Why am I having dysphagia only with solid foods?

Question

Hello doctor,

I have had dysphagia for six months. I have been taking Omeprazole for three months. However, I have been going for tests, including blood tests, endoscopy, and barium swallow, and all are completely normal. It is only with solid foods, and with every meal, it is worse, the worst being the evening meal, and it is with every bite of solid food. Liquids are fine. The problem still persists. What is it? I have had reflux and regurgitation in the past but never regularly.

Answer 1

Hello,

Welcome to icliniq.com.

I went through your query. You are suffering from reflux which probably was not very prominent. This condition is called silent reflux. Because of this silent reflux, the esophagus undergoes spasms as soon as you eat any solid foods. This condition is called a nutcracker esophagus. You need to consult a gastroenterologist and undergo a test called "24-hour pH (potential of hydrogen) monitoring in the esophagus" and esophageal manometry. This will tell you the severity and extent of the damage to the esophagus physiologically, that is, if there is any functional derangement. The tests you have undergone are anatomical ones that may not explain your condition.