Pain at the bottom of the throat and in the middle of the chest may be related to foreign bodies in the esophagus, reflux esophagitis, cardiovascular system diseases and other causes. 1. Esophageal foreign body: for example, when swallowing fish spikes, chicken bones and other foreign bodies, the esophagus can be damaged, resulting in pain in the esophagus. In this case, it is recommended to go to the ENT department of the hospital to take out the foreign body, and do not try to try certain methods to avoid aggravating the damage and delaying the condition. 2. Reflux esophagitis: It is usually caused by the reflux of gastric contents due to the change of gastric dynamics. When the gastric acid in the gastric contents refluxes into the esophagus and the oral cavity, the mucosa of the esophagus and the pharynx will be affected, leading to acute/chronic inflammatory reactions in the mucosa. It makes the symptoms of heartburn, reflux and chest pain appear behind the sternum. 3. Cardiovascular system diseases: such as coronary heart disease, angina pectoris, myocardial infarction, etc., can lead to pain symptoms in the precordial area. At this time, it is necessary to immediately seek medical attention immediately, so as not to cause irreparable consequences. When you have pain at the bottom of your throat and in the middle of your chest, you should pay attention to rest, avoid strenuous exercise, eat a light diet and avoid spicy and stimulating foods. If the symptoms are severe and cannot be relieved, it is recommended to seek immediate medical attention to clarify the cause of the problem and provide targeted treatment.