A choking sensation in the chest may be related to physiological causes such as eating too fast or pathological causes such as reflux esophagitis and esophageal cancer. 1. Physiological reasons: If you eat too fast and a large amount of food enters the esophagus, a choking sensation in the chest may occur. 2. Pathological causes: For example, in reflux esophagitis, gastric contents containing gastric acid flow back into the esophagus, which can cause congestion and edema of the esophageal mucosa, leading to a choking sensation in the chest; with the development of the condition of patients with esophageal cancer, the tumor gradually increases in size and causes narrowing of the esophagus, resulting in a choking sensation in the chest. It is suggested that people with choking feeling in chest should consult doctor in time, clarify the cause of the disease and standardize the treatment under doctor’s guidance.