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Crohn's Esophagitis

At GastroDoxs in Houston, board-certified gastroenterologist Dr. Bharat Pothuri offers specialized care for Crohn's esophagitis-a rare immune-mediated inflammation of the esophagus. From precise diagnosis with advanced imaging and endoscopy to tailored diets, medications, and procedures, patients receive personalized treatment plans.

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Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Common Causes and Risk Factors

  • Underlying Crohn's disease (autoimmune inflammation)
  • Family history of Crohn's disease
  • Smoking or tobacco use
  • Typical onset between ages 15 and 35
  • Possible environmental triggers (diet, stress)

Signs and Symptoms

  • Burning pain or discomfort behind the breastbone
  • Painful or difficult swallowing (odynophagia/dysphagia)
  • Unintentional weight loss
  • Sensation of food sticking in the throat
  • Frequent heartburn not relieved by antacids
  • Ulcers or sores visible in the back of the throat

Expert Treatment for Crohn's Esophagitis by Dr. Bharat Pothuri

Dr. Pothuri uses a step-by-step approach:

Medical History and Symptom Review

He discusses your epigastric pain, difficulty swallowing, weight changes, family history of Crohn's disease and any prior GI issues.

Upper Endoscopy (EGD)

A thin, flexible camera is passed down the throat to visualize the esophagus lining and identify inflammation, ulcers or strictures.

Biopsy

Small tissue samples are taken during endoscopy to confirm Crohn's-related changes and rule out other causes of inflammation.

Imaging Studies

  • MRI enterography offers detailed views of the esophagus and surrounding structures.
  • CT scan evaluates the extent of disease and checks for complications outside the esophagus.

Additional Tests (if needed)

Blood work (CBC, CRP) and stool studies help assess overall inflammation and exclude infections.

Bharat Pothuri
Treatment

Our Team offers a full range of care for Crohn's Esophagitis.

1. Diet and Lifestyle Tips

  • Personalized meal plans featuring soft, easy-to-swallow foods
  • Avoidance of spicy, fried, or highly acidic foods that irritate the esophagus
  • Smaller, more frequent meals to minimize swallowing discomfort
  • Smoking cessation support and stress-reduction techniques

2. Medications

  • Use of proton pump inhibitors if acid reflux is present
  • Short-term corticosteroids to control acute inflammation
  • Immunomodulators or biologic therapies for long-term Crohn's disease management

3. Minimally Invasive or Advanced Procedures

  • Endoscopic dilation to gently stretch narrowed areas of the esophagus
  • Temporary stent placement in severe strictures to keep the esophagus open
  • Imaging-guided evaluations (MRI/CT) to monitor treatment progress and rule out complications
1K

Patients Treated

Dr. Pothuri has treated more than 1K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What causes Crohn's esophagitis?

It occurs when your immune system mistakenly attacks the lining of the esophagus, causing deep inflammation, ulcers, and swelling.

How is Crohn's esophagitis different from GERD?

Crohn's esophagitis is driven by immune-mediated inflammation, whereas GERD is caused by stomach acid repeatedly flowing back into the esophagus.

How soon will I start feeling better?

Most patients notice symptom relief within a few weeks of beginning medical therapy and dietary adjustments, though individual responses vary.

Can Crohn's esophagitis increase my cancer risk?

The risk is low but not zero. Regular endoscopic surveillance and biopsies help detect any precancerous changes early.

Is esophageal dilation painful?

No. The procedure is performed under sedation, and you'll feel only mild pressure or discomfort afterward.

Will I need long-term medication?

Yes. Ongoing treatment with immunomodulators, biologics, or other maintenance therapies is usually required to prevent flare-ups and complications.

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