I agree that it could be a feeder too, though it would be really helpful if you elaborated a bit more. For example 4 times in a month is not necessarily a lot.
What type of cham do you have?
Age?
Feeders and sizes?
Is he just gaping, or does he thrash his head around trying to dislodge something? Has he ever vomited anything?
Besides these events, does he eat well and without problems.
What are your water sources? Mister or dripper and how often do these go off?