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Dysphagia

At GastroDoxs in Houston, Dr. Rishi Chadha specializes in diagnosing and treating dysphagia-difficulty swallowing-using advanced tests and therapies. From lifestyle adjustments and medications to minimally invasive procedures, his expert team delivers compassionate, effective care, helping patients regain safe, comfortable eating.

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Rishi Chadha

About the Expert

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

What Is Dysphagia?

Dysphagia means trouble swallowing. It can make eating or drinking feel hard or painful. You might feel like food gets stuck in your throat or chest. In serious cases, it can cause choking or lung infections.

Common Causes and Risk Factors

  • Acid reflux (GERD)
  • Neurological disorders such as stroke or Parkinson's disease
  • Muscle disorders like scleroderma
  • Esophageal strictures or narrowing of the food pipe
  • Prior surgery or radiation to the head, neck, or chest
  • Aging, which can weaken swallowing muscles

Signs and Symptoms

  • Coughing or choking while eating or drinking
  • Sensation of food stuck in the throat or chest
  • Pain or discomfort when swallowing
  • Unintentional weight loss
  • Heartburn or regurgitation of food
  • Recurrent lung infections (aspiration pneumonia)

How Dr. Rishi Diagnoses Dysphagia?

Dr. Rishi Chadha uses a step-by-step approach:

Medical History

He discusses your swallowing difficulties, eating habits, past surgeries, medications, and other health conditions.

Physical Exam

He examines your neck, throat, and muscle function to look for signs of obstruction or weakness.

Diagnostic Tests

  • Barium swallow X-ray � You drink a contrast liquid so we can watch how food and liquid move down your esophagus.
  • Upper endoscopy (EGD) � A thin, flexible camera inspects the lining of your throat and esophagus for inflammation or narrowing.
  • Esophageal manometry � A pressure test that measures the strength and coordination of your esophageal muscles.

Advanced Evaluation (if needed)

Additional studies such as pH monitoring to assess reflux or CT imaging to rule out structural causes.

Rishi Chadha
Treatment

Our Houston team offers a full range of care for dysphagia.

1. Lifestyle and Diet Tips

  • Eat small meals more often
  • Chew your food slowly
  • Sit upright for 30 minutes after meals
  • Avoid hard, dry, or spicy foods
  • Work with a speech therapist to learn safe swallowing techniques

2. Medicines

  • Acid blockers (PPIs or H2 blockers) for reflux
  • Muscle relaxers to stop spasms
  • Thickened drinks or special enzymes to help food go down

3. Advanced Treatments

  • Dilation � Widens tight spots in the esophagus
  • Botox injections � Relaxes tense muscles
  • Esophageal stents � Keeps the food pipe open
  • POEM surgery � A modern option for achalasia
Rishi Chadha

About the Author

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

Frequently Asked Questions

What is the ICD-10 code for dysphagia?

The main ICD-10 code for dysphagia is R13, with subcodes like R13.1 specifying oropharyngeal dysphagia.

Why is the ICD-10 code important?

Using the correct code ensures proper treatment planning and helps with insurance coverage.

What are the four stages of swallowing?

The stages are: 1) oral preparatory, 2) oral transport, 3) pharyngeal, and 4) esophageal.

Is dysphagia dangerous?

Yes. Untreated dysphagia can lead to weight loss, dehydration, malnutrition, or aspiration pneumonia.

Can swallowing exercises help?

Absolutely. A speech therapist can teach you safe swallowing exercises, postures, and techniques.

What tests are needed to diagnose dysphagia?

Common tests include a barium swallow X-ray, upper endoscopy (EGD), and esophageal manometry.

Can dysphagia be cured?

Many patients improve significantly with diet changes, medications, dilation, or simple procedures. Some conditions require ongoing management.

How long does treatment take?

Treatment time varies. Mild cases may improve in weeks; more complex issues can take several months.

Will insurance cover dysphagia treatment?

Yes. With a clear diagnosis code like R13, most plans cover evaluation and treatment.

When should I see a doctor for swallowing problems?

See a physician if swallowing is painful, food feels stuck, you choke often, or you have unexplained weight loss.

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