The most common swallowing esophageal pain has the following causes: 1, esophageal foreign body, esophageal injury, such as eating fish spines, date kernels, stuck to the esophagus, there will be pain when swallowing, be sure to clarify whether there is a history of foreign body embedded in the esophagus; 2, esophagitis, such as mycobacterial esophagitis, reflux esophagitis, there will also be esophageal pain, swallowing something on pain, with symptoms of acid reflux, heartburn, related esophageal inflammation will also appear esophageal pain; 3, more common is the tumor of the esophagus, esophageal tumor may lead to esophageal stricture, in swallowing already have a resistance to swallowing poorly, swallowing more appear esophageal pain. It is important to come to the hospital for an upper gastrointestinal imaging or gastroscopy to clarify the cause of esophageal pain. In addition to esophageal pain, it is important to make a differential diagnosis of related diseases, such as heart disease or pleural inflammation and other organ diseases, and come to the hospital for differential diagnosis to protect your health.