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Crohn's Esophagitis Specialist - Dr. Rishi Chadha

A crohn esophagitis A crohn esophagitis is a rare inflammation of the esophagus due to Crohn disease and can cause difficulty in swallowing, chest pains, and reduction in weight. Rishi Chadha at GastroDoxs in Houston provides effective healing through personalized diagnosis, advanced treatment and compassionate care.

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Texas Medical Board
Harris County Medical Society
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American Society for Gastrointestinal Endoscopy
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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 esophageal inflammation that is mediated by Crohns disease. Crohns may involve any section of the gastrointestinal tract despite the fact that it affects the intestines in the majority of cases and causes pain, strictures and 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 checks your Crohns history, flares that occurred in the past, throat presenting, and risk predispositions such as family history and lifestyle.

Upper Endoscopy

Through a fine and flexible camera introduced into your throat to observe the inflammation, ulcers, or strictures of the esophagus directly.

Biopsy

In endoscopy, small pieces of tissues are sampled to make sure that inflammation in Crohns is occurring and ascertaining that it is not caused by infection or other factors.

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.

Lifestyle and Dietary Adoptions

  • Take small, soft meals to make swallowing easier.
  • Avoid spicy foods, alcohol, and caffeine.
  • Stay hydrated by drinking water frequently.
  • Quit smoking to help reduce inflammation.
  • Incorporate stress-relieving practices such as yoga or counseling.

Medications

  • Proton pump inhibitors (PPIs) to decrease stomach acid and promote healing.
  • Biologic therapies to target the underlying inflammation caused by Crohn’s disease.
  • Immunosuppressive medications to calm an overactive immune response.
  • Oral corticosteroids for direct throat and esophageal inflammation relief.

Minimally Invasive/Advanced Procedures

  • Endoscopic dilation to widen areas of esophageal narrowing.
  • Placement of stents for persistent or refractory strictures.
  • Feeding tube support in severe cases with ongoing swallowing difficulty.
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 Crohn's?

Crohn’s esophagitis, or esophageal Crohn’s, is a form of esophagitis caused by Crohn’s disease affecting the esophagus.

What are the main symptoms?

The most common symptoms include difficulty swallowing (dysphagia), heartburn or chest burning, sore throat, dry cough, throat ulcers, and unintentional weight loss.

What is the diagnosis of esophageal Crohn's?

Diagnosis is typically made through an upper endoscopy to visualize the esophagus, biopsy to identify inflammation, and imaging tests such as CT or MRI to detect deeper complications.

What is the difference between it and eosinophilic esophagitis?

Crohn’s disease is an autoimmune inflammatory condition, while eosinophilic esophagitis is primarily allergic in nature, triggered by food or environmental allergens.

What are the treatment alternatives?

Treatment options include lifestyle and dietary modifications, proton pump inhibitors (PPIs), oral corticosteroids, immunomodulators, biologics, and minimally invasive interventions such as endoscopic dilation or stent placement.

Is it true you can live a normal life with esophageal Crohn's?

Yes. With proper diagnosis, personalized treatment, and dietary management, most patients manage their symptoms effectively and maintain an active lifestyle.

What foods should I avoid?

Avoid spicy, acidic, and hard or rough foods that may irritate or damage the throat and esophagus.

What treatments work?

Proton pump inhibitors (PPIs), steroids, immune-modulating drugs, and biologics are effective in controlling inflammation and reducing symptoms.

Does endoscopic dilation cause pain?

No. The procedure is performed under sedation, making it safe and painless for most patients.

Is it possible to lead a normal life with it?

Yes. With the correct medical care and lifestyle adjustments, individuals with esophageal Crohn’s can live full, active, and healthy lives.

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