From your description:
• Neck tightness when lying down
• Choking sensation
• Ears feeling blocked (like cotton)
• Urge to burp
The most likely causes are:
Next Steps
Do this tonight:
✔ Avoid lying flat — use 2 pillows
✔ Avoid eating 2–3 hours before sleep
✔ Reduce tea/coffee/spicy food
✔ Try warm water sipping
✔ Gentle neck stretching
✔ Slow diaphragmatic breathing
If symptoms persist >1–2 weeks:
• Check
thyroid
• ENT evaluation
• Consider short course antacid/PPI (after medical consultation)
If burping is frequent:
• Evaluate gastritis
• Check H. pylori if chronic
Health Tips
• Don’t repeatedly swallow to “check” your throat — it worsens the sensation.
• Avoid Googling symptoms at night.
• Practice 4-4-6 breathing before sleep.
• Notice if symptoms improve when distracted — that suggests anxiety component.
This does not sound immediately dangerous, but since throat + choking sensations can create significant anxiety, it’s better to evaluate properly rather than keep worrying.
If you’d like, we can do a brief focused online consultation where I take a detailed history and rule out serious causes clearly — that way you can sleep peacefully without second-guessing your symptoms.