Hiccups with a feeling of blockage in the esophagus are considered to be due to muscle spasm around the esophagus or due to occupying esophageal lesions, which are commonly caused by reflux esophagitis, air swallowing, esophageal tumors and other lesions. Common causes and treatments 1. Reflux esophagitis: Due to lower pressure of the lower esophageal sphincter, frequent sphincter relaxation, decreased peristalsis and clearance of the esophageal wall, resulting in regurgitation of stomach and duodenal contents into the esophagus, which can cause hiccups, esophageal blockage, acid reflux and abdominal pain. Gastric motility drugs, such as domperidone and etopride, can be used as prescribed by the doctor, or proton pump inhibitors can be used in combination to reduce gastric acid and protease secretion. 2. Aerophagia: Patients will unconsciously swallow a large amount of air, and due to excessive intra-abdominal distension, some patients will have a feeling of esophageal blockage and frequent hiccups. The symptoms are especially obvious when nervousness and anxiety are present. Pro-gastrointestinal motility drugs such as cisapride, domperidone tablets, or Chinese medicines such as Si Mo Tang can be applied to promote the expulsion of swallowed gas. If the mental stress is high and the symptoms are not relieved continuously after medication, you should consider going to the Department of Psychiatry for professional treatment; 3. Esophageal tumor: the typical symptoms are feeling a foreign body in the esophagus, progressive swallowing difficulties, which can be accompanied by pain behind the sternum, hiccup symptoms, and even difficulty in swallowing water and saliva in severe cases. It is recommended to consult a doctor in time for a clear diagnosis. The preferred treatment is surgery, and the cure rate can also be improved by radiotherapy and chemotherapy. Note Patients should pay attention to their eating habits, eat less and more meals, eat more easily digestible liquid diet, such as millet porridge, fish soup, and more fresh vegetables and fruits; eat less sweets and forbid spicy and stimulating, cold, greasy and over-temperature foods to avoid stimulating the esophageal mucosa.