Esophagitis may cause back pain in patients. Esophagitis is a series of clinical symptoms and damage to the esophageal mucosa caused by reflux of stomach and duodenal contents into the esophagus. Common symptoms include acid reflux, heartburn, food reflux, pain behind the sternum, and pain in the upper chest, shoulders, and back, etc. It can also reflux into the back causing back pain, which is mostly intermittent, related to eating, and affected by emotions. This kind of pain can mostly be relieved by itself, and acid suppression medication is effective. When the above symptoms are present, patients should seek medical attention, perform gastroscopy, electrocardiogram and other related examinations, and give comprehensive treatment such as acid suppression, promotion of gastric motility and protection of gastric mucosa after clear diagnosis. In addition to medication, patients are encouraged to make lifestyle adjustments, such as elevating the head of the bed before bedtime, not eating before bedtime, not lying in bed immediately after eating during the day, not wearing tight clothes, avoiding high-fat food, avoiding stimulating food intake such as strong tea, coffee and alcohol, and eating less and more meals.