Why can’t some people swallow pills?
At least a third of the population can’t swallow pills, so you’re certainly not alone. There are various reasons:
- Fear or Anxiety: Some people experience anxiety or fear related to swallowing pills, often stemming from negative past experiences or a perceived risk of choking.
- Gag Reflex: A sensitive gag reflex can make it difficult for some people to swallow pills, especially larger ones or those with an unpleasant taste or texture.
- Dry Mouth: Dry mouth, which can result from medications, medical conditions, or dehydration, can make swallowing pills more challenging due to decreased saliva production.
- Physical Factors: Structural abnormalities in the mouth, throat, or esophagus, such as narrow passages or muscle weakness, can hinder the swallowing process.
- Lack of Practice: For people who aren’t used to swallowing pills, the act may feel unfamiliar and uncomfortable, leading to difficulty.
Can I learn how to swallow pills or capsules?
To train yourself to swallow pills more easily. It’s usually best to practise using a very small sweet like a TicTac or a tiny piece of bread.
There is a pill swallowing technique taught in some medical clinics that uses this basic process:
- Tilt your head forward and take a sip of water to moisten your throat
- Place the pill on your tongue, pushing it back into your mouth with your tongue
- Take a large gulp of water
- Tip your head slightly back and jiggle it slightly from side to side a couple of times. Don’t tip too far back because this makes swallowing harder.
- Gulp down the water and pill together.
This NHS page has videos of two pill-swallowing techniques you can practise:
Problems Swallowing Pills
Other things that can help
- Start Small: Begin with smaller pills or capsules, gradually increasing in size as comfort and confidence improve.
- Practice with Food: Swallowing pills with food or a thick liquid, such as applesauce or yogurt, can make the process easier and less intimidating.
- Break Pills into Smaller Pieces: For larger pills or capsules, consider breaking them into smaller pieces or crushing them and mixing with food or liquid to make swallowing more manageable.
- Relaxation Techniques: Practicing relaxation techniques, such as deep breathing or visualization, can help reduce anxiety and tension associated with swallowing pills.
- Stay Hydrated: Ensuring adequate hydration can help lubricate the throat and make swallowing pills easier. Drink plenty of water throughout the day, especially before attempting to swallow pills.
If swallowing difficulties persist or are causing significant distress, consider consulting with a healthcare professional, such as a speech therapist or swallowing specialist, for personalised guidance and support.
