The signs and symptoms of esophageal cancer patients before death may vary depending on the patient’s condition, but the common symptoms are as follows: First, esophageal obstruction: i.e. eating disorder, and even drinking water is difficult in severe cases, which is a typical symptom of esophageal cancer itself. Secondly, severe malnutrition: cachexia appears before the end of life, at this time, the patient will be extremely thin, look skin and bone, and have very poor spirit, then appear drowsiness, etc., and then enter into a shallow coma. Third, pain: The invasion of nerves by the lesion will cause pain, and pain will also appear at the site of metastasis, so there will often be pain before the end of life, which will bring very serious trouble to the dying elderly. Fourth, cardiopulmonary dysfunction: This condition will be manifested as difficulty in breathing, such as the feeling of phlegm blockage in the throat, and then confusion and deterioration of heart function, which is often more serious at night, and then cardiopulmonary failure will occur before death, manifested as changes in breathing and heartbeat, such as nodding-like breathing, as well as the first heart is fast and then slowly declining, and blood pressure also declines until death. Fifth, other manifestations: a very small number of patients may have sudden death due to hemorrhage, or may unexpectedly experience a brief improvement in mental and spiritual health before death, which is known as the return of light.