Difficulty Swallowing (Dysphagia) Treatment in South Delhi
Food sticking in the chest, needing water to push it down, or regurgitating undigested food hours later — dysphagia is never normal and should be evaluated quickly. Causes range from a treatable stricture to achalasia to, occasionally, cancer. Dr Paliwal combines endoscopy with high-resolution manometry, the definitive test for oesophageal motility.
Symptoms
- Sensation of food sticking behind the breastbone
- Regurgitation of undigested food
- Chest pain with swallowing
- Weight loss, coughing or choking when eating
- Progressive difficulty — solids first, then liquids (alarm)
See a doctor urgently if
- Severe or worsening abdominal pain
- Vomiting blood, black stool or fresh bleeding with dizziness
- Jaundice with fever
- Unexplained weight loss, difficulty swallowing, persistent vomiting
PSRI Hospital emergency is open 24×7 — call +91 98104 55542.
Causes Dr Paliwal looks for
- Reflux-related peptic stricture
- Achalasia and other motility disorders (distal oesophageal spasm, ineffective motility)
- Eosinophilic oesophagitis
- Schatzki ring, webs
- Oesophageal cancer
- Neurological causes (stroke, Parkinson's)
Tests that settle it
Chosen for your case — never a fixed panel.
Upper GI Endoscopy
Camera examination of food-pipe, stomach and duodenum — with biopsy and treatment in the same session
How it worksHigh-Resolution Manometry
Oesophageal and anorectal pressure studies — the definitive test for motility disorders
How it works24-Hour pH-Impedance Study
Measures every reflux episode over a day — proves or disproves GERD
How it works
How it is treated
- Endoscopy with biopsies; dilatation of strictures and rings in the same session
- High-resolution manometry (Chicago classification) to diagnose achalasia and spasm
- Achalasia: pneumatic dilatation, botulinum toxin, or referral for POEM/Heller myotomy
- Eosinophilic oesophagitis: topical steroids and diet
- Early cancer detection with magnification and narrow-band imaging; endoscopic resection where suitable
Why Dr Paliwal for difficulty swallowing (dysphagia)
- Introduced 3D high-resolution manometry to India's private sector
- Trained in Japan in magnification/NBI endoscopy and endoscopic mucosal resection
What to expect
Send your reports
WhatsApp scans, prescriptions and previous endoscopy pictures. The team books PSRI or the CR Park clinic.
Consultation
A proper history, examination and reports on screen. You leave knowing the likely cause and the plan.
Only the tests that matter
Breath test, FibroScan, endoscopy, manometry — chosen for your case, most done in-house.
Treatment & follow-up
Cause-directed treatment, diet plan from our dietitian, and review at the clinic or hospital.
Searching for "difficulty swallowing treatment Delhi" or "dysphagia specialist Delhi"? Dr Paliwal consults at PSRI Hospital, Sheikh Sarai (near Saket, Malviya Nagar) and at the Gut Liver Obesity Clinic, Chittaranjan Park (near Greater Kailash, Kalkaji, Nehru Place, Alaknanda) — with evening appointments for working patients from across South Delhi, Faridabad and Noida.
Questions patients ask about difficulty swallowing (dysphagia)
Is difficulty swallowing serious?
It can be. Progressive dysphagia with weight loss needs endoscopy within days.
What is achalasia?
A motility disorder where the lower oesophageal valve fails to open and the food-pipe loses its squeeze. It is diagnosed by manometry and treated effectively with dilatation or myotomy.
What patients say on Google
Not sure which doctor to see? Start here.
Bring your reports. Dr Paliwal finds the cause, explains it, and orders only the tests that matter.