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Crohn's Colitis
Crohn's colitis is a chronic inflammatory bowel disease causing inflammation throughout the colon wall, leading to pain and diarrhea. In Houston, Dr. Scott at GastroDoxs offers diagnosis and personalized treatment plans-including diet guidance, medications, and procedures-to improve quality of life.
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
A family history of IBD
Immune system dysfunction
Changes in gut bacteria
Environmental triggers such as stress or diet
Smoking, which can worsen symptoms
Signs and Symptoms
Abdominal pain or cramping after eating
Ongoing diarrhea, sometimes with blood
A sudden, urgent need to use the bathroom
Unexplained weight loss and fatigue
Fever during disease flares
Joint pain or skin problems in some cases
How Dr. Scott Diagnoses This Condition?
Dr. Scott uses a step-by-step approach:
Medical History and Exam
He reviews your epigastric pain patterns, prior gallbladder or liver issues, diet and lifestyle, and risk factors like high blood cholesterol or rapid weight gain.
Blood Tests
We check liver function tests (AST, ALT, ALP), bilirubin levels, and pancreatic enzymes to rule out other causes of upper abdominal discomfort.
Imaging Studies
Abdominal ultrasound to detect cholesterol deposits, wall thickening, and gallbladder polyps.
HIDA scan to measure gallbladder ejection fraction and assess how well the gallbladder empties.
Advanced Testing (if needed)
In select cases, endoscopic ultrasound (EUS) or MRCP (magnetic resonance cholangiopancreatography) can provide detailed views of the gallbladder and bile ducts.
Treatment
Our Team offers a full range of care for Crohn's colitis.
1. Diet and Lifestyle Changes
Eating smaller, more frequent meals tailored to reduce symptoms
Identifying and avoiding trigger foods with a personalized nutrition plan
Maintaining hydration by drinking plenty of water daily
Incorporating stress-reduction techniques such as gentle exercise or mindfulness
Working with a dietitian for ongoing dietary support and adjustments
2. Medications
5-ASA agents to control mild inflammation
Short-term corticosteroids for rapid relief during flares
Immunomodulators to help regulate an overactive immune response
Biologic therapies for moderate to severe disease and long-term maintenance
Regular monitoring and dose adjustments based on treatment response
3. Minimally Invasive Procedures and Surgery
Endoscopic dilation to open narrowed segments of the colon
Laparoscopic resection to remove severely damaged tissue when necessary
Strictureplasty to widen strictures without removing bowel sections
Advanced imaging and endoscopic guidance for precise, targeted interventions
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's the difference between Crohn's colitis and ulcerative colitis?
Crohn's colitis can involve any layer of the colon and occur in patches, while ulcerative colitis affects only the surface lining in a continuous pattern.
What is the ICD-10 code for Crohn's colitis?
The ICD-10 code for Crohn's colitis is K50. This code is used for medical records and insurance billing.
Can diet and lifestyle changes help prevent flares?
Yes. Adopting smaller, more frequent meals, avoiding personal trigger foods, staying hydrated, and reducing stress can help reduce flare frequency.
Which medications treat Crohn's colitis?
Treatment may include 5-ASA drugs for mild disease, steroids for short-term flare control, immunomodulators, and biologics for moderate to severe cases.
When is surgery necessary for Crohn's colitis?
Surgery or endoscopic procedures are considered only if medications and lifestyle measures fail or if complications like strictures occur.
How can I schedule an appointment with Dr. Scott?
Call our Houston office or book your visit online at GastroDoxs. We're conveniently located near Montrose, the Heights, and surrounding areas.
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