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Odynophagia
Odynophagia, or painful swallowing, causes discomfort ranging from burning to stabbing in the throat. Dr. Scott at GastroDoxs, Houston, diagnoses and treats underlying causes-like acid reflux, infections, or esophageal issues-offering personalized plans, from dietary changes to advanced therapies for relief.
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.
What Is Odynophagia?
Odynophagia is the medical term for pain when swallowing. It can feel like burning, stabbing, or pressure in the throat or chest. Unlike dysphagia (difficulty moving food), odynophagia refers specifically to pain triggered by the act of swallowing.
Common Causes and Risk Factors
Gastroesophageal reflux disease (acid reflux)
Esophageal infections (yeast, viral)
Esophageal ulcers or erosions
Certain medications (NSAIDs, doxycycline, bisphosphonates)
Radiation therapy to the throat or chest
Throat or esophageal cancer
Chronic smoking and heavy alcohol use
Dry mouth or low saliva production
Signs and Symptoms
Pain or burning when swallowing foods or liquids
Sharp, stabbing chest or throat discomfort during meals
Burning sensation in the throat after eating or drinking
Unintentional weight loss due to eating avoidance
Persistent heartburn or sour taste in the mouth
Feeling of tightness or pressure in the throat
How Dr. Scott Diagnoses This Condition?
Dr. Scott uses a step-by-step approach:
Medical History and Exam
He reviews your symptoms, medical history, and risk factors-such as acid reflux, medication use, smoking, and alcohol-and performs a thorough throat and neck examination.
Endoscopy
With a flexible endoscope, Dr. Scott visualizes the lining of your esophagus and throat to identify inflammation, ulcers, strictures, or other abnormalities.
pH Monitoring
Ambulatory 24-hour pH testing measures acid exposure in the esophagus to confirm reflux as a source of odynophagia.
Biopsy (if needed)
During endoscopy, small tissue samples may be taken to diagnose infections (fungal or viral), eosinophilic esophagitis, or to rule out more serious causes like malignancy.
Treatment
Our Team offers a full range of care for odynophagia.
1. Lifestyle and Dietary Modifications
Eat smaller, softer meals to minimize throat irritation
Avoid spicy, acidic, very hot or rough-textured foods
Stay upright for at least 30 minutes after eating
Quit smoking and limit alcohol to reduce acid reflux
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's the difference between dysphagia and odynophagia?
Dysphagia is difficulty swallowing. Odynophagia is pain while swallowing.
How long does odynophagia last?
Some cases improve in a few days. Others may take weeks without treatment.
Can odynophagia be cured?
Yes. Treating the underlying cause-such as reflux or infection-usually relieves the pain.
Does acid reflux cause pain when swallowing?
Yes. Stomach acid can irritate the throat and lead to odynophagia.
When should I see a doctor?
See a specialist if pain lasts more than one week, or if you lose weight or notice blood in your spit or stool.
Is endoscopy always needed?
Not always, but Dr. Scott may recommend it to get a closer look at the esophagus and rule out serious causes.
Is odynophagia serious?
Sometimes. It can result from infections, ulcers, or, in rare cases, cancer. Early evaluation and treatment are best.
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