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Presbyesophagus
At GastroDoxs in Houston, Dr. Scott specializes in treating presbyesophagus-an age-related slowdown of esophageal muscle function causing swallowing difficulties. With personalized care, advanced diagnostics and minimally invasive procedures, he helps adults enjoy smoother, comfortable eating and improved quality of life.
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 Presbyesophagus?
Presbyesophagus is an age-related change in how the esophagus moves food to the stomach. As the muscles and nerves in the esophagus slow down over time, swallowing can feel slower or less smooth. Most people notice these changes after age 60.
Common Causes and Risk Factors
Aging - natural decline in esophageal muscle and nerve function
Chronic acid reflux - long-term irritation that weakens the esophageal muscles
Hiatal hernia - small hernias that interfere with normal swallowing
Smoking and heavy alcohol use - cumulative damage to the esophageal lining
Signs and Symptoms
Sensation of food sticking in the chest or throat
Mild heartburn or chest discomfort
Coughing during or after meals
Unintended weight loss from difficulty swallowing
How Dr. Scott Diagnoses Presbyesophagus?
Dr. Scott uses a step-by-step approach:
Medical History and Exam
He reviews your swallowing difficulties, chest or epigastric pain, acid-reflux symptoms, medications, and other risk factors like age and lifestyle.
Upper Endoscopy (EGD)
Allows direct visualization of the esophageal lining to identify inflammation, strictures, small hernias, or other abnormalities.
Esophageal Manometry
Measures the strength, coordination, and timing of muscle contractions along the esophagus to detect motility disorders.
Barium Swallow Study
Tracks a contrast liquid as you swallow to visualize how smoothly food passes down.
Reveals areas of delayed clearance, narrowing or abnormal movement patterns.
pH Monitoring (When Indicated)
A 24-hour acid exposure test to quantify reflux, which can contribute to esophageal irritation and pain.
Treatment
Our Team offers a full range of care for presbyesophagus.
1. Lifestyle and Diet Modifications
Eat soft, small meals for easier swallowing
Chew slowly and mindfully to aid food passage
Avoid caffeine and late-night eating to reduce reflux
Stay upright for at least 30 minutes after meals
2. Medications
Proton pump inhibitors (PPIs) to reduce stomach acid
Esophageal muscle agents (when needed) to improve motility
Antacids for occasional heartburn relief
3. Minimally Invasive or Advanced Procedures
Esophageal dilation to gently stretch narrowed areas
Endoscopic therapy for small hernias or strictures
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 presbyesophagus?
It's a slowdown in esophageal movement due to aging.
What is the ICD-10 code for this condition?
K22.8 - other specified diseases of the esophagus.
Can presbyesophagus and hiatal hernia occur together?
Yes. A hernia can make swallowing issues worse.
What treatments are available?
Diet changes, medications, and sometimes dilation.
Will it get worse with age?
Not always. With care and changes in habits, most people feel better.
Is endoscopy safe for older adults?
Yes. Dr. Scott uses safe, gentle techniques with mild sedation.
How long until I feel better?
Some feel relief in days; others may take a few weeks.
