Presbyesophagus is an age-related change in the esophagus where the muscle tone and coordinated contractions (peristalsis) weaken over time. As a result, swallowing can become slower or more difficult, and patients may notice food does not travel smoothly from the throat to the stomach.
People with presbyesophagus often notice:
Presbyesophagus most commonly occurs as part of the natural aging process. Other contributing factors include:
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Presbyesophagus is a condition in which the esophageal muscles weaken and peristalsis slows as a result of aging, making swallowing slower or more difficult.
The ICD-10 code for presbyesophagus is K22.7.
The ICD-9 code for presbyesophagus is 530.8.
Common symptoms include trouble swallowing solids or liquids, a sensation of food sticking in the chest, mild chest pain or pressure, slower movement of food to the stomach, heartburn, and acid reflux.
Presbyesophagus occurs mainly due to age-related weakening of esophageal muscles. It can also be associated with hiatal hernia and long-term acid reflux (GERD).
Treatment options include dietary modifications (soft foods, small bites), swallowing therapy with a speech therapist, acid-reducing medications, endoscopic dilation of strictures, and, in rare cases, surgery.
Yes. Many patients with presbyesophagus also have a hiatal hernia, which can further impair esophageal function and contribute to symptoms.
Search online for "presbyesophagus specialist near me" or contact GastroDoxs in Houston to schedule an evaluation with our experienced gastroenterologists.
Diagnosis typically involves endoscopy to visualize the esophagus, a barium swallow study to assess motility, and esophageal manometry (motility testing) to measure muscle contractions.
Yes. Home management strategies include eating slowly, taking small bites, chewing thoroughly, sitting upright during and after meals, and avoiding hard-to-swallow or dry foods.