Gastroscopy examination of the esophagus is normal but there is a choking sensation in swallowing may be related to tonsillitis, chronic pharyngolaryngitis, gastroesophageal reflux disease and so on. 1. Tonsillitis: the causes of the disease include infectious factors, immune factors, etc. It mainly manifests as pharyngeal discomfort, pharyngeal dysphagia and dyspnea, and usually choking sensation in eating will also occur. 2. Chronic pharyngolaryngitis: the patient’s pharynx can have various uncomfortable symptoms, such as foreign body sensation, dryness, burning sensation and mild pain. 3. Gastroesophageal reflux disease (GERD): Gastric reflux can stimulate parts other than the esophagus, such as stimulation of the larynx leading to pharyngeal foreign body sensation, which is manifested as a choking sensation in the esophagus. There are many other reasons that lead to normal esophagus in gastroscopy but choking sensation in swallowing, if the patient’s symptoms are serious or persist without improvement, it is recommended to go to the hospital in a timely manner, to clarify the cause of the disease, and then under the guidance of the doctor for targeted treatment.