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

Presbyesophagus

Enjoy eating at any age. Presbyesophagus-age-related weakening of esophageal muscles-can make swallowing slow, stuck or painful. In Houston, Dr. Rishi Chadha at GastroDoxs provides clear diagnosis and tailored treatments, including diet changes, medications and minimally invasive procedures for smoother swallowing.

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 Presbyesophagus?

Presbyesophagus is a swallowing problem that happens with age. As you get older, the muscles in your esophagus (food pipe) get weaker. Food may move more slowly or feel stuck. Swallowing may become harder or uncomfortable. Doctors often use ICD-10 code K22.7 to record this condition.

Common Causes and Risk Factors

  • Aging - Muscle strength in the esophagus drops over time
  • Hiatal Hernia - A part of your stomach pushes upward and affects swallowing
  • Acid Reflux - Ongoing reflux can hurt the muscle function
  • Chronic Illnesses - Like diabetes, nerve problems, or scleroderma
  • Often occurs along with a hiatal hernia

Signs and Symptoms

  • Trouble swallowing food or drinks
  • Feeling like food is stuck in your chest or throat
  • Throat clearing or mild coughing
  • Food coming back up (regurgitation)
  • Mild chest discomfort after meals

How Dr. Rishi Chadha Diagnoses Presbyesophagus?

Dr. Chadha uses a simple, clear process:

1. Patient Interview

He reviews your swallowing symptoms, medical history, and any risk factors.

2. Physical Exam

He gently examines your neck and throat for tightness, swelling, or other abnormalities.

3. Esophageal Manometry

This test measures the strength and coordination of your esophagus muscles during swallowing.

4. Barium Swallow X-ray

After you drink a barium solution, X-rays track how food moves through your esophagus and identify delays or blockages.

5. Upper Endoscopy

A thin, flexible camera is passed into your esophagus to look for narrowing, irritation, or other structural changes.

Dr. Rishi Chadha
Treatment

Treatment Options at GastroDoxs

1. Lifestyle and Diet Changes

  • Eat smaller meals more often
  • Chew slowly and sip water while eating
  • Sit up for at least 30 minutes after eating
  • Avoid spicy, greasy, or acidic foods that cause reflux

2. Medications

  • PPIs - Lower stomach acid to protect the esophagus
  • Prokinetics - Help food move down more smoothly
  • Antacids - Give fast relief for mild heartburn

3. Minimally Invasive or Advanced Procedures

  • Endoscopic Dilation - Gently opens tight areas
  • Botox Injections - Loosen tight muscles in some cases
  • Hernia Repair - Surgery may help if a hernia causes swallowing issues (Dr. Chadha can refer you to a trusted surgeon if needed)
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 presbyesophagus?

K22.7 is the most used code for this condition.

What causes this problem?

Aging, acid reflux, and hiatal hernia are the main causes.

Is it serious if left untreated?

Yes. Untreated presbyesophagus can lead to poor nutrition or aspiration into the lungs.

How long does treatment take?

Most patients notice improvement within a few weeks of starting therapy.

Can swallowing therapy help?

Yes. A speech and swallow therapist can teach exercises to strengthen esophageal function.

What are the treatment options?

Treatment includes lifestyle and diet changes, medications, and minimally invasive procedures.

Will I need surgery?

Surgery is uncommon; most people improve with non-surgical treatments.

Is presbyesophagus the same as achalasia?

No. Achalasia is a valve-related disorder; presbyesophagus stems from age-related muscle weakening.

Does a hiatal hernia make it worse?

Yes. A hiatal hernia can increase reflux and slow esophageal emptying.

Where can I learn more?

Visit the American College of Gastroenterology: https://gi.org

Related Blogs
Abdominal Pain

Bowel Movements: What's Normal and What's Not?

Read More
Abdominal Pain

Blood in Your Stool? Here's What It Could Mean

Read More
Abdominal Pain

Hyperthyroidism and Diarrhea: Understanding the Causes and Treatment Options

Read More