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What causes GERD and swallowing issues in women?

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

Patient's Query

Hello doctor,

I am a 45-year-old woman with GERD, but I have recently developed difficulty swallowing and a feeling like food is getting stuck in my throat. This is causing me a lot of anxiety about whether it could be an esophageal stricture or something precancerous.

  1. What diagnostic tests, such as a barium swallow or esophageal manometry, would help determine the underlying issue?

  2. What treatment options might be available based on the diagnosis?

Kindly help.

Answered by Dr. Divyansh Gupta

Education:

MBBS

Professional Bio:

Dr. Divyansh Gupta is a General Practitioner with over six years of clinical experience. A graduate of MBBS from SLBSGMCH, Mandi (2024), he currently practices at Deendayal Polyclinic, Jabalpur. Specializing in general medicine and family care, Dr. Gupta is dedicated to patient-centered healthcare, emphasizing preventive medicine, effective treatments, and continuous support to enhance the well-being of his community.

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

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Please elaborate more about your problem.

  1. How did you come to know about GERD?

  2. For how long have you been facing this problem?

  3. What medication have you taken till now?

  4. Any lifestyle modification you have done?

Regarding hoarseness of voice, consult an ENT (ear, nose, and throat) doctor (for indirect laryngoscopy).

Kindly consult a physician, discuss with them, and start taking the medications with their consent.

Revert with the answer to assist further.

Thank you, and take care.

Regards.

Investigations to be done

X-ray barium swallow study. Upper endoscopy. Esophageal manometry.

Differential diagnosis

GERD

Probable diagnosis

GERD

Treatment plan

Tablet Lansoprazole (proton pump inhibitors) 15 mg (milligrams) twice daily. Tablet Domperidone (benzimidazoles) 10 mg twice daily. Antacid syrup 10 ml (milliliters) thrice daily before a meal.

Preventive measures

Eat small meals. Do not sleep immediately after consuming a meal. Start physical exercise and reduce abdominal fat. Drink plenty of fluids. Avoid spicy and oily food. Increase fiber diet. Do not eat food after six to seven pm (post meridiem).

Regarding follow up

Follow up if symptoms increase. Follow up after investigation.
Medically reviewed by iCliniq medical review team
Published At February 11, 2025
Reviewed At May 19, 2025

Education:

MBBS

Professional Bio:

Dr. Divyansh Gupta is a General Practitioner with over six years of clinical experience. A graduate of MBBS from SLBSGMCH, Mandi (2024), he currently practices at Deendayal Polyclinic, Jabalpur. Specializing in general medicine and family care, Dr. Gupta is dedicated to patient-centered healthcare, emphasizing preventive medicine, effective treatments, and continuous support to enhance the well-being of his community.

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. Divyansh Gupta is a General Practitioner with over six years of clinical experience. A graduate of MBBS from SLBSGMCH, Mandi (2024), he currently practices at Deendayal Polyclinic, Jabalpur. Specializing in general medicine and family care, Dr. Gupta is dedicated to patient-centered healthcare, emphasizing preventive medicine, effective treatments, and continuous support to enhance the well-being of his community.

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

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