Esophageal pain chest pain during eating and swallowing may be caused by reflux esophagitis, pancreatic achalasia, esophageal foreign body, esophageal cancer and other diseases. Treatment includes lifestyle modification, medication and surgery. 1. Reflux esophagitis: various reasons lead to reflux of gastroduodenal contents into the esophagus, which damages the esophageal mucosa and leads to the symptoms of acid reflux, heartburn and retrosternal pain. These patients can be treated by taking acid-suppressing drugs such as omeprazole and rabeprazole, and gastric-promoting drugs such as morpholine. Usually, it is necessary to pay attention to avoid overfeeding, doing some gentle chores or walking after meals, and avoiding drinking coffee, strong tea and so on. 2. Esophageal foreign body: usually caused by accidentally swallowing a foreign body. It is recommended to go to the hospital in time and have endoscopic foreign body removal surgery as soon as possible, and surgery is needed if necessary. 3. Cardia dystrophy: this disease is mainly manifested as dysphagia, retrosternal pain and so on. Symptomatic treatment can usually use nitrate drugs such as nitroglycerin, which can relieve the symptoms of dysphagia, or choose acid-suppressing drugs such as rabeprazole to relieve acid reflux and heartburn. For causal treatment, transoral endoscopic myotomy or surgery is usually chosen. 4. Esophageal cancer: progressive dysphagia may occur in esophageal cancer. The treatment is mainly endoscopic surgery, and if the condition is serious, surgical treatment may be needed. Besides, the possible causes of esophageal chest pain during swallowing include hiatal hernia, esophageal malformation, esophageal diverticulitis and other diseases. It is recommended to go to the hospital in time to clarify the cause of the disease and treat it with the help of doctors, avoiding self-medication.