The severity of an esophageal laceration can be determined by the patient’s physical signs or endoscopic observation. Esophageal scratches can be caused by eating something too hard, too hot, or with sharp parts, or they can be caused by the fragility of the esophagus itself or by deformities of the esophagus. There is no standardized criteria for determining the severity of esophageal scratches, and they are usually determined by the patient’s physical signs or endoscopic observation of the degree of mucosal damage, which can be classified as serious or not serious. If the patient’s esophageal scratch is not serious, the patient mostly manifests as esophageal discomfort, foreign body sensation or choking sensation, or irritating cough and other symptoms, endoscopic examination, usually is the esophageal mucosal surface damage, usually does not appear ulceration, infection and other changes. When the patient’s esophageal scratch is more serious, the patient will feel obvious post-sternal severe tear-like pain, and even accompanied by vomiting blood, mucous membrane detachment in the mouth and other manifestations, endoscopy, the esophageal mucous membrane can be found to damage the area of a larger or deeper depth, and even the mucous membrane ulceration, tearing, exfoliation, hemorrhage and other symptoms. Patients with esophageal scratches are advised to seek timely medical treatment and actively receive treatment to avoid delaying the condition.