1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Esophageal Ulcer

Esophageal ulcers are painful sores forming in the esophageal lining due to acid reflux, medications, or infections. Without prompt diagnosis and treatment, they can cause bleeding, strictures, and anemia. At GastroDoxs in Houston, Dr. Rishi Chadha offers expert healing care.

Call Us 832-632-4070 Schedule Now Click Here Text Us 832-632-4070 Learn More Click Here
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 Is an Esophageal Ulcer?

An esophageal ulcer is an open sore in the lining of the esophagus�the muscular tube that carries food and liquids from your throat to your stomach. Left untreated, it can cause pain, bleeding, scarring and narrowing of the esophagus.

Common Causes and Risk Factors

  • GERD (chronic acid reflux) damaging the esophageal lining
  • Frequent or long-term use of NSAIDs (e.g., ibuprofen, naproxen)
  • Infections such as Candida (yeast) or herpes simplex virus
  • Smoking tobacco and heavy alcohol consumption
  • Zollinger-Ellison syndrome (rare gastrin-secreting tumors)
  • Weakened immune system or serious chronic illnesses

Signs and Symptoms

  • Burning or sharp pain in the center of the chest
  • Discomfort or pain when swallowing food or drinks
  • Persistent heartburn or sour, acidic taste
  • Nausea or vomiting, which may include blood
  • Unexplained weight loss or loss of appetite

How Dr. Rishi Diagnoses Esophageal Ulcer?

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

Medical History and Medication Review

He reviews your symptoms, eating habits, NSAID or alcohol use, and other risk factors.

Physical Examination

He checks your throat, chest, and abdominal area for tenderness or signs of pain.

Upper Endoscopy (EGD)

  • Directly visualizes any ulcers or inflammation in the esophagus lining.
  • Obtains biopsy samples to rule out infections or cancer.

Acid (pH) Monitoring

24-hour pH probe testing measures acid exposure and reflux episodes in your esophagus.

Laboratory Tests

Blood work checks for infections (like Candida or herpes) and evaluates iron levels to detect anemia.

Rishi Chadha
Treatment

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

1. Lifestyle and Diet Modifications

  • Eat smaller meals more often
  • Avoid spicy, acidic, or fried foods
  • Quit smoking and limit alcohol
  • Raise the head of your bed by 6�8 inches
  • Stay active and maintain a healthy weight

2. Medications

  • Proton pump inhibitors (PPIs) to reduce stomach acid
  • H2 blockers for milder acid control
  • Antibiotics or antifungals to treat infections
  • Sucralfate to coat and protect the ulcer

3. Minimally Invasive or Advanced Procedures

  • Endoscopic dilation to gently open narrowed areas
  • Radiofrequency ablation for early tissue changes from GERD
  • Mucosal resection to remove ulcers that appear suspicious
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 esophageal ulcer?

The code is K22.1 � Ulcer of the esophagus.

How do I know if it's an ulcer and not a sore throat?

Ulcers cause deep, lasting pain and may bleed when you swallow, unlike a simple sore throat.

Can acid reflux cause ulcers?

Yes. Long-term GERD can damage the esophageal lining and lead to ulcers.

Can I treat this at home?

You can support healing with diet changes and avoiding NSAIDs, but you still need medical evaluation and treatment.

What test confirms an esophageal ulcer?

An upper endoscopy (EGD) with biopsy is the most accurate way to diagnose and rule out other causes.

How long does healing take?

Most esophageal ulcers heal in 4 to 8 weeks with proper medical treatment and lifestyle adjustments.

Could an esophageal ulcer be cancer?

Most ulcers are benign. A biopsy during endoscopy helps rule out malignancy.

Does smoking affect healing?

Yes. Smoking delays ulcer healing and increases your risk of recurrence.

Can children get esophageal ulcers?

It's rare, but children can develop ulcers from severe reflux or infections.

Where can I learn more?

Visit the Mayo Clinic: mayoclinic.org

Related Blogs
Abdominal Pain

What Is Constipation, and What Can You Do About It?

Read More
Abdominal Pain

Foods to Avoid If You Have Chronic Acid Reflux

Read More
Abdominal Pain

Lifestyle Changes That Can Improve Your Constipation Issues

Read More