This is the first publication to highlight the use of lidocaine swallow analgesia for prolonged severe esophageal pain management. This case series of clinical experience, from three continents, shows that lidocaine swallow analgesia is effective and safe for the management of prolonged severe esophageal pain in nonemergent settings. [2,3] Therefore, lidocaine swallow analgesia should be employed regularly for the management of chronic or prolonged severe esophageal pain. [Extracted from the article]