Expert Treatment for Difficulty Swallowing by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Physical Exam In Medical History and Physical Exam, the doctor observes the patient, evaluates their condition, and looks at the outcomes of medical tests and images (Cano 2015).
He enquires being your symptoms of swallowing, what you are eating, how stressful your life is, whether you experience chest or epigastric pain. He next looks at your throat, at neck and belly to see whether they are tender or lumpy.
Barium Swallow Study
You drink a contrast solution while X-rays capture its journey down your esophagus-revealing strictures, motility problems, or sites of obstruction.
Upper Endoscopy (EGD)
An endoscope is passed through your mouth to directly visualize the lining of your esophagus and stomach. Dr. Pothuri can also obtain biopsies to rule out inflammation, eosinophilic esophagitis, or tumors.
Esophageal Manometry
This test assesses the intensity, coordination and timing of the esophageal muscle contractions- needed to diagnose for motility disease such as achalasia or spasm.
pH Monitoring (if reflux is suspected)
The acid exposure in rupture of the esophagus during 24 hours is assessed by a small probe to confirm the presence of GERD-related damage that leads to dysphagia.
Additional Imaging (as needed)
- CT scan or MRI to assess for masses, rings, or external compression.
- Extensive assessment of submucosal lesions by use of endoscopic ultrasound.
Frequently Asked Questions
What is dysphagia?
Dysphagia refers to difficulty in swallowing. It may affect solids, liquids, or both and can result in choking or coughing during meals.
What causes dysphagia?
It may be caused by stroke, GERD, esophageal strictures, neurological disorders (such as Parkinson's disease), or cancers of the throat or esophagus.
How is dysphagia diagnosed?
To evaluate swallowing, your physician may order a barium swallow X-ray, endoscopy, or a modified barium swallow study, which provides a real-time view of the swallowing process.
What interventions exist?
Treatment depends on the underlying cause: swallowing therapy by a speech-language pathologist, dilation of strictures, medications for reflux, or surgery for structural problems.
Can diet changes help?
Yes. Adjusting food textures (pureed foods, thickened liquids) can minimize aspiration risk. A dietitian can provide guidance on safe eating practices.
In what situations must I visit a specialist?
See a doctor if you experience persistent coughing, choking, weight loss, or food sticking in your throat for more than 2 weeks.
Is dysphagia dangerous?
Untreated dysphagia can lead to malnutrition, aspiration pneumonia, and dehydration. Early management is crucial to prevent complications.
How long does recovery take?
Recovery time depends on the cause and treatment. Speech therapy may take weeks, while surgical interventions may require days to a few weeks for recovery.