Patients often choke and cough when eating, mainly consider the following causes: 1. To consider is caused by multiple lacunar cerebral infarction, this condition is also known as pseudobulbar palsy, because after the patient’s bilateral damage to the cortical brainstem bundle and corticospinal bundle, resulting in damage to the patient’s motor nerves, will affect the motor nerve nuclei within the medulla oblongata. For example, damage to the pharyngeal nerve, vagus nerve, and linguopharyngeal nerve can lead to choking and coughing when eating water, which can be clarified by an MRI or CT head examination. Patients will also have memory loss, cognitive function decline, walking gait delay and other manifestations of the cavernous state; 2. Patients who have infarction in the medulla oblongata will also have frequent choking and coughing when eating, and this is called true bulbar palsy.