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Presbyesophagus

Presbyesophagus refers to age-related changes in the esophagus that may weaken swallowing muscles, causing dysphagia and reflux. At GastroDoxs in Houston, Dr. Bharat Pothuri offers expert evaluation and care with lifestyle adjustments, medications and testing to help you eat comfortably.

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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

  • Aging-related weakening of esophageal muscles
  • Slower nerve signals that control swallowing
  • Years of mild acid reflux (GERD)
  • Smoking or prolonged tobacco use
  • Medications that impair esophageal motility
  • Chronic lung disease leading to increased esophageal strain

Signs and Symptoms

  • Mild difficulty swallowing solid foods (dysphagia)
  • Sensation of food -sticking- in the chest
  • Frequent heartburn or acid regurgitation
  • Unintended weight loss from reduced intake
  • Coughing or choking during meals
  • Slowed or effortful swallowing

Expert Treatment for Presbyesophagus by Dr. Bharat Pothuri

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

Medical History and Symptom Review

He discusses your swallowing difficulties, epigastric discomfort, meal patterns and any history of reflux or lung disease.

Physical Examination

An exam of your neck, chest and abdomen to check for tenderness, muscle tone and any visible abnormalities.

Esophageal Manometry

Measures the strength, coordination and timing of esophageal muscle contractions during swallowing.

Barium Swallow Study

  • Evaluates how contrast moves through the esophagus, highlighting areas of weakness or delay.
  • Detects structural changes such as dilation, rings or strictures.

Upper Endoscopy (EGD)

Allows direct visualization of the esophageal lining to rule out inflammation, strictures or other organic causes of epigastric pain.

24-Hour pH Monitoring (if reflux is suspected)

Assesses acid exposure in the lower esophagus over a full day to determine the role of GERD.

High-Resolution Impedance Manometry (Advanced)

Combines pressure mapping with bolus flow measurement for a detailed analysis of motility disorders.

Dr. Bharat Pothuri
Treatment

Our Team offers a full range of care for presbyesophagus.

1. Diet and Lifestyle Changes

  • Eat smaller meals more frequently
  • Chew food thoroughly and eat slowly
  • Avoid large or heavy meals late at night
  • Elevate the head of the bed to reduce nighttime reflux

2. Medications

  • Prescription acid reducers to lower stomach acidity
  • Prokinetic agents to improve esophageal motility
  • Antacids for quick relief of heartburn

3. Minimally Invasive Procedures

  • Endoscopic dilation to gently stretch and widen the esophagus
  • Botox injections for relaxation of tight esophageal muscles (in select cases)
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

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 causes presbyesophagus in older adults?

Presbyesophagus results from natural aging: the esophageal muscles weaken and nerve signals slow over time. Long-term mild acid reflux, certain medications, smoking, or lung disease can also contribute.

Is presbyesophagus dangerous?

No. It's not a disease but an age-related change. However, if swallowing becomes difficult or you lose weight, it's important to get evaluated to rule out other conditions.

How is presbyesophagus different from dysphagia?

Presbyesophagus refers specifically to age-related weakening of the esophagus. Dysphagia is a general term for swallowing difficulties that may have many other causes.

How is the condition diagnosed?

Dr. Pothuri uses esophageal manometry to measure muscle strength, a barium swallow to watch food movement, and endoscopy to exclude other issues before confirming presbyesophagus.

Can diet alone fix the problem?

Diet and lifestyle changes-like eating smaller meals, chewing well, and raising the head of the bed-help many patients. If symptoms persist, medications or a minor procedure may be added.

How fast is recovery after dilation?

Most patients resume normal eating within 24 hours. Many feel immediate relief of swallowing discomfort after an endoscopic dilation.

Does insurance cover the tests and treatments?

Yes. Most health plans cover diagnostic tests (manometry, barium swallow, endoscopy) and treatments. Our team at GastroDoxs can assist you with benefit verification.

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