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Hello, Sarah. Symptoms of esohageal impactions (typically, food or other foreign objects) would be difficulty breathing, drooling, inability to swallow and trouble with secretions/saliva. Pills are more likely to cause something called pill esophagitis, which may cause trouble swallowing but also pain with swallowing and chest pain. With pill esophagitis, the pill becomes lodged; while it slowly dissolves, it causes a chemical injury in the esophagus. However, not all pills cause this-common offenders include aspirin and other anti-inflammatory medications, doxycyline and bactrim (antibiotics), alendronate (a medication for bones), iron, and potassium. Zyrtec is not one of these offenders to cause pill esophagitis, although you may have a little irritation if it had some difficulty going down. If you are able to swallow food and water, it's unlikely that you have a blockage in your esophagus. You could try a lozenge or Chloraseptic to obtain some relief, and continue drinking water. If you develop any trouble breathing or swallowing, seek medical care.

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