Presbyesophagus is an age-related change in the esophagus where the muscle contractions become weaker and less coordinated. This slows down the movement of food from the throat to the stomach and may involve extra, non-helpful muscle twitches called tertiary contractions. While not life-threatening, it can make swallowing uncomfortable.
People with presbyesophagus often notice:
Several age-related factors contribute to presbyesophagus:
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We've successfully treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.
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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.
Diagnosis often involves an upper endoscopy to visualize the esophagus, a barium swallow test to assess movement, or esophageal manometry to measure muscle pressures.
No. Presbyesophagus is an age-related change, but symptoms like dysphagia and reflux can be effectively managed with lifestyle changes, therapy, and medication.
Avoid spicy, greasy, or acidic foods, as well as caffeine and alcohol, since they can worsen reflux and swallowing discomfort.
If you experience significant swallowing difficulties or risk of aspiration, a speech therapist can teach you exercises and techniques to improve safety and efficiency.
Medications such as proton pump inhibitors and prokinetics help control acid reflux and promote esophageal motility, but they do not reverse the aging process.
Yes. Gentle neck and throat stretches, along with posture exercises, can support better swallowing mechanics and reduce symptoms.
To-and-fro peristalsis describes uncoordinated esophageal muscle contractions that may push food briefly backward before moving it toward the stomach.
Routine follow-up every 6-12 months is recommended, or sooner if your swallowing difficulties or reflux symptoms worsen.
Yes. While many cases are managed conservatively, surgical intervention to remove or reduce the diverticulum may be advised if it causes significant obstruction or recurrent symptoms.
If over-the-counter remedies fail to control your symptoms or you have persistent dysphagia, consulting a board-certified gastroenterologist ensures accurate diagnosis and personalized treatment.
