The presence of choking with saliva is clinically associated with upper respiratory tract pathology, which is relatively common in chronic pharyngitis, adenoid hypertrophy, and chronic tonsillitis with II-III degree enlargement. In addition, it is also seen in lesions of the nasal mucosa, such as chronic sinusitis, severe deviation of the nasal septum, or nasal polyps combined with chronic infection, and may be accompanied by postnasal drip syndrome and these symptoms, but also in the relatively rare occupying lesions of the pharynx, such as nasopharyngeal cancer, laryngeal cancer resulting in compression of the surrounding nerves, such as compression of the laryngeal nerve and cause symptoms of constant choking on saliva.