1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Difficulty Swallowing

At GastroDoxs in Houston, Dr. Bharat Pothuri provides expert care for dysphagia, guiding patients from babies to adults through personalized diagnosis and treatment. Using advanced tests, dietary adjustments, and specialized procedures, he helps restore comfortable, safe swallowing and overall well-being.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. 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.

Common Causes and Risk Factors

  • Gastroesophageal reflux disease (GERD) causing esophageal irritation
  • Anxiety and stress-induced throat muscle tension
  • Neurological disorders such as stroke or Parkinson's disease
  • Esophageal strictures, scar tissue, or tumors narrowing the passage
  • Developmental delays or reflux in infants
  • Age-related weakening of swallowing muscles

Signs and Symptoms

  • Sensation of food or liquid "stuck" in the throat or chest
  • Pain or burning when swallowing (odynophagia)
  • Coughing, choking, or gagging during meals
  • Heartburn or regurgitation of food or acid
  • Poor feeding, refusal to eat, or weight loss in infants

Expert Treatment for Difficulty Swallowing by Dr. Bharat Pothuri

Dr. Pothuri uses a step-by-step approach:

Medical History and Physical Exam

He asks about your swallowing symptoms, eating habits, stress levels, and any associated chest or epigastric pain. He then examines your throat, neck, and abdomen for tenderness or masses.

Barium Swallow Study

You drink a contrast solution while X-rays capture its journey down your esophagus-revealing strictures, motility problems, or sites of obstruction.

Upper Endoscopy (EGD)

An endoscope is passed through your mouth to directly visualize the lining of your esophagus and stomach. Dr. Pothuri can also obtain biopsies to rule out inflammation, eosinophilic esophagitis, or tumors.

Esophageal Manometry

This procedure measures the strength, coordination, and timing of your esophageal muscle contractions-essential for diagnosing motility disorders like achalasia or spasm.

pH Monitoring (if reflux is suspected)

A small probe records acid exposure in your esophagus over 24 hours to confirm GERD-related damage contributing to dysphagia.

Additional Imaging (as needed)

  • CT scan or MRI to assess for masses, rings, or external compression.
  • Endoscopic ultrasound for detailed evaluation of submucosal lesions.
Dr. Bharat Pothuri
Treatment

Our Team offers a full range of care for difficulty swallowing (dysphagia).

1. Dietary & Lifestyle Modifications

  • Soft-food diet and thorough chewing
  • Small sips of water between bites
  • Avoidance of spicy or acidic foods to reduce irritation
  • Sleeping with head elevated to minimize reflux

2. Medications

  • Acid blockers for GERD-related swallowing issues
  • Muscle relaxants to ease tight throat muscles
  • Botox injections to relieve specific muscular spasms

3. Minimally Invasive & Advanced Procedures

  • Balloon dilation to stretch a narrowed esophagus
  • Stent placement to keep the esophagus open
  • POEM (Peroral Endoscopic Myotomy) for achalasia patients
9K

Patients Treated

Dr. Pothuri has treated more than 9K 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

What is dysphagia?

Dysphagia means trouble swallowing. It can affect solids, liquids, or both and may cause choking or coughing during meals.

What causes dysphagia?

Common causes include stroke, GERD, esophageal strictures, neurological disorders (Parkinson's), and cancer in the throat or esophagus.

How is dysphagia diagnosed?

Your doctor may order a barium swallow X-ray, endoscopy, or a modified barium swallow study to observe swallowing in real time.

What treatments are available?

Treatment depends on cause: swallowing therapy with a speech-language pathologist, dilation for strictures, medications for reflux, or surgery for structural issues.

Can diet changes help?

Yes. Textures may be modified (pureed foods, thickened liquids) to reduce aspiration risk. A dietitian can guide safe meal plans.

When should I see a specialist?

Seek evaluation if you have persistent coughing, choking, weight loss, or food sticking in your throat for more than two weeks.

Is dysphagia dangerous?

Untreated dysphagia can lead to malnutrition, dehydration, and aspiration pneumonia. Early management is key to preventing complications.

How long does recovery take?

Recovery time varies by cause and treatment-speech therapy may take weeks, while surgical fixes can heal in days to weeks.

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