1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Expert Esophageal Strictures Specialist

Strictures that develop in the esophagus lead to pain and difficulty eating as they make the swallowing tube narrower. Dr. Bharat Pothuri at GastroDoxs in Houston provides diabetic patients with gentle and expert treatment-free diagnosed is removed to the least invasive dilation as well as individualized plans-to enable the patient to comfortably and safely resume their normal swallowing and enhance their quality of life.

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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
Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Common Causes and Risk Factors

  • Long-term acid reflux (GERD)
  • Eosinophilic esophagitis (allergic inflammation)
  • Injury from swallowing corrosive or caustic substances
  • Radiation therapy to the neck or chest
  • Scar formation after previous esophageal surgery or injury

Signs and Symptoms

  • Difficulty swallowing (dysphagia) or pain on swallowing (odynophagia)
  • Sensation of food sticking in the throat or chest
  • Regurgitation of undigested food or liquids
  • Unintended weight loss
  • Frequent heartburn or chest discomfort

Expert Treatment for Esophageal Strictures by Dr. Bharat Pothuri

Dr. Pothuri uses a step-by-step approach:

Medical History and Exam

He examines your swallowing difficulties, chest pain or in the epigastric area, heartburn, weight loss, evaluates risk factors, including GERD, eosinophilic esophagitis or radiation-related risk.

Upper Endoscopy (EGD)

An elastic scope is introduced into your esophagus and straight into your stricture to visually examine your stricture, biopsy the inflammation or allergy, and assess mucosal health.

Barium Swallow X-Ray

Under fluoroscopy you drink a barium solution to outline the esophageal lumen, map narrowing sites and observe bolus transit.

Esophageal Manometry

Thin pressure sensors are the sensors which can be used to examine the strength and coordination of esophageal muscle contractions during swallowing.

24-Hour pH Monitoring

An acid probe is used to measure the level of acid exposure in time, and the reflux incidence is interrelated with your epigastric pain and used to direct medical treatment.

Bharat Pothuri
Treatment

Our Team offers a full range of care for esophageal strictures.

1. Lifestyle and Diet Tips

  • Take small, frequent meals and chew food thoroughly to aid digestion.
  • Avoid spicy, acidic, very hot, or very cold foods that can irritate the esophagus.
  • Keep the head elevated, especially after meals, to reduce reflux.
  • Limit fatty or rich foods to prevent worsening of symptoms.

2. Medications

  • Proton pump inhibitors (PPIs): Such as omeprazole, used to reduce stomach acid.
  • Second-generation H2 blockers: Milder acid-suppressing medications for ongoing symptoms.
  • Oral steroids: Prescribed to reduce allergic inflammation when present.

3. Minimally Invasive Surgeries

  • Balloon or bougie dilation: Expands constricted regions of the esophagus to improve swallowing.
  • Stent implantation: Used in severe or completely blocked strictures to maintain passage.
  • Needle-knife incision: Applied to treat tough strictures or recurring membranes.
  • All procedures are performed under sedation to minimize discomfort.
677

Patients Treated

Dr. Pothuri has treated more than 677 patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

So what is available in Houston?

GastroDoxs, located near the Texas Medical Center, offers safe, same-day esophageal dilation procedures performed by Dr. Pothuri.

What is the length of post-dilation recovery?

For most patients, symptoms improve within 1–2 days, and normal eating can usually be resumed shortly thereafter.

Will the stricture come back?

It depends. Some patients only require a single treatment, while others may need repeated dilations over time.

When should I see a doctor?

Seek medical evaluation promptly if swallowing becomes painful, food gets stuck, or if the esophagus feels narrowed.

Can strictures cause serious problems?

Yes. Untreated strictures may lead to inadequate nutrition, ongoing pain, or even breathing difficulties in severe cases.

Am I going to require several treatments?

This depends on the underlying cause. Some patients need periodic follow-ups and repeated dilations, while others may only require a single procedure.

Does dilation involve anesthesia?

Yes. The procedure is performed under light sedation or anesthesia to keep the patient comfortable and relaxed during treatment.

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