Question: what does it mean when you wake up choking on vomit?
Answer: The symptoms of GERD, such as coughing and choking, tend to worsen when you are lying down or attempting to sleep. The backflow of acid from the stomach into the esophagus can reach as high as your throat and larynx, causing you to experience a coughing or choking sensation. This can cause you to wake up from sleep.