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Crohn's Esophagitis

Crohn's esophagitis, a rare inflammation of the esophagus caused by Crohn's disease, can lead to swallowing difficulties, chest pain, and weight loss. At GastroDoxs in Houston, Dr. Rishi Chadha offers personalized diagnosis, advanced treatments, and compassionate care for effective relief.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
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Houston Methodist leading Medicine
HCA Houston Healthcare
Rishi Chadha

About the Expert

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

What Is Crohns Esophagitis

Crohns esophagitis is inflammation of the esophagus driven by Crohns disease. Although Crohns most often attacks the intestines, it can affect any part of the gastrointestinal tract including the throat tube leading to pain, strictures, or ulcers in the esophagus.

Common Causes and Risk Factors

  • Autoimmune response attacking healthy esophageal tissue
  • Family history of Crohns disease or other inflammatory bowel diseases
  • Poor diet, high stress levels, or tobacco use
  • Imbalances in gut bacteria dysbiosis
  • Previous Crohns flares elsewhere in the gastrointestinal tract

Signs and Symptoms

  • Difficulty swallowing dysphagia
  • Burning sensation in the chest or frequent heartburn
  • Unintentional weight loss
  • Chronic sore throat or persistent dry cough
  • Bleeding, ulcers, or strictures in the throat

How Dr. Rishi Diagnoses Crohns Esophagitis

Dr. Rishi uses a step by step approach:

Medical History and Exam

He reviews your Crohns history, past flares, throat symptoms, and risk factors like family history and lifestyle.

Upper Endoscopy

A thin, flexible camera is guided down your throat to directly visualize inflammation, ulcers, or strictures in the esophagus.

Biopsy

During endoscopy, small tissue samples are taken to confirm Crohns related inflammation and exclude infections or other causes.

Imaging Studies

  • CT or MRI scans assess deeper involvement, fistulas, abscesses, or external compression.
  • Barium swallow esophagram outlines narrowing and motility issues along the esophagus.
Rishi Chadha
Treatment

Our Houston team offers a full range of care for Crohn's esophagitis.

1. Lifestyle and Diet Modifications

  • Eat small, soft meals to ease swallowing
  • Avoid spicy foods, alcohol, and caffeine
  • Stay hydrated with frequent water intake
  • Quit smoking to reduce inflammation
  • Incorporate stress relief techniques like yoga or counseling

2. Medications

  • Proton pump inhibitors (PPIs) to lower acid and promote healing
  • Biologics to target the root of Crohn's inflammation
  • Immunomodulators to calm an overactive immune response
  • Swallowed corticosteroids for direct throat soothing

3. Minimally Invasive or Advanced Procedures

  • Endoscopic dilation to open narrowed segments of the esophagus
  • Stent placement for persistent strictures
  • Temporary feeding support if swallowing remains difficult
Rishi Chadha

About the Author

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

Frequently Asked Questions

What is esophageal Crohns

Esophageal Crohns, or Crohns esophagitis, is inflammation of the esophagus caused by Crohns disease.

What are the main symptoms

Common signs include trouble swallowing dysphagia, chest burning or heartburn, weight loss, sore throat, dry cough, or throat ulcers.

How is esophageal Crohns diagnosed

Diagnosis typically involves an upper endoscopy to view the esophagus, a biopsy to check for inflammation, and imaging CT or MRI to assess deeper issues.

How is it different from eosinophilic esophagitis

Esophageal Crohns results from an autoimmune reaction linked to Crohns disease, while eosinophilic esophagitis is driven by allergic responses.

What treatment options are available

Treatment may include lifestyle and diet changes, proton pump inhibitors PPIs, swallowed steroids, immunomodulators, biologics, and minimally invasive procedures like endoscopic dilation or stent placement.

Can I live a normal life with esophageal Crohns

Yes. With the right diagnosis, personalized treatment plan, and dietary adjustments, most patients manage symptoms effectively and maintain an active lifestyle.

What foods should I avoid

Skip spicy, acidic, and hard foods that may hurt your throat.

What treatments work

PPIs, steroids, immune drugs, and biologics help reduce symptoms.

Does endoscopic dilation hurt

No. Sedation makes the procedure easy and painless.

Can I live a normal life with this

Yes. With the right treatment, you can feel better and stay active.

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