Is it possible to aspirate a pill and not know?

Yes, it is possible to aspirate a pill and not immediately realize it. If the pill enters the airway instead of the esophagus, it can cause coughing or choking, but some individuals may not exhibit noticeable symptoms right away. In such cases, the pill might get lodged in the airway without causing immediate distress, leading to potential complications later. If there's a suspicion of aspiration, it's important to seek medical attention.