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Crohn's Esophagitis
Crohn's esophagitis describes inflammation in the esophagus driven by Crohn's disease. Located anywhere along the digestive tract, esophageal involvement can trigger pain, swallowing difficulties, and heartburn. At GastroDoxs in Houston, Dr. Scott delivers personalized diagnosis and advanced treatments for relief.
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Common Causes and Risk Factors
Autoimmune attack on healthy esophageal tissue
Family history of inflammatory bowel disease (IBD)
He reviews your symptoms-such as chest pain, burning, epigastric discomfort, trouble swallowing-and evaluates your personal and family history of IBD, smoking, infections, and environmental triggers.
Upper Endoscopy
He performs an esophagogastroduodenoscopy (EGD) to directly visualize the esophagus and upper GI tract, checking for inflammation, ulcers, strictures, or other abnormalities.
Biopsy
During the endoscopy, Dr. Scott takes small tissue samples to confirm Crohn's-related inflammation and to rule out other conditions like eosinophilic esophagitis or infection.
Imaging Studies
CT scan of the chest and abdomen to assess the extent of inflammation and look for complications such as abscesses or fistulas.
MRI enterography for detailed images of the small intestine when small-bowel involvement is suspected.
Additional Tests (if needed)
He may recommend 24-hour pH monitoring to evaluate acid reflux or esophageal manometry to measure esophageal motility if these could contribute to your epigastric pain.
Treatment
Our Team offers a full range of care for Crohn's esophagitis.
1. Lifestyle and Diet Modifications
Soft, easy-to-swallow meal plans to minimize irritation
Avoidance of spicy, acidic or hard-to-chew foods
Hydration guidance to soothe the esophageal lining
Smoking cessation and alcohol reduction support
2. Medications
Anti-inflammatory agents to calm esophageal swelling
Immune modulators to prevent flare-ups of Crohn's disease
Biologic therapies targeting the underlying inflammation
3. Procedures for Narrowed Areas
Endoscopic dilation to gently widen strictured segments
Esophageal stent placement to maintain luminal patency
Additional stricture management techniques as needed
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Frequently Asked Questions
What is Crohn's esophagitis?
It's inflammation in the esophagus caused by Crohn's disease. It can cause pain and trouble swallowing.
Can Crohn's disease affect the esophagus?
Yes. While it is rare, Crohn's can cause ulcers or swelling in the esophagus.
What are signs of esophageal Crohn's?
Look for chest pain, food getting stuck, weight loss, or heartburn that doesn't go away.
Is testing painful?
No. Endoscopy is done under light sedation. Most people feel no pain.
What should I eat with this condition?
Soft, low-acid meals. Avoid foods that are spicy or hard to swallow. Drink fluids often.
When should I see a doctor?
If you have ongoing heartburn, chest pain, or trouble swallowing, see Dr. Scott for testing.
Can I have both Crohn's and eosinophilic esophagitis?
Yes. Dr. Scott can test for both and create a treatment plan that fits your needs.
