Chest congestion like choking sensation may be caused by dietary factors, gastroesophageal reflux, esophageal hiatal hernia, and cardiogenic diseases. 1. Dietary factors: if the patient eats faster, overeating, will lead to chest congestion like choking feeling, the patient should pay attention to the amount of food, chewing and slow swallowing. 2. Gastroesophageal reflux: This disease is mainly related to the abnormal structure and function of the anti-reflux barrier, the decrease of esophageal clearance, and the decrease of the barrier function of the esophageal mucosa, etc. Heartburn and reflux are the typical symptoms, accompanied by chest pain, dysphagia, sore throat and other manifestations. 3. Esophageal hiatal hernia: this disease is mainly caused by acquired factors, such as obesity, coughing and other causes of increased intra-abdominal pressure, with age, the esophageal hiatus will naturally widen, the light manifestation of heartburn, acid reflux, and in severe cases, dysphagia can occur. 4. Diseases of cardiac origin: such as coronary heart disease, caused by narrowing or occlusion of the coronary artery lumen, mostly manifested as chest pain, chest tightness and so on. Chest congestion like choking feeling there are other causes, it is recommended that patients go to the hospital in a timely manner, so as not to delay the condition.