Difficulty swallowing (dysphagia): Questions and Answers

Written and reviewed by Dr Ali Zad, FRACP gastroenterologist, Brisbane. Last reviewed November 2026 against current Australian and international guidelines. General information only, not a substitute for personal medical advice.

What causes difficulty swallowing?

Common causes include narrowing from reflux, eosinophilic oesophagitis, a ring or web, motility disorders such as achalasia, and less commonly a tumour. Problems starting a swallow, with coughing or choking, can also come from the throat or nerves.

How swallowing works: throat, oesophagus and lower oesophageal valve

Is difficulty swallowing serious?

Swallowing difficulty should always be checked, especially if it is getting worse, involves solid food sticking, or comes with weight loss, vomiting or bleeding. Seek urgent care if food is completely stuck and you cannot swallow your saliva.

How is it investigated?

A gastroscopy is usually the first test, as it can find and often treat a narrowing at the same time. If the gastroscopy is normal, high-resolution oesophageal manometry assesses how the muscles of the oesophagus work. A barium swallow X-ray is sometimes used.

Related procedures and information

Book an appointment

If you have symptoms of difficulty swallowing, see your GP or book a consultation with gastroenterologist Dr Ali Zad on (07) 2111 2600 or request an appointment online. You can book directly; a GP referral is needed for a Medicare rebate.

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