Choking sensation is a feeling of “heartburn” or “heartache”, pain behind the sternum when drinking hot water or eating stimulating food, and choking sensation when swallowing food, which is caused by esophageal edema, narrowing of the esophagus or spasmodic contraction of the esophageal wall due to inflammatory stimulation. So, what are the causes of choking pain in patients? The following is a brief answer: choking sensation is caused by a variety of factors that irritate the esophagus causing discomfort in swallowing with choking sensation. It is mostly seen in esophagitis, esophageal carcinoid tumor, etc. Esophagitis, due to abnormal stimulation, the esophageal mucosa becomes edematous and congested, which is esophagitis. Increased abdominal pressure, such as a large amount of ascites, pregnancy, resulting in increased abdominal pressure, easy to form reflux, which can easily lead to choking sensation. Esophageal peristaltic disorders. Usually, when stomach contents reflux into the esophagus, the tension causes a secondary peristaltic wave in the esophagus that sends the reflux back into the stomach. Esophagitis can slow down the peristalsis of the esophagus, making the reflux stay longer in the esophagus, aggravating the existing esophagitis, which in turn weakens the function of the lower esophageal sphincter, aggravating the reflux, forming a vicious circle.