Choking pain at the back of the throat may be caused by acute pharyngitis, chronic pharyngitis, tonsillitis and other diseases. 1. Acute pharyngitis: acute pharyngitis can cause choking pain at the back of the throat, but also dry, painful, itchy throat and other adverse symptoms, discomfort when swallowing food will be stronger, may cause severe dysphagia, some patients will be accompanied by coughing phlegm. 2. Chronic pharyngitis: chronic pharyngitis can also lead to choking pain in the back of the throat, usually accompanied by a pronounced foreign body sensation, coughing phlegm, dry cough and other symptoms, a prolonged lack of drinking water will make the disease even stronger, and some patients will experience nausea, dry vomiting and other discomforts. 3. Tonsillitis: choking pain in the back of the throat may also be the discomfort caused by inflammation of the tonsils, the patient’s tonsils will appear to varying degrees of swelling, there will be obvious pain, the degree of swelling is more serious may affect the normal breathing, and even cause swallowing difficulties, the patient will have a headache, fatigue, fever and other adverse symptoms. This kind of discomfort requires prompt medical attention, clear diagnosis through the appropriate examination, under the guidance of the doctor’s advice, choose the appropriate treatment to avoid further development of the condition.