Dysphagia, or difficulty swallowing, is a common medical problem that has many causes, including esophageal injury. Medication-induced esophagitis should be considered in the differential diagnosis of dysphagia in individuals who take prescription or over-the-counter medications, yet this condition is often underrecognized and managed inappropriately. The authors report a case of an octogenarian who presented with severe dysphagia and required placement of a gastrostomy tube (G-tube) for long-term nutritional support. After the case patient was found to have medication-induced esophagitis, corrective measures were taken that enabled the patient to resume normal feeding without the G-tube. The authors discuss ways of detecting dysphagia arising from medication-induced esophagitis so that patients with the disorder are appropriately diagnosed and treated.