Elderly people who always choke on food may suffer from the following diseases: pharyngeal diseases, esophageal diseases, and neurological diseases. 1. Pharyngeal diseases: if there are pharyngeal tumors, hypopharyngeal cancer or epiglottis tumors, when the tumor blocks the pharynx, it will affect eating and lead to choking when eating, it is recommended to use electronic laryngoscopy, CT of pharynx and other examinations to make a clear diagnosis; 2. Esophageal diseases: when there are occupying lesions in the esophagus, as the tumor gets bigger, esophageal obstruction and progressive dysphagia may occur, resulting in choking when eating, it is recommended to use e-gastroscopy and other tests to make a clear diagnosis; 3. Neurological diseases: some neurological diseases such as cerebral infarction, cerebral hemorrhage, etc. can also cause dysphagia, leading to choking during meals, and it is recommended to check the cranial CT, head MRI and other tests to make a clear diagnosis. Elderly people always choking need to go to the regular hospital for diagnosis and treatment as soon as possible, so as not to delay the condition.