Patients with chest pain when eating and swallowing consider three causes, including esophageal foreign body, gastroesophageal reflux disease, esophageal cancer, etc., as follows: 1. Esophageal foreign body: Most often, foreign body scratches the esophagus, resulting in retention in the esophagus, laryngoscopy should be performed to exclude foreign body retention, while preventing local infection or the occurrence of fibrous tissue hyperplasia and obstruction. 2. Gastroesophageal reflux disease, esophageal cancer. Esophageal foreign body may also occur due to diseases existing in the esophagus, especially if reflux esophagitis or esophageal cancer has occurred, and if the esophageal cancer continues to worsen, there will also be swallowing difficulties.3. Diverticulitis of the esophagus: pain in the esophagus after eating may also occur, and gastroscopy should be performed to exclude organic lesions.4. Psychological factors: There is a situation where organic lesions do not exist, and there may be foreign body sensation or pain in the esophagus when eating, due to psychological factors, for functional manifestations, to be psychological relief.