Physiologic and pathologic causes are considered for choking in the first few mouthfuls of food. Physiological causes include eating too fast, dry food, etc. Pathological causes include pharyngitis, reflux esophagitis, esophageal swelling, etc. 1. Physiological causes: if eating too fast, saliva can not mix with food in time, and choking can occur; if eating dry rice, steamed bread, cookies and other foods, choking can also occur. 2. Pathological causes: such as laryngitis can also have symptoms such as pharyngeal swelling and pain, pharyngeal itching; such as reflux esophagitis can also have acid reflux, heartburn and other symptoms; such as esophageal swelling can have symptoms such as fatigue, vomiting, dysphagia and other symptoms. For the first few mouthfuls of food will be a little choking, it is recommended to consult a doctor, a clear diagnosis, symptomatic treatment.