If the choking sensation occurs only once in a while from the esophagus to the heart pit, it may be caused by improper diet or mental factors, such as eating too much sticky food attached to the esophageal wall, excessive mental stress, emotional tension, etc., resulting in abnormal excitation of sympathetic nerves. It can be relieved by adjusting the diet, chewing slowly when eating, ensuring regular work and rest, and adjusting the mental and emotional state. If the symptoms do not subside for a long time or recur, the following diseases may be considered: 1. cardia achalasia: this disease can cause the sphincter between the esophagus and the stomach to fail to function normally, resulting in the retention of food at the bottom of the esophagus, which causes the patient to feel a choking sensation from the esophagus to the heart fossa, and clinical treatment is mostly based on promoting the emptying of the esophagus and relieving the discomfort; 2. bile reflux gastritis: mainly due to the abnormal regurgitation of bile-containing Bile reflux gastritis: mainly due to abnormal reflux of duodenal contents into the stomach, resulting in a choking sensation from the esophagus to the heart fossa, accompanied by acid reflux, nausea, abdominal distension, early satiety and other symptoms. Clinical treatment is based on the protection of gastric mucosa and improvement of gastric motility, for example, by taking gastrointestinal motility enhancing drugs such as mosapride and domperidone, gastric mucosal protective agents such as bismuth citrate potassium and aluminum thioglycollate, and proton pump inhibitors such as omeprazole and lansoprazole, etc.; 3. Since the symptoms are relatively obvious, it is recommended to seek medical treatment promptly and choose individualized treatment; 4. Tracheitis: It may be related to various internal and external factors such as infection, smoking, and climate change, which may also cause patients to have a choking sensation from the esophagus to the heart fossa, accompanied by fever, cough, and sputum. Clinically commonly used medications, such as antipyretic and analgesic, cough suppressant, expectorant, common drugs include dextromethorphan, pentoxifylline, and myrtle oil, bromhexine, etc.; 5. Coronary artery disease: due to myocardial ischemia and hypoxia caused by coronary artery lesions, it may cause choking sensation from esophagus to heart fossa, which is a form of chest tightness. Patients may also present with typical angina symptoms. Clinical treatment is mainly based on conservative medication and surgery, and commonly used drugs include nitrates, beta-blockers, calcium channel antagonists and anti-platelet drugs. In addition, malignant diseases such as esophageal cancer and pancreatic cancer may also cause similar symptoms such as choking sensation at the esophagus to the heart fossa, but they are less common and the early onset symptoms are not obvious, so patients can go to the hospital for preliminary examination to exclude malignant lesions if necessary.