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Dysphagia

Dysphagia, or difficulty swallowing, can range from mild discomfort to serious choking episodes. In Houston, Dr. Bharat Pothuri at GastroDoxs offers diagnosis and personalized treatment-from dietary adjustments and medications to advanced procedures-helping patients regain safe, comfortable swallowing and improved well-being.

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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.

What Is Dysphagia?

Dysphagia is difficulty swallowing. You might feel like food or liquid is stuck in your throat or chest, cough or choke when eating, or experience pain. It ranges from mild discomfort to severe obstruction and carries ICD-10 code R13.x for diagnosis and tracking.

Common Causes and Risk Factors

  • Age (risk rises after 50)
  • Gastroesophageal reflux disease (GERD)
  • Neurological conditions (stroke, Parkinson's disease)
  • Muscle disorders (scleroderma, myositis)
  • Head or neck surgery, radiation therapy
  • Structural abnormalities (esophageal strictures, tumors)

Signs and Symptoms

  • Sensation of food sticking in throat or chest
  • Coughing, choking, or gagging during meals
  • Pain or discomfort when swallowing (odynophagia)
  • Unintended weight loss
  • Excessive drooling or inability to handle saliva
  • Regurgitation of undigested food or liquids

Expert Treatment for Dysphagia by Dr. Bharat Pothuri

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

Medical History & Symptom Review

He begins by discussing your swallowing difficulties, health history, and any related symptoms to understand the root cause.

Barium Swallow X-ray

You will be asked to drink a contrast solution while X-ray images track its movement through your esophagus, helping detect obstructions or motility issues.

Upper Endoscopy (EGD)

An endoscope is gently passed through your mouth to view the lining of your esophagus and stomach. Biopsies may be taken if inflammation or other issues are seen.

Esophageal Manometry

This test measures the pressure and coordination of muscle contractions in your esophagus, which is crucial for identifying motility disorders.

pH Testing (if acid reflux is suspected)

A small probe records acid levels in your esophagus over 24 hours to determine if GERD is contributing to your swallowing problems.

Dr. Bharat Pothuri
Treatment

Our Team offers a complete range of care for dysphagia.

1. Diet and Lifestyle Changes

  • Soft food recommendations and smaller, more frequent meals
  • Eating upright and practicing proper swallowing techniques
  • Adding thickeners to liquids to reduce choking risk

2. Medications

  • Proton pump inhibitors or H2 blockers for reflux-related symptoms
  • Muscle relaxants or spasmolytics for motility disorders
  • Antibiotics when an underlying infection is identified

3. Minimally Invasive and Advanced Procedures

  • Endoscopic dilation to gently open strictures in the esophagus
  • Botox injections to relax hyperactive swallowing muscles
  • POEM (Per Oral Endoscopic Myotomy) for severe or achalasia-related dysphagia
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 difficulty swallowing. It can affect liquids, solids, or both and may cause coughing or choking during meals.

What are the main causes of dysphagia?

Common causes include neurological disorders (stroke, Parkinson's), GERD, esophageal strictures, head and neck cancers, and muscle disorders.

How is dysphagia diagnosed?

Diagnosis often involves a barium swallow X-ray, upper endoscopy (EGD), or a videofluoroscopic swallow study with a speech pathologist.

What treatments are available?

Treatment depends on the cause. Options include swallowing therapy, esophageal dilation for strictures, acid-reducing medications, and surgery if needed.

Can diet changes help with dysphagia?

Yes. A speech-language pathologist may recommend thickened liquids or pureed foods to make swallowing safer and easier.

When should I see a doctor?

Seek evaluation if you experience weight loss, recurrent chest infections, choking, or food sticking in your throat for more than two weeks.

Is dysphagia dangerous?

If untreated, dysphagia can lead to malnutrition, dehydration, and aspiration pneumonia. Early assessment reduces risks.

How long does recovery take?

Recovery varies widely. Swallowing therapy may require several weeks, while surgical or endoscopic treatments can resolve symptoms more quickly.

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