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Crohn's Esophagitis Doctor - Dr. Scott Liu

Crohn esophagitis refers to inflammation of the esophagus and this is brought about by Crohn disease. Any part of the digestive tract may be involved and caused by esophageal involvement resulting into pain, difficulties in swallowing, and heartburn. Dr. Scott offers relief to personal diagnosis and advanced treatment in GastroDoxs, Houston.

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Scott Liu

About the Expert

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 assault of healthy esophageal tissue.
  • Inflammatory bowel disease (IBD) Family history.
  • Smoking or some infections.
  • Stress and the other environmental stimuli.
  • Comorbidities (e.g., eosinophilic esophagitis)

Signs and Symptoms

  • Chest pain or chest burning.
  • Problems with swallowing (dysphagia).
  • Throat stuck with food.
  • Persistent heartburn
  • Weight loss/ loss of appetite: The patient exhibits unwanted weight loss or loss of appetite.

How Dr. Scott Diagnoses This Condition?

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

Medical History and Physical Exam

He reviews your symptoms, such as chest pain, burning, stomach pain, and difficulty swallowing, and evaluates your personal and family history of IBD, smoking, infections and the environment.

Upper Endoscopy

He also performs an esophagogastroduodenoscopy (EGD) to perform a physical examination of the esophagus and upper GI, and is seeking to identify inflammation, ulcers, strictures, or other pathology.

Biopsy

During the endoscopy, Dr. Scott takes a sample of some small tissues to be able to check inflammation caused by Crohn disease, and to rule out other diseases, eosinophilic esophagitis, or infection.

Imaging Studies

  • CT scan of the chest and abdomen to identify the level of inflammation, and to identify complications such as abscess and fistulas.
  • MRIenterography to identify the detailed picture of the small intestine in the event where the involvement of the small bowel is suspected.

Additional Tests (if needed)

He can propose 24-hours of pH testing to determine acid reflux or esophageal manometry to determine the motility of your esophagus in case it can be a cause of the pain in epigastric area.

Dr. Scott
Treatment

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

1. Lifestyle and Diet Modifications

  • Diet plans that are soft and easy to swallow, in order to cut irritation.
  • Eliminate spicy, sour food or food difficult to chew/eat.
  • Fluid to relax the esophageal mucosa.
  • Advocacy on smoking and alcohol.

2. Medications

  • To decrease the esophageal swelling, anti-inflammatory medications are used.
  • Immunomodulators to suppress exacerbation of Crohn disease.
  • Biologic therapy that corrects the underlying inflammation.

3. Procedures for Narrowed Areas

  • Mild dilation of strictured areas by endoscopy.
  • To retain luminal putty, endoscopic stenting of the esophagus is done.
  • Other more strict control measures at will.
Scott Liu

About the Expert

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 is inflammation of esophagus as a result of Crohn disease. It can cause discomfort and lack of swallowing ability.

Does the esophagus risk Crohn disease?

Yes. Crohn may cause ulcer or inflammation in the esophagus although this is rare.

What are the esophageal Crohns appearances?

Be careful with pains on the chest, food lodging, loss of weight or food causing a choking in the heartburn which does not clear.

Is testing painful?

No. Light sedation is used to perform endoscopy. Most people feel no pain.

Which are the foods that I should consume in this condition?

Soft, low-acid meals. Food of hot nature or difficulty in swallowing should be avoided. Drink fluids often.

When should I see a doctor?

Dr. Scott ought to examine you in the event that you have a chronic heartburn, chest pain or difficulty in swallowing.

Crohn and eosinophilic esophagitis?

Yes. Dr. Scott will have the opportunity to test both of them and create the treatment plan close to you.

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