Most of the choking is caused by intracranial neuropathy, such as cerebrovascular lesions, which may cause damage to the sensory nerves governing drinking, resulting in more obvious choking and coughing. There is also thyroid surgery, a total or subtotal thyroidectomy, during which the supraglottic nerve is damaged, which can also cause choking easily. If the laryngeal nerve is damaged, it may lead to hoarseness. Therefore, we should be especially careful during the surgery to avoid damaging the nerve, and we should pay special attention to avoid the risk of choking when drinking water, and we should also pay attention to the protection of eating other things. In addition neuromuscular junction lesions such as myasthenia gravis, neurodegenerative diseases such as Parkinson’s disease, motor neuron disease, hereditary diseases such as hereditary ataxia, etc., are also prone to the symptoms of easy choking on water.