after resuming 6MP.  Changed maintenance med to Methotrexate (MTX) and had great results with IM injections.  Nausea and symptoms returning with oral MTX.  Switched back to IM injections and am slowly improving.

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