Dear Scott,
You sound like you have an esophageal stricture which is a narrowing of the esophagus. This condition causes swallowing difficulties and include discomfort with swallowing, a feeling that food gets stuck in the esophagus, regurgitation of food, and ultimately weight loss when you become unable to retain enough nourishment.
A barium swallow can diagnose if you have a stricture. Treatment includes dilating the esophagus. This is done by passing a dilator or air-filled balloon down the esophagus. Sometimes more than one treatment is needed to dilate, in some cases, surgery is needed to repair the stricture.
Medications called Proton pump inhibitors, such as omeprazole, lansoprazole or rabeprazole, can keep strictures from returning.
Hiatal hernia can also cause some swallowing difficulties, but the severity of your symptoms (vomiting 80% of the time) indicates a stricture. Your doctor can diagnose and rule out hiatal hernia with the endoscope. An endoscope is a thin tube-like instrument that is passed through the esophagus to visualize a variety of abnormalities in the upper GI tract.
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