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Esophageal Strictures
Esophageal strictures narrow your food pipe, making swallowing painful and impacting your quality of life. Under Dr. Scott's care at GastroDoxs in Houston, you'll receive expert diagnosis, personalized treatment plans, and compassionate support for restored eating comfort, improved digestive health.
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Common Causes and Risk Factors
Acid reflux (GERD) - long-term acid exposure scars and narrows the esophagus
Infections or injuries - chronic inflammation can lead to tightening
Past surgeries or endoscopic procedures - scar tissue formation
Radiation therapy - often to the chest or neck area
Autoimmune conditions - for example, eosinophilic esophagitis
Age - more common in adults over 40
Other risks - smoking, obesity, and certain medications
Signs and Symptoms
Trouble swallowing food or liquids (dysphagia)
Feeling like food gets “stuck” in the chest
Unexplained weight loss
Persistent heartburn or acid regurgitation
Chest pain or pressure
Frequent throat clearing or coughing
How Dr. Scott Diagnoses This Condition?
Dr. Scott uses a step-by-step approach:
Medical History & Exam
He reviews your swallowing symptoms, reflux history, weight changes and any prior surgeries or radiation.
Barium Swallow X-ray
A contrast study that highlights areas of narrowing or irregularity in your esophagus.
Upper Endoscopy
A flexible scope lets Dr. Scott directly visualize the stricture and often allows immediate dilation.
Biopsy (if needed)
A small tissue sample may be taken to rule out eosinophilic esophagitis, malignancy or other causes.
Treatment
Our Team offers a full range of care for esophageal strictures.
1. Lifestyle and Diet Modifications
Eat small, soft meals to ease swallowing
Chew food thoroughly and eat slowly
Avoid spicy, acidic, or crunchy foods
Sleep with your head elevated to reduce reflux
Maintain a healthy weight to lower acid exposure
2. Medications
Proton pump inhibitors to reduce stomach acid
H2 blockers for mild heartburn relief
Topical steroids for eosinophilic esophagitis cases
Muscle relaxants before meals when needed
3. Minimally Invasive or Advanced Procedures
Esophageal dilation to gently stretch narrowed areas
Stent placement for more severe narrowing
Endoscopic mucosal resection to remove damaged tissue
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Frequently Asked Questions
What is the ICD-10 code for esophageal stricture?
It's K22.2.
How long does an esophageal dilation take?
Around 15-30 minutes. Most patients go home the same day.
Can esophageal strictures be cured?
Many people manage symptoms long-term with treatment. Some may need more than one dilation.
Can GERD cause strictures?
Yes. Acid reflux is one of the most common causes.
What foods should I avoid?
Skip hard, dry, spicy, or acidic foods that are tough to swallow.
Will I be sedated during the endoscopy?
Yes. You'll be given light sedation to keep you comfortable.
Is this condition dangerous?
Not usually, but untreated strictures can lead to serious problems like weight loss or choking.
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