Esophageal lesions are a broad category of diseases and disorders that affect the esophagus, the muscular tube that connects the throat to the stomach. These lesions can be caused by a range of conditions, including infections, tumors, trauma, and acid reflux. In some cases, the lesion can be benign, but in others, it can be a sign of something more serious, such as cancer. Esophageal lesions are typically diagnosed through a combination of imaging tests, including x-ray, computed tomography (CT) scan, and endoscopy. An endoscopy involves inserting a thin, flexible tube with a camera on the end into the esophagus. This allows the doctor to view the lesion and take a biopsy if necessary. Esophageal lesions can be treated in a variety of ways. Depending on the cause of the lesion, treatment can range from lifestyle modifications, such as avoiding foods that trigger acid reflux, to medication and surgery. Surgery may be necessary to remove a tumor or to repair damage to the esophagus. In some cases, esophageal lesions can cause difficulty swallowing. This is known as dysphagia and can be caused by narrowing of the esophagus due to a tumor or scar tissue. Treatment for dysphagia may include lifestyle modifications, such as eating smaller meals, or endoscopic procedures to stretch the esophagus. Esophageal lesions can also cause bleeding, which can be a sign of something more serious. Symptoms of bleeding from the esophagus include vomiting blood or dark, tarry stools. Treatment for bleeding esophageal lesions may include medications to stop the bleeding or surgery to repair the lesion. Esophageal lesions can be both uncomfortable and worrisome. If you are experiencing symptoms such as difficulty swallowing or bleeding from the esophagus, it is important to speak to your doctor to find out the cause of the lesion and determine the best course of treatment.