Diagnosing Esophageal Disorders at Cleveland Clinic
If you have an esophageal disorder, you may start noticing symptoms like food sticking in your throat, pain in your chest, heartburn and difficulty swallowing. These things can point to many conditions, so it’s important to figure out what’s going on. Our team will work towards a diagnosis, then find the right treatment for you.
If you’re having a swallowing issue that begins in your mouth (trouble starting the swallow or coughing because food is going down your windpipe), we can direct you to our expert otolaryngologists.
Types of esophageal disorders
There are many kinds of esophageal disorders — and part of what we do during the diagnosis process is figure out what type you have. The most common esophageal disorders include:
- Gastroesophageal reflux disease (GERD)
- Achalasia
- Barrett’s esophagus
- Eosinophilic esophagitis
- Esophageal cancer
- Esophageal spasms
- Esophageal strictures
What to expect at your first visit
At your first appointment, we’ll start off with a conversation. We’ll ask how you’re feeling, what kinds of symptoms you have, when you first noticed them and how they’re affecting your daily life. It’s also a chance for you to get to know your provider.
Next, you may have a few tests, like:
Meet Our Esophageal Disorders Team
At Cleveland Clinic, you’ll get the expertise of providers who work together to give you the best possible care. Your team could include:
- Gastroenterologists
- Endoscopists (specialists trained to use an endoscope)
- Otolaryngologists
- Radiologists
- Pathologists
- Thoracic surgeons (operate on hearts and lungs)
- Speech pathologists
- Gastrointestinal (GI) psychologists
0 Providers Who Treat Esophageal Disorders
Locations
Our healthcare providers see patients at convenient locations throughout Northeast Ohio and Florida.
Treating Esophageal Disorders at Cleveland Clinic
You may feel overwhelmed by all the treatments available to you. But your care team will guide you towards the best option — whether that’s learning physical techniques to improve swallowing, taking medications or maybe even surgery.
Medications
Sometimes, medications can help with esophageal disorders. Your provider might recommend:
- For acid reflux, antacids, proton pump inhibitors (PPIs) and histamine receptor (H2) blockers can reduce stomach acid.
- For Barrett’s esophagus, proton pump inhibitors can protect your esophagus from acid reflux and help tissues to heal.
- For eosinophilic esophagitis, medications can include proton pump inhibitors, swallowed steroids or an injectable medication (dupilumab).
- In rare cases involving problems with the valve between your esophagus and stomach, botulinum toxin (Botox®) injections can be used to temporarily relax the valve.
Surgery
Other times, surgery, including minimally invasive procedures, may be better:
- For achalasia, surgery may be the best option to relax the valve between your esophagus and stomach. In some cases of achalasia or cancer, an esophagectomy removes all or part of a diseased esophagus.
- For acid reflux, laparoscopic anti-reflux surgery (Nissen fundoplication) can treat GERD by reinforcing your lower esophageal sphincter.
- Your provider may also choose to do a transoral incisionless fundoplication (TIF). In this minimally invasive procedure, your provider operates through an endoscope to reinforce the muscles at the bottom of your esophagus.
Follow-Up Care
If you think you might have an esophageal disorder, the first step is to get a firm diagnosis. Then your experienced and dedicated Cleveland Clinic care team will create a customized treatment plan specific to your needs and goals. And we’ll continue to care for you on an ongoing basis to adjust treatment as needed.
Taking the Next Step
If you’re having trouble swallowing or have heartburn, you may think it’s a temporary issue. But if your symptoms are persistent or getting worse, it’s time to act. And at Cleveland Clinic, we’re ready to help you determine the cause of any pain and discomfort with our dedicated team of esophageal disorder experts — and then provide you with the treatment you need to help you get back to being yourself.

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