There are no strict dietary contraindications for mycobacterial esophagitis, so people who are not allergic to honey can usually consume it normally, but they need to control the amount of intake and pay attention to the reaction after eating. There are no strict dietary contraindications for mycobacterial esophagitis, so in most cases, honey can be consumed as long as there is no allergy to it. However, it should be noted that sweet and fatty foods may cause an increase in gastric acid secretion and aggravate the symptoms of mycobacterial esophagitis, and patients are often advised to minimize their consumption during clinical treatment. Honey has the above characteristics, so even if a person is diagnosed with mycobacterial esophagitis, he/she should be careful to control the amount of honey he/she consumes. In addition, it should be noted that the tolerance of different individuals to certain foods may vary depending on their physical condition, severity of the disease, dietary combinations and other factors, and it cannot be completely ruled out that some patients with mycobacterial esophagitis may not be able to tolerate honey. In conclusion, if people diagnosed with mycobacterial esophagitis consume honey, they should avoid eating large amounts of honey and closely observe the reaction after eating it, and consult a doctor once discomfort occurs. Specific dietary adjustments should be made under the guidance of a physician, and should not be blindly disposed of on one’s own to avoid inappropriate intervention and adverse consequences.