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Why do you have dysphagia with GERD?

I can't picture it in my head. If you have a tumor then of course you will have problems swallowing. But I dont see why you have dysphagia with acid reflux?Does the esophageal muscle not relax properly? I know the LES sphincter opens because of increased pressure in the stomach. So why dysphagia? Also, whats the difference between this and peptic ulcer disease? Im confused.

GERD irritates the mucosa in the esophagus and can result in some swelling and scar tissue making it difficult to swallow. It can also result in a changing of the stratified, squamous "skin" of the esophagus (good for handling abrasion) to the columnar epithelium of the stomach (good for secretions) which only makes the problem worse... this is called Barrett's Esophagus.

A peptic ulcer is a hole that develops in the stomach mucosa... not the esophagus. These can be very painful and eventually result in the gastric contents spilling into the abdominal cavities.

Additionally, it is true that pressure from the stomach cause the LES to relax and let food through... but there are many other pathways involved in this process that control gastric emptying.

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