Feeling cold in the esophagus may be caused by physiological factors such as diet, spirit, etc. It may also be caused by lesions in the esophagus itself such as esophagitis or gastric diseases such as gastritis. 1. Physiological factors: When eating too much cold or cold food, such as ice cream, cold drinks, etc., it will stimulate the esophageal mucosa and make the esophagus feel cold. If there is mental tension, anxiety, etc., it may lead to vegetative nerve disorder, which may block the blood circulation at the esophagus, resulting in insufficient blood flow and causing the esophagus to become cold. 2. Diseases of the esophagus itself: such as esophagitis, the mucosa of the esophagus of the patient usually suffers from congestion, edema and other lesions, which results in the sensation of coldness of the esophagus, which is also accompanied by symptoms such as acid reflux, heartburn, dysphagia, and retrosternal pain. 3. Gastric diseases: such as gastritis, gastroesophageal reflux disease (GERD), etc., patients are usually accompanied by reflux of gastric contents, which can irritate the esophageal mucosa, resulting in congestion and edema of the esophageal mucosa and even inflammation, which may also make patients feel cold in the esophagus. The patient may also be accompanied by abdominal pain and distension, belching, nausea and vomiting. There are many causes of esophageal cold, if the patient feels cold in the esophagus for a long time or repeatedly, it is recommended to consult a doctor in a timely manner to identify the cause of the disease under the guidance of a professional physician and carry out targeted treatment to avoid delaying the condition.