Choking chest pain may be related to improper diet, reflux esophagitis, esophageal hiatal hernia and other factors, you can drink water in time, medication, and in severe cases, surgery is also needed. 1. Improper diet: choking on food and chest pain may be caused by eating too large, too hard food, or talking or eating too fast while eating, you need to drink water in time, gently pat your back, and then adjust your diet. 2. reflux esophagitis: choking on food to chest pain may be the effect of reflux esophagitis, you can use pantoprazole, rabeprazole and other drugs to treat, daily attention to reduce the amount of food, to avoid eating too full. 3. esophageal hiatal hernia: choking on food to chest pain may also be the cause of esophageal hiatal hernia, resulting in esophageal stenosis, obstruction, thus causing the symptoms, it is recommended that you can take Ranitidine, Domperidone tablets and other medication, and if medication is ineffective, surgery can be considered. Frequent choking on food to chest pain symptoms, should go to the regular hospital in time to determine the cause of the disease by the doctor to develop treatment programs.