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Schaztki's Ring Specialist - Dr. Rishi Chadha

The entire bottom of the esophagus has a thin band of tissue referred to as the ring which makes or makes the food passage to the stomach difficult or painful through the solid food. Dr. Rishi Chadha of GastroDoxs in Houston provides a diagnosis and treatment in a personalized manner.

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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 Is Schatzki's Ring?

The Schatzki develops a thin layer tissue referred to as the ring and is grown around the base of the esophagus. It narrows the food and beverage passage, and usually causes mild to moderate discomfort of swallowing.

Common Causes and Risk Factors

  • Acid reflux (GERD): Reasoned exposure to acid causes harm to the esophagial surface and encourages the rings.
  • Older age (above 40 years): Age is a risk factor as one may obtain a Schatzki ring.
  • Hiatal hernia: The condition increases the severity of the acid reflux and may lead to the formation of rings.
  • Family history: The family could have genetic disposition to esophageal disorders.

Signs and Symptoms

  • Inability to swallow solid food (meat or bread).
  • It is as though food got stuck in the heart or throat.
  • Squeezing pains or sensation on the chest during or following meals.
  • Periodic heartburn or acid reflux.

How Dr. Rishi Chadha Diagnoses Schatzki's Ring?

Medical History & Symptom Review

First of all, Dr. Chadha will talk about your problems with the swallowing, heartburns and other risks including acid reflux, or hiatal hernia.

Barium Swallow X-Ray

Comparison in which you will administer barium liquid to illustrate how the lining of the esophagus appears, and in which also it is also indicated whether the ring constricted it.

Upper Endoscopy (EGD)

Dr. Chadha inspects the lower esophagus with naked eye by the use of a thin and flexible scope to ensure that the Schatzki ring is present, is of the right size and that it is in the right place.

Esophageal Manometry

To determine the proper diagnosis of the strength and coordination of the esophagus muscle contractions, there is a need to eliminate the possible motility disorders by applying the test.

Dr. Rishi Chadha
Treatment

Our Houston team offers a full range of care for Schatzki's Ring at GastroDoxs.

1. Lifestyle and Diet Tips

  • Take food in small bits and swallow.
  • Eat not hard or dry food as steak or coarse bread.
  • Reduce the consumption of caffeine, alcohol and hot food.
  • At least sit up 30 minutes, however, after eating.

2. Medications

  • In order to reduce stomach acid, proton pump inhibitors (PPIs).
  • H2 blockers to prevent heartburn cases.
  • The continuous acid repression will lead to the reduction of the ring.

3. Minimally Invasive Procedures

  • Endoscopic dilation - dilates the ring by utilizing a balloon or a special equipment.
  • Ring incision - an incision in order to enlarge the esophageal aperture (in other cases)
  • Normal feeding will resume 1-2 days following treatment among the majority of patients.
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 Schatzki's ring?

Schatzki ring is a thin band comprising of a tissue, which is situated at the most bottom of the esophagus and this band is narrowed so as to aid the propulsion of food and drinks through the esophagus.

What are the symptoms that one should be aware of?

Difficulty with swallowing solids, a feeling that the food gets stuck in your chest muscles or throat, has pains or pressure in the chest or throat after a meal, and heartburn (which is believed to be rare).

Does it possess any hurtful features of the ring of Schatzki?

Yes. With swallowing, other people experience the pain, or pressure, in the chest, or throat.

Diagnosis of the ring according to Schatzki?

To be able to visualize the ring directly, a barium swallow X-ray and an upper endoscopy (EGD) are generally ordered to diagnose the ring.

Prospects of treatment?

It could be treated using nutritional modification, acid suppressants and minimal invasive procedure, endoscopic dilation or incision.

Which treatment is best?

Depending upon the size of the ring, symptoms, and health, the physician will prescribe a personalized practice.

Is nutrition helpful in the management of the symptoms?

Yes. The swallowing difficulty can be solved by eating small and well-chewed food portions, avoiding eating dry and tough food.

Is endoscopic dilation safe?

Yes. The least dangerous of the operations is dilation which distends the ring to enhance swallowing.

What is the duration of the dilation period?

The normal diet can be commenced within 24-48 hours of operation by most of the patients.

When should I see a doctor?

Book an appointment in case you are having a problem with frequent swallowing or chest pains after eating a meal.

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