Sleep choking awake are to consider the following two conditions: a. upper airway cough syndrome, also called postnasal drip syndrome, that is, the presence of rhinitis and sinusitis patients, due to increased secretions in the nasal cavity, can not be discharged in a timely manner, resulting in nasal secretions to the throat drip during sleep at night, stimulating the throat to produce choking and coughing, and even choking awake. Second, reflux gastro-oesophagitis, due to excessive secretion of gastric acid, causing reflux phenomenon of the stomach and esophagus, the tension of the esophagus decreases during sleep at night, the formation of gastric contents reflux to the pharynx, into the vocal cords and trachea, choking and coughing phenomenon. Therefore, if you are awakened by choking during sleep, you should seek medical attention and perform rhinoscopy or gastroscopy to clarify the diagnosis.