Chest congestion like choking sensation may be caused by physiological factors, but also may be caused by pathological factors such as mediastinal tumors, myocardial ischemia, etc., and need to address the specific causes of the symptomatic treatment. 1. Physiological factors: If eating too fast may lead to this symptom, you need to drink water in time to buffer and avoid the bad eating habit of eating too fast. 2. Mediastinal tumor: the compression of mediastinal tumor can produce chest discomfort, if found, it can be treated by surgery. 3. Myocardial ischemia: you need to take medicines in time, such as quick-acting heart pills, aspirin, etc., and consult a doctor for more detailed examination. The cause of chest congestion is complex, may also be due to esophageal cancer, lung cancer, etc., to rule out physiological factors, need to go to the hospital in time, clear cause of the symptomatic treatment, to avoid delaying the disease.