His heart was in his mouth. That choky feeling in the throat which arises from fear, conscious guilt, shyness, etc.
“The young lover tried to look at his ease, … but his heart was in his mouth.”—Miss Thackeray: Mrs. Dymond, p. 156.
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Entry taken from Dictionary of Phrase and Fable, edited by the Rev. E. Cobham Brewer, LL.D. and revised in 1895.