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Esophageal Strictures

At GastroDoxs in Houston, board-certified gastroenterologist Dr. Rishi Chadha offers diagnosis and treatment of esophageal strictures - narrowing of the food pipe that hampers swallowing. With minimally invasive procedures, personalized care and support, he restores comfortable eating and improves quality of life.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
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Houston Methodist leading Medicine
HCA Houston Healthcare
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 Are Esophageal Strictures?

An esophageal stricture is a narrowing of the food pipe (esophagus) that makes it harder for food and liquids to pass from your mouth to your stomach. This tight spot can cause discomfort, blockages, and difficulty swallowing (dysphagia).

Common Causes and Risk Factors

  • Chronic acid reflux (GERD), leading to peptic strictures
  • Radiation therapy to the chest
  • Ingestion of caustic or harsh chemicals
  • Eosinophilic esophagitis (allergic swelling)
  • Previous esophageal surgery or injury
  • Barrett's esophagus
  • Age over 50 with long-term heartburn

Signs and Symptoms

  • Difficulty swallowing solids (dysphagia)
  • Sensation of food 'sticking' in the throat or chest
  • Chest pain or ongoing heartburn
  • Regurgitation of undigested food
  • Unintentional weight loss

How Dr. Rishi Diagnoses Esophageal Strictures?

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

Medical History and Exam

He reviews your swallowing difficulties, reflux history, and other risk factors.

Upper Endoscopy

A flexible scope is used to directly visualize the esophagus and locate any strictures.

Barium Swallow X-Ray

You drink a contrast solution so X-rays can highlight areas of narrowing or motility issues.

Biopsy (if needed)

Small tissue samples are taken during endoscopy to rule out cancer or eosinophilic esophagitis.

Rishi Chadha
Treatment

Our Houston team offers a full range of care for esophageal strictures.

1. Lifestyle and Diet Tips

  • Eat small, soft meals slowly to minimize discomfort
  • Chew food thoroughly and use sauces or gravies for added moisture
  • Avoid hot, spicy, or very cold foods that can trigger irritation
  • Quit smoking and limit alcohol to reduce further esophageal damage

2. Medications

  • Proton pump inhibitors (PPIs) to lower stomach acid and protect the lining
  • H2 blockers to control acid reflux and prevent worsening strictures
  • Steroid medications for allergic or inflammatory causes of narrowing

3. Advanced, Gentle Procedures

  • Balloon or bougie dilation to gently stretch and widen the esophagus
  • Steroid injections at the stricture site to reduce scar tissue buildup
  • Esophageal stenting for more severe or recurrent narrowings
  • Surgical referral in rare or complex cases when other therapies aren't enough
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 are esophageal strictures?

They're narrow areas in the food pipe that make swallowing difficult.

How common are they?

They affect about 10% of people with long-term acid reflux (GERD).

What causes esophageal strictures?

Most result from chronic acid reflux. Other causes include radiation, corrosive chemical injury, surgery, or allergic inflammation.

What types of strictures are there?

Peptic (from acid damage), corrosive (from chemicals), and eosinophilic or allergic strictures.

How does Dr. Chadha diagnose them?

He uses upper endoscopy to visualize the narrowing, may order a barium swallow X-ray, and takes a biopsy if cancer needs to be ruled out.

Can diet changes help?

Yes. Eating small, soft meals slowly with extra moisture can ease swallowing.

Is esophageal dilation painful?

There can be mild discomfort, but sedation and gentle techniques keep you relaxed.

How long does treatment take?

Many patients feel relief after just one or two dilation sessions.

Will I need repeat treatments?

Some people require follow-up dilations or maintenance therapy to keep the esophagus open.

Does insurance cover diagnosis and treatment?

Most Houston plans cover both. Our office staff will help verify your benefits and guide you through the process.

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