Overview
Acid reflux is the most common cause. Pills that stick in the esophagus, infections, and allergies (eosinophilic esophagitis) are others.
Pill esophagitis often follows taking pills with little water before lying down.
Symptoms
Common signs:
- Painful swallowing
- Heartburn
Less common
- Heartburn
- Food sticking
When to get medical care
Causes
Reflux.
Does it spread or run in families?
- It isn't contagious. You can't catch it from someone else.
Possible complications
Diagnosis
Endoscopy.
Treatment
Treat cause.
Self-care
- Take pills with water and stay upright
- Take pills with a full glass of water
- Stay upright 30 minutes after pills
- Avoid late meals
Medicines
Medicines that may help:
| Medicine | Helps with | Good to know |
|---|---|---|
| Acid reducers | Reflux |
OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.
Prevention
To lower your risk or prevent problems:
- Treat reflux
Which doctor treats this
- Start with your primary care provider (family doctor or internist).
- They may send you to a gastroenterologist (stomach and gut doctor).
Children, pregnancy, and older adults
- Teens and young men: Eosinophilic type is more common.
Pregnancy and breastfeeding
- If you're pregnant or planning to be, tell your prenatal provider about this condition.
- Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
- Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
- Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.
Outlook
Treatable.
Getting ready for your visit
Bring a list of your symptoms and medicines.
Questions to ask
- Could this be eosinophilic esophagitis?
Research studies
Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.
Search ClinicalTrials.gov for studies on Esophagitis (inflamed food pipe)
Sources
Last updated 2026-11-12.