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Schaztki's Ring

Schatzki's ring can turn everyday meals into daunting challenges. Board-certified gastroenterologist Dr. Bharat Pothuri in Houston offers gentle, expert diagnosis and treatment-ranging from endoscopic dilation to lifestyle adjustments-delivering personalized, minimally invasive care to restore comfortable swallowing and lasting relief.

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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 Schatzki's Ring?

Schatzki's ring is a thin, circular band of tissue that forms at the lower end of the esophagus. It can narrow the food passage and lead to intermittent difficulty swallowing solid foods such as meat or bread. This condition most often develops in adults over 40 and is frequently linked to chronic acid reflux or a hiatal hernia.

Common Causes and Risk Factors

  • Gastroesophageal reflux disease (GERD) causing chronic irritation
  • Hiatal hernia, which promotes acid backflow
  • Age-related changes in esophageal tissue elasticity
  • Family history of Schatzki's ring
  • Tobacco use that injures the esophageal lining

Signs and Symptoms

  • Difficulty swallowing solid foods like meat or bread
  • Sensation of food -sticking- in the lower chest
  • Intermittent chest discomfort or mild heartburn
  • Unintended weight loss from reduced food intake

Expert Treatment for Schatzki's Ring by Dr. Bharat Pothuri

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

Medical History and Symptom Review

He discusses your swallowing difficulties, heartburn or reflux episodes, any history of hiatal hernia, and other risk factors such as tobacco use or family history.

Upper Endoscopy (EGD)

A thin, flexible, lighted tube is passed through the mouth into the esophagus to directly visualize the ring, assess its size, and look for associated inflammation or ulceration.

Barium Swallow X-Ray

You swallow a contrast solution while X-rays are taken to outline the esophagus and pinpoint the ring's exact location and degree of narrowing.

Esophageal Manometry (if needed)

This test measures the strength and coordination of esophageal muscle contractions to rule out other motility disorders that can mimic symptoms.

pH Monitoring (if reflux is suspected)

A small probe or wireless capsule records acid levels in your esophagus over 24-48 hours to determine the severity of gastroesophageal reflux disease (GERD) contributing to ring formation.

Bharat Pothuri
Treatment

Our Team offers a full range of care for Schatzki's Ring.

1. Lifestyle and Diet Changes

  • Take smaller bites and chew thoroughly
  • Avoid very hot or cold foods
  • Stay upright for 30 minutes after meals
  • Raise your head while sleeping to reduce reflux

2. Medications

  • Proton pump inhibitors (PPIs) to reduce stomach acid
  • H2 blockers for mild heartburn relief
  • Protective agents to soothe and heal the esophageal lining

3. Minimally Invasive Procedures

  • Endoscopic dilation - gently stretches the ring with a balloon or dilator
  • Ring incision - a precise cut in the tissue to widen the esophagus
  • Radiofrequency ablation - helps prevent the ring from re-forming in select cases
677

Patients Treated

Dr. Pothuri has treated more than 677 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 Schatzki's ring, and how is it treated?

Schatzki's ring is a thin band of tissue at the lower esophagus that can narrow the passage. Dr. Pothuri treats it non-surgically with endoscopic dilation, ring incision, and acid-reflux management for lasting relief.

Is trouble swallowing a main symptom?

Yes. Most patients notice difficulty swallowing solid foods like meat, bread, or pills, often feeling food stick in the chest.

Can the ring go away for good?

Many patients achieve long-term relief after one or two dilation or incision sessions. A few may need repeat treatments if symptoms recur.

What are the options for treatment?

Effective options include balloon or bougie dilation to stretch the ring, endoscopic cutting (incision), and in select cases radiofrequency ablation to reduce recurrence.

Will I be asleep during the procedure?

Yes. All endoscopic treatments are done under conscious sedation or light anesthesia to ensure you remain comfortable and pain-free.

How soon can I eat after dilation?

Most patients start with a soft diet the same day, advancing to regular foods within 1-2 days, based on comfort and swallowing ability.

Do I need follow-up visits?

Yes. Dr. Pothuri schedules follow-up appointments to monitor healing, adjust medications, and ensure your symptoms stay resolved.

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