Patients choking and coughing when swallowing mainly include the following reasons: first, it is likely that patients swallowing or talking when eating, especially likely to lead to transient impairment of the patient’s eccrine function, which is particularly likely to lead to the possibility of food choking inside the trachea, so try not to talk when eating. Second, the main consideration is that the mucous membrane of the patient’s throat is inflamed, resulting in pain when swallowing, or uncoordinated muscle activity, so choking and coughing can occur. Third, the main consideration is that the patient is older, has a history of cerebral congestion or cerebral hemorrhage, the patient’s muscle activity is not very good, so there will be swallowing dysfunction. The fourth, swallowing and choking may be a disease of linguopharyngeal nerve origin, and imaging is needed to determine whether it is caused by tumor occupancy. No matter which of the above causes is responsible, try to treat it actively.