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Odynophagia

Odynophagia, or painful swallowing, causes burning or sharp discomfort in your throat or chest. Triggered by acid reflux, infections or esophageal inflammation, it demands precise diagnosis and tailored treatment. At GastroDoxs in Houston, Dr. Rishi Chadha delivers expert, compassionate 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.

Common Causes and Risk Factors

  • Acid reflux (GERD)
  • Infections such as candida or herpes
  • Esophageal ulcers
  • Eosinophilic esophagitis (allergy-related)
  • Tumors or narrowed areas (strictures)
  • Irritating medications
  • Smoking or heavy alcohol use
  • Radiation treatment to the chest or neck

Signs and Symptoms

  • Pain or burning sensation during swallowing
  • Chest discomfort or pressure
  • Feeling like food is stuck in the throat or chest
  • Heartburn, nausea, or vomiting
  • Unintended weight loss or decreased appetite

How Dr. Rishi Diagnoses Odynophagia?

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

Medical History and Physical Exam

He reviews your symptoms, medical history, prior treatments and risk factors to narrow down possible causes.

Upper Endoscopy (EGD)

A thin, flexible camera is passed down the throat to inspect the esophagus for redness, ulcers, strictures or other abnormalities.

Biopsy or Culture Tests

Small tissue samples or swabs are taken during endoscopy to check for infections (e.g., candida, herpes) or eosinophilic inflammation.

Imaging & pH Monitoring

Additional studies'such as barium swallow X-rays, esophageal manometry, and 24-hour pH testing�measure acid exposure, motility and structural issues.

Dr. Rishi Chadha
Treatment
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

1. What is the ICD-10 code for odynophagia?

The code is R13.11.

2. How is odynophagia different from dysphagia?

Odynophagia means pain when swallowing. Dysphagia means trouble swallowing.

3. Do they need different treatments?

Yes. Odynophagia focuses on pain relief. Dysphagia often requires therapy or dilation.

4. Can this be a sign of cancer?

Sometimes. Ongoing pain should be checked to rule out serious causes.

5. How long does it take to heal?

With care, mild cases improve in days. Severe ones may take a few weeks.

6. What tests confirm the problem?

Endoscopy, pH monitoring, and biopsies help find the cause.

7. Can home remedies help?

Yes. Warm liquids, soft foods, and antacids may give short-term relief.

8. Do diet changes help?

Yes. Avoid citrus, coffee, and spicy foods to reduce irritation.

9. When should I see a GI specialist?

If pain lasts more than a week or you have weight loss or bleeding.

10. What is the ICD-10 overlap with dysphagia?

Dysphagia has codes R13.10'r13.19. Odynophagia is R13.11. Talk to your doctor if you have both.

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