Choking can be caused by eating factors, or by diseases such as pancreatic achalasia or esophageal cancer. 1. Eating factors: such as eating too hard or too dry food, or eating too fast or too much food, or choking on food, can cause choking sensation. 2. Cardia dystrophy: It is a disease caused by the disorder of lower esophageal sphincter relaxation. It mainly manifests as intermittent difficulty in swallowing, food reflux, chest pain, choking and coughing, etc., and can also manifest as choking. 3. Esophageal cancer: refers to malignant tumors originating in the epithelium of esophagus, which can also manifest as choking and panic, and can be accompanied by progressive difficulty in swallowing, food reflux, pain in swallowing and other symptoms. There are many other causes of choking sensation, which should be taken seriously, and timely consultation should be made to find out the cause of the disease, and further treatment or therapy should be provided according to the doctor’s advice.