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Esophageal Strictures Treatment - Dr. Rishi Chadha

Dr. Rishi Chadha is a board certified gastroenterologist offering new diagnosis and treatment of esophageal strictures - constriction of the food pipe which obstructs the swallowing process at GastroDoxs in Houston. He enables easy eating and enhances the quality of life through less invasive surgery, personal attention and care.

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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
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?

Esophageal stricture refers to shortening of the food pipe (esophagus), thus making it difficult to pass food and fluid between your mouth and stomach. It may lead to the tight spot, obstruction, and the inability to swallow (dysphagia).

Common Causes and Risk Factors

  • Peptic strictures are caused by long term acid reflux (GERD).
  • Chest radiation treatment.
  • Eating of acidic or strong chemicals.
  • Esophagitis (allergic swelling) is eosinophilic.
  • History of esophageal surgery/trauma.
  • Barrett's esophagus
  • More than 50 years of heartburn.

Signs and Symptoms

  • Difficulty in swallowing solids (dysphagia)
  • Sensation of being stuck in the neck and in the chest.
  • Chest pains or chronic heartburn.
  • Vomiting up of raw food.
  • Unintentional weight loss

How Dr. Rishi Diagnoses Esophageal Strictures?

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

Medical History and Exam

He looks into your problems of swallowing, reflux and other risk factors.

Upper Endoscopy

A flexible scope is used to visualize the esophagus directly which is used to detect any stricture.

Barium Swallow X-Ray

One consumes a contrast solution so that the X-rays can be applied to demonstrate to you where there are constrictions or motility issues.

Biopsy (if needed)

Small tissue samples are also used to perform endoscopy that rules 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 portions slowly and in soft form to alleviate pain.
  • Rinse with food and pour over saues or gravies to make it wet.
  • Foods that have a hot, spicy, or very cold nature and irritate should be avoided.
  • Quit smoking and reduce consumption of alcohol since it will not create additional damages to the esophagus.

2. Medications

  • Proton pump inhibitors (PPIs) to counter stomach acid and protect the stomach lining.
  • H2 blockers to suppress acid reflux and to avoid aggravation of stricture.
  • Drugs as steroids to prevent allergies or inflammatory triggers to narrowing.

3. Advanced, Gentle Procedures

  • Increasing the size of the esophagus through dilation of balloon or bougie to gently dilate and enlarge the esophagus.
  • Steroid injections at the stricture point are made in order to make scars accumulate.
  • More critical or frequent constrictions Esophagical stenting.
  • Surgery is referred in rare situations or complex cases that do not necessitate other treatment modes.
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?

These are tiny holes in the alimentary canal that it struggles to swallow.

How common are they?

They affect some 10 percent of people with a chronic reflux of acid (GERD).

What are the causes of esophagus strictures?

Most of them are brought about by chronic acid reflux. The remaining causes are radiation, corrosive chemical, operation or allergic inflammation.

What kinds of strictures?

Peptic (acid trauma), corrosive (chemicals) and eosinophilic/ allergic strictures.

What is their diagnosis by Dr. Chadha?

He uses upper endoscopy to visualize the constriction, has the ability to order a barium swallow X-ray and a biopsy when the cancer must be ruled out.

Can diet changes help?

Yes. Swallowing can be reassured, by taking small soft meals slowly and with more moisture.

Does it feel pain when the esophagus is swelling?

There is a slight level of pain, though the means of tranquilizing and gentle means will guarantee you that you are at ease.

How long does treatment take?

A majority of the patients are relieved through one or two dilation sessions.

Will I have to undergo frequent treatments?

Maintenance therapy or follow up dilations are some of the treatment measures required of some people to keep the esophagus open.

Does it have insurance coverage of diagnosis and treatment?

Most of the Houston plans contain the two. Our office staff will help you in verifying your benefits and going through it.

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