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Odynophagia

Odynophagia, or pain when swallowing, can stem from acid reflux, infections, ulcers, or allergies. Dr. Bharat Pothuri at GastroDoxs in Houston offers comprehensive evaluation-medical history, endoscopy, biopsies, pH testing-and personalized treatments to relieve discomfort, restore swallowing, improve quality of life.

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Difficulty Swallowing

American Society for Gastrointestinal Endoscopy

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)
Infections (Candida yeast, herpes simplex)
Esophageal ulcers or mucosal sores
Eosinophilic esophagitis (food-allergy reaction)
Medications that irritate the lining (aspirin, NSAIDs)
Smoking and heavy alcohol consumption
Weakened immune system (HIV, chemotherapy)
Esophageal strictures or cancer

Signs and Symptoms

Sharp, stabbing or burning pain when swallowing
Pain that begins immediately after eating or drinking
Throat or chest discomfort even when swallowing saliva
Heartburn, nausea or occasional vomiting
Avoidance of solids or certain textures due to pain
Unintended weight loss from reduced food intake

Expert Treatment for Odynophagia by Dr. Bharat Pothuri

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

Medical History and Physical Exam

He reviews your symptoms (pain location, timing, triggers), medication use, alcohol and tobacco history, and any prior esophageal disorders.

Upper Endoscopy (EGD)

A thin, flexible camera inspects the lining of your throat, esophagus and stomach. Biopsies are taken to look for infections, ulcers, eosinophilic inflammation or malignancy.

pH Monitoring and Esophageal Manometry

Ambulatory pH testing measures acid exposure over 24-48 hours to confirm reflux.
High-resolution manometry assesses esophageal muscle contractions and coordination.

Barium Swallow X-Ray

You drink a contrast solution while X-rays capture any strictures, rings or motility issues that could cause pain with swallowing.

Biopsy and Laboratory Analysis (if needed)

Tissue samples are sent to pathology to rule out fungal or viral infections, eosinophilic esophagitis, or early malignancy.

Treatment

Our Team offers a full range of care for odynophagia (painful swallowing).

1. Diet and Daily Habits

Eat small, soft meals
Avoid hot, spicy, or sour foods
Sit upright for at least 30 minutes after eating
Quit smoking and avoid alcohol
Raise the head of your bed to reduce nighttime reflux

2. Medications

Proton pump inhibitors (e.g., omeprazole) to lower stomach acid
H₂-blockers for nighttime heartburn relief
Antibiotics or antifungals to treat infections
Topical numbing sprays for short-term pain control

3. Minimally Invasive or Advanced Procedures

Balloon dilation to stretch narrowed areas of the esophagus
Endoscopic cleaning and debridement of irritated tissue
Radiofrequency therapy for refractory reflux
Steroid infusions or specialized elimination diets for inflammatory causes

Call Us 832-632-4070 Schedule Now Click Here Text Us 832-632-4070

1.5K

Patients Treated

Dr. Pothuri has treated more than 1.5K 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

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's the difference between odynophagia and dysphagia?

Odynophagia means it hurts to swallow, while dysphagia refers to difficulty moving food down the throat.

What causes odynophagia?

Common causes include acid reflux (GERD), infections (yeast or viral), eosinophilic esophagitis, medications, or structural issues.

How is odynophagia diagnosed?

Dr. Pothuri uses endoscopy, tissue sampling, pH testing, and swallow X-rays to pinpoint the cause of pain.

When should I see a doctor?

If painful swallowing lasts more than two weeks, leads to weight loss, or is accompanied by bleeding or fever, schedule an evaluation.

Is odynophagia covered by insurance?

Yes. Most insurance plans cover diagnostic tests and treatments-verify specifics with your provider ahead of time.

Can I treat odynophagia at home?

Soft foods, antacids, and lifestyle changes can ease symptoms temporarily, but professional evaluation is essential to address the root cause.

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