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How to overcome trouble swallowing due to severe reflux?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 28-year-old male with 66 kg.

I have had trouble swallowing for a year and a half, which has resulted in me being on a liquid diet. The problem was due to severe reflux. Endoscopy and barium were normal. My issue is I am eating better now, especially with a sip of fluid every bite, but I still cannot eat meat or rice without it feeling stuck. How can I stop this feeling?

Answered by Dr. Hafiz Muhammad Hassan Shoukat

Education:

MBBS

Professional Bio:

Dr. Hafiz Muhammad Hassan Shoukat is a skilled General Practitioner and Family Physician dedicated to providing comprehensive healthcare for patients of all ages. He focuses on preventive medicine, accurate diagnosis, and effective treatment to ensure overall well-being. With a compassionate and patient-centered approach, he strives to deliver quality care. His expertise includes managing chronic conditions, routine health checkups, minor procedures, and family-centered healthcare.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I understand your concern.

As endoscopy and barium studies are normal, I am assuming you do not have any structural abnormality in the esophagus. The only possibility is you may have functional or morality disorders of the esophagus. Still, I would suggest continuing taking PPIs (proton pump inhibitors), like Omeprazole (I am sure you would be on), taking small bites, I suggest you to use prokinetic medications like Metoclopramide or Domperidone or Itopride, etc., to enhance morality. Start with small chunks of ground meat or rice. I can comment better if I know the endoscopy findings.

Any hiatal hernia they found?

Any gastroesophageal junction disorder?

Or any skin tissue disorders you have, like scleroderma?

Thanks and regards.

Medically reviewed by iCliniq medical review team
Published At December 22, 2022
Reviewed At May 18, 2025

Education:

MBBS

Professional Bio:

Dr. Hafiz Muhammad Hassan Shoukat is a skilled General Practitioner and Family Physician dedicated to providing comprehensive healthcare for patients of all ages. He focuses on preventive medicine, accurate diagnosis, and effective treatment to ensure overall well-being. With a compassionate and patient-centered approach, he strives to deliver quality care. His expertise includes managing chronic conditions, routine health checkups, minor procedures, and family-centered healthcare.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Hafiz Muhammad Hassan Shoukat is a skilled General Practitioner and Family Physician dedicated to providing comprehensive healthcare for patients of all ages. He focuses on preventive medicine, accurate diagnosis, and effective treatment to ensure overall well-being. With a compassionate and patient-centered approach, he strives to deliver quality care. His expertise includes managing chronic conditions, routine health checkups, minor procedures, and family-centered healthcare.

This doctor is not available for online consultations on the platform anymore.

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