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Esophageal Ulcer

At GastroDoxs in Houston, our specialized esophageal ulcer diagnosis and treatment services combine cutting-edge endoscopic procedures with personalized care and dietary guidance, ensuring rapid relief, improved digestive health, and lasting comfort for local patients across the greater Houston metropolitan area.

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Harris County Medical Society
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Bharat Pothuri
Symptoms

What Is an Esophageal Ulcer?

An esophageal ulcer is a sore or open lesion on the lining of the esophagus (food pipe). It often develops when stomach acid or other irritants repeatedly damage the protective mucosa, causing pain, inflammation, and difficulty swallowing. While some worry an ulcer might be cancer, an ulcer is a shallow sore rather than a tumor. Your gastroenterologist in Houston can confirm the diagnosis with an endoscopy and biopsy if needed.

Common Symptoms

Early recognition of symptoms can speed healing. Typical signs include:

  • Burning chest pain or heartburn
  • Painful swallowing (odynophagia)
  • Regurgitation of food or acidic fluid
  • Unexplained weight loss
  • Sensation of food "sticking" in the throat

Causes

Several factors can injure the esophageal lining and lead to ulcer formation:

  • Gastroesophageal reflux disease (GERD) - chronic acid backflow
  • Frequent vomiting or forceful retching
  • Infections - e.g., Candida, herpes simplex virus, or cytomegalovirus (CMV)
  • Medications - nonsteroidal anti-inflammatories (NSAIDs), aspirin
  • Radiation therapy to the chest area
  • Autoimmune disorders - such as eosinophilic esophagitis
Treatment

Treatment Options for Esophageal Ulcer in Houston

Treatment includes medication, diet modifications, and procedures:

  • Proton pump inhibitors (PPIs): Medications such as omeprazole or pantoprazole reduce stomach acid and promote ulcer healing.
  • H2 blockers: Ranitidine or famotidine can help lower acid production in milder cases.
  • Antacids: Over-the-counter relief for immediate pain and burning symptoms.
  • Antibiotics or antivirals: Target infections from Candida, herpes simplex, or CMV when identified via endoscopy.
  • Sucralfate: A protective coating agent that shields the ulcer site and eases discomfort.
  • Diet modifications: Soft, bland foods in smaller, frequent meals; avoid spicy foods, citrus, coffee, alcohol, and very hot drinks.
  • Endoscopic treatments: Cauterization or stenting for ulcers that bleed or cause strictures.
  • Lifestyle changes: Elevate the head of the bed, quit smoking, lose weight if needed, and manage stress to reduce reflux.
  • Follow-up endoscopy: Recheck healing in 4-8 weeks and adjust therapy as needed.

Why Choose GastroDoxs?

At GastroDoxs in Houston, our board‐certified gastroenterologists specialize in diagnosing and treating esophageal ulcers with precision and compassion. From on‐site endoscopy and advanced imaging to personalized medication plans and dietary guidance, we tailor every aspect of your care to promote rapid healing and lasting relief. Don't let discomfort hold you back-book your appointment today and experience patient‐centered, cutting-edge treatment for a healthier, happier you.

5.3K

Patients Treated

We've successfully treated more than 5.3K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

How do I know if I have an esophageal ulcer?

You may experience burning chest pain, pain when swallowing (odynophagia), regurgitation of food or acid, unexplained weight loss, or the sensation of food sticking in your throat. An endoscopy is required to confirm the diagnosis.

What's the difference between an ulcer and cancer?

An esophageal ulcer is a shallow sore in the esophageal lining, while cancer involves uncontrolled cell growth forming a tumor. Only a biopsy during endoscopy can definitively distinguish between the two.

What's the ICD-10 code for esophageal ulcer?

The primary code for esophageal ulceration is K22.1. If the ulcer is associated with ulcerative esophagitis, you may also use K20.0.

How long does healing take?

Most esophageal ulcers heal within 4-8 weeks when treated with acid-reducing medications and lifestyle changes, though severe cases may require longer therapy.

Can acid reflux cause ulcers?

Yes. Chronic gastroesophageal reflux disease (GERD) exposes the esophagus to stomach acid, which can erode the lining and lead to ulcer formation.

Are there home remedies that help?

Home remedies include eating softer foods, avoiding known triggers (spicy or acidic foods), eating smaller meals, elevating the head of your bed, and quitting smoking.

When should I see a specialist?

Schedule an appointment if you have persistent chest pain, difficulty swallowing, vomiting blood, dark stools, or unexplained weight loss to prevent complications.

Will I need surgery?

Surgery is rarely required. It is reserved for ulcers that do not heal with medical therapy or those that cause significant bleeding or perforation.

What foods should I avoid?

Avoid spicy foods, citrus fruits, tomatoes, coffee, alcohol, carbonated beverages, and very hot drinks, as they can irritate the ulcer and worsen symptoms.

Can stress cause ulcers?

Stress itself doesn't directly cause esophageal ulcers, but it can worsen acid reflux and delay healing by affecting your eating and sleep habits.

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