diff --git a/compiler/rustc_resolve/src/late/diagnostics.rs b/compiler/rustc_resolve/src/late/diagnostics.rs
index 2b85639376d97..3ab6c7dcc0066 100644
--- a/compiler/rustc_resolve/src/late/diagnostics.rs
+++ b/compiler/rustc_resolve/src/late/diagnostics.rs
@@ -1155,6 +1155,7 @@ impl<'ast, 'ra, 'tcx> LateResolutionVisitor<'_, 'ast, 'ra, 'tcx> {
         let callsite_span = span.source_callsite();
         for rib in self.ribs[ValueNS].iter().rev() {
             for (binding_ident, _) in &rib.bindings {
+                // Case 1: the identifier is defined in the same scope as the macro is called
                 if binding_ident.name == ident.name
                     && !binding_ident.span.eq_ctxt(span)
                     && !binding_ident.span.from_expansion()
@@ -1166,6 +1167,19 @@ impl<'ast, 'ra, 'tcx> LateResolutionVisitor<'_, 'ast, 'ra, 'tcx> {
                     );
                     return;
                 }
+
+                // Case 2: the identifier is defined in a macro call in the same scope
+                if binding_ident.name == ident.name
+                    && binding_ident.span.from_expansion()
+                    && binding_ident.span.source_callsite().eq_ctxt(callsite_span)
+                    && binding_ident.span.source_callsite().lo() < callsite_span.lo()
+                {
+                    err.span_help(
+                        binding_ident.span,
+                        "an identifier with the same name is defined here, but is not accessible due to macro hygiene",
+                    );
+                    return;
+                }
             }
         }
     }
diff --git a/tests/ui/hygiene/pattern-macro.stderr b/tests/ui/hygiene/pattern-macro.stderr
index a9764cea49e59..047244ba9edef 100644
--- a/tests/ui/hygiene/pattern-macro.stderr
+++ b/tests/ui/hygiene/pattern-macro.stderr
@@ -3,6 +3,16 @@ error[E0425]: cannot find value `x` in this scope
    |
 LL |     x + 1;
    |     ^ not found in this scope
+   |
+help: an identifier with the same name is defined here, but is not accessible due to macro hygiene
+  --> $DIR/pattern-macro.rs:1:28
+   |
+LL | macro_rules! foo { () => ( x ) }
+   |                            ^
+...
+LL |     let foo!() = 2;
+   |         ------ in this macro invocation
+   = note: this error originates in the macro `foo` (in Nightly builds, run with -Z macro-backtrace for more info)
 
 error: aborting due to 1 previous error
 
diff --git a/tests/ui/macros/macro-hygiene-help-issue-149604.rs b/tests/ui/macros/macro-hygiene-help-issue-149604.rs
new file mode 100644
index 0000000000000..5700218cc8671
--- /dev/null
+++ b/tests/ui/macros/macro-hygiene-help-issue-149604.rs
@@ -0,0 +1,9 @@
+macro_rules! let_it { {} => { let it = (); } }
+macro_rules! print_it { {} => { println!("{:?}", it); } }
+//~^ ERROR cannot find value `it` in this scope
+
+fn main() {
+    let_it!();
+    let () = it; //~ ERROR cannot find value `it` in this scope
+    print_it!();
+}
diff --git a/tests/ui/macros/macro-hygiene-help-issue-149604.stderr b/tests/ui/macros/macro-hygiene-help-issue-149604.stderr
new file mode 100644
index 0000000000000..dc95cb7a43f00
--- /dev/null
+++ b/tests/ui/macros/macro-hygiene-help-issue-149604.stderr
@@ -0,0 +1,38 @@
+error[E0425]: cannot find value `it` in this scope
+  --> $DIR/macro-hygiene-help-issue-149604.rs:7:14
+   |
+LL |     let () = it;
+   |              ^^ not found in this scope
+   |
+help: an identifier with the same name is defined here, but is not accessible due to macro hygiene
+  --> $DIR/macro-hygiene-help-issue-149604.rs:1:35
+   |
+LL | macro_rules! let_it { {} => { let it = (); } }
+   |                                   ^^
+...
+LL |     let_it!();
+   |     --------- in this macro invocation
+   = note: this error originates in the macro `let_it` (in Nightly builds, run with -Z macro-backtrace for more info)
+
+error[E0425]: cannot find value `it` in this scope
+  --> $DIR/macro-hygiene-help-issue-149604.rs:2:50
+   |
+LL | macro_rules! print_it { {} => { println!("{:?}", it); } }
+   |                                                  ^^ not found in this scope
+...
+LL |     print_it!();
+   |     ----------- in this macro invocation
+   |
+help: an identifier with the same name is defined here, but is not accessible due to macro hygiene
+  --> $DIR/macro-hygiene-help-issue-149604.rs:1:35
+   |
+LL | macro_rules! let_it { {} => { let it = (); } }
+   |                                   ^^
+...
+LL |     let_it!();
+   |     --------- in this macro invocation
+   = note: this error originates in the macro `print_it` which comes from the expansion of the macro `let_it` (in Nightly builds, run with -Z macro-backtrace for more info)
+
+error: aborting due to 2 previous errors
+
+For more information about this error, try `rustc --explain E0425`.
diff --git a/tests/ui/proc-macro/gen-macro-rules-hygiene.stderr b/tests/ui/proc-macro/gen-macro-rules-hygiene.stderr
index 17171ad5c5cc5..ed8ee4dc52cba 100644
--- a/tests/ui/proc-macro/gen-macro-rules-hygiene.stderr
+++ b/tests/ui/proc-macro/gen-macro-rules-hygiene.stderr
@@ -30,6 +30,16 @@ error[E0425]: cannot find value `local_def` in this scope
    |
 LL |         local_def;
    |         ^^^^^^^^^ help: a local variable with a similar name exists: `local_use`
+   |
+help: an identifier with the same name is defined here, but is not accessible due to macro hygiene
+  --> $DIR/gen-macro-rules-hygiene.rs:13:1
+   |
+LL | gen_macro_rules!();
+   | ^^^^^^^^^^^^^^^^^^
+...
+LL |         generated!();
+   |         ------------ in this macro invocation
+   = note: this error originates in the macro `generated` (in Nightly builds, run with -Z macro-backtrace for more info)
 
 error: aborting due to 3 previous errors
 
diff --git a/tests/ui/proc-macro/mixed-site-span.stderr b/tests/ui/proc-macro/mixed-site-span.stderr
index d5cf484f6dd0e..97e3f3e3dea8c 100644
--- a/tests/ui/proc-macro/mixed-site-span.stderr
+++ b/tests/ui/proc-macro/mixed-site-span.stderr
@@ -606,6 +606,13 @@ error[E0425]: cannot find value `local_def` in this scope
    |
 LL |         local_def;
    |         ^^^^^^^^^ help: a local variable with a similar name exists: `local_use`
+   |
+help: an identifier with the same name is defined here, but is not accessible due to macro hygiene
+  --> $DIR/mixed-site-span.rs:23:9
+   |
+LL |         proc_macro_rules!();
+   |         ^^^^^^^^^^^^^^^^^^^
+   = note: this error originates in the macro `proc_macro_rules` (in Nightly builds, run with -Z macro-backtrace for more info)
 
 error: aborting due to 52 previous errors