Often patients will point to the neck and say they have throat discomfort, the specific discomfort is probably several conditions 1, a feeling of blockage, foreign body, or burning, dryness in the pharynx; 2, throat itching, cough, especially worse at night, dry cough or thin sputum, sticky white sputum; 3, discomfort from the referred neck to the back of the sternum, especially when swallowing; 4, pain in the pharynx, aggravated when swallowing. There are usually several possibilities as follows 1. Chronic gastritis, gastric sinusitis, gastroduodenal ulcer, gastroesophageal reflux radiating to the pharynx, or through nerve reflexes causing foreign body sensation, obstruction or burning sensation in the patient’s referred neck, as long as the doctor considers this condition, through careful questioning, he or she can often ask about gastrointestinal symptoms, such as belching, acid reflux, intestinal discomfort in the stomach, which may be detected by gastroscopy, chronic gastritis, gastric sinusitis sinus erosion or gastroesophageal reflux. There may be no morphological abnormality at all, because of emotional depression, resulting in dysfunction of the vegetative nerves governing the gastrointestinal tract, causing a feeling of pharyngeal obstruction, which is actually an early manifestation of gastric disease or a subclinical state; 2, acute and chronic bronchitis, with pharyngeal itching and coughing as the main cause; or coughing and phlegm have been cured by treatment, but leaving a foreign body sensation in the pharynx; 3, there are also no gastrointestinal and tracheobronchial symptoms, but there is a true “pharyngeal” feeling caused by the work environment or 3.There are also cases without gastrointestinal and tracheobronchial symptoms, but with true “pharyngitis” caused by the work environment or stimulation by alcohol and tobacco, which is not common; however, clinicians usually like to label pharyngeal discomfort of which the cause is difficult to identify as “pharyngitis”; 4.In very rare cases, new organisms in the pharynx, such as tongue root cysts, pharyngeal tumors Detailed laryngoscopy or esophagoscopy is required.