Chest pain when eating and swallowing is a common clinical symptom with many causes, mainly including gastritis or gastric ulcer, esophageal diverticulitis, esophagitis, cardia loss of relaxation, malignant tumor of the esophagus or smooth muscle tumor, etc. Reasonable treatment is needed according to the specific cause to improve the symptoms of chest pain when swallowing. Common causes and treatments 1, gastritis or gastric ulcer: Some patients suffering from gastritis, gastric ulcer can lead to the upward surge of stomach acid, stomach acid burns the esophagus and throat when eating, triggering the symptoms of chest pain when swallowing meals. Need to check the gastroscopy or barium meal, to clarify the extent of the lesion, follow medical advice to take drugs, such as omeprazole or morbutine to regulate; 2, esophageal diverticulitis: esophageal diverticulum is a layer of the esophageal wall or the whole layer of limited expansion, and the esophageal cavity to form a pouch, if inflammation and edema, there can be choking sensation or sternal, back pain. Patients with diverticulitis attacks can be given intravenous antibiotics, and in more severe cases, fasting, insertion of nasogastric tubes and intravenous supplemental fluids should be used. Daily should maintain normal bowel movements, avoid constipation, diverticulitis recurrent attacks and internal therapy is ineffective, can cooperate with the doctor for surgery to remove the lesion; 3, esophagitis: patients with esophagitis can appear esophageal mucosa congestion, edema, surface erosion and shallow small ulcers, some patients can be seen in the esophageal stricture, so when swallowing can appear chest pain symptoms, patients can be under the guidance of the doctor to use gastric acid inhibiting drugs;. 4, cardia achalasia: the typical symptoms of cardia achalasia are dysphagia, sternal pain, etc. Patients should cooperate with the doctor for active treatment, such as the use of nitroglycerin and other medications, endoscopic balloon dilation after perfect examination, POEM or surgical removal of part of the hypertrophic sphincter; 5, esophageal malignant tumor or smooth muscle tumor: patients who suffer from esophageal malignant tumor or smooth muscle tumor, can appear progressive Swallowing difficulties, chest pain can occur when eating, patients should immediately go to the hospital, improve the examination, follow the medical advice for surgery, and actively carry out chemotherapy and radiotherapy after surgery; 6, other: also need to pay attention to the presence of chest disease, coronary heart disease, aortic aneurysm, etc. can also cause symptoms of chest pain when eating and swallowing, it is recommended to do the relevant examination to exclude. Note daily attention to diet, do not eat spicy, stimulating, hard food, such as chili, nuts, etc., to light, easy to digest liquid, semi-liquid diet, to reduce the stimulation of the esophagus, stomach.