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Reflux Esophagitis Doctor - Dr. Scott Liu

Dr. Scott focuses on reflux esophagitis diagnosis and treatment (ICD-10 K21.0) using customized evidence-based treatments at GastroDoxs in Houston. Lifestyle tips, sophisticated diagnostics and minimum invasive treatment allow him to help patients to get rid of heartburn, get their esophagus healed, be comfortable and confident again.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
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.

What Is Reflux Esophagitis?

Reflux esophagitis is a condition that results when the contents of the stomach with an acidic nature are returned into the esophagus and they inflame and irritate the esophagus. There may be mild cases of heartburn or intense pain and problems with swallowing. (ICD-10: K21.0)

Common Causes and Risk Factors

  • Hiatal hernia: Part of the stomach pushes up into the chest cavity.
  • Obesity or excess abdominal weight: Increases pressure on the stomach.
  • Smoking and alcohol use: Weaken the lower esophageal sphincter.
  • Trigger foods: Spicy, greasy, chocolate, citrus or acidic items.
  • Pregnancy: Hormonal changes and fetal pressure on the abdomen.

Signs and Symptoms

  • Burning sensation (heartburn) after meals or when reclining.
  • Regurgitation of acid or bitter taste in the throat/mouth.
  • Pain or difficulty swallowing (dysphagia).
  • Chest pain mimicking cardiac issues.
  • Chronic cough, hoarseness or sore throat due to acid irritation.

How Dr. Scott Diagnoses Reflux Esophagitis?

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

Medical History and Exam

He examines your symptom patterns (heartburn, pain in the epigastrium, problems with swallowing), lifestyle (diet, weight, smoking, alcohol).

Upper Endoscopy (EGD)

A thin, flexible camera inspects the esophageal lining for inflammation, erosions or Barrett's changes.

24-Hour Esophageal pH Monitoring

Records acid exposure in your esophagus over a full day to quantify reflux severity.

Barium Swallow X-Ray

  • Visualizes structural issues-like hiatal hernia, strictures or motility problems-as you swallow contrast.

Esophageal Manometry

Determines muscle contractions and pressure in the esophagus and measures motility and sphincter activity.

Dr. Scott
Treatment

Our Team offers a full range of care for reflux esophagitis.

Lifestyle and Diet Changes

  • Consume small and frequent portions of food and do not eat late at night.
  • Examples of trigger foods include citrus, coffee, chocolate, and spicy food.
  • Raise your head on your bed by 6-8 inches to decrease nighttime reflux.
  • Avoid excessive weight due to excessive exercise.
  • Stop being a smoker and reduce alcohol consumption.

Medications

  • Quick relief of symptoms of mild intensity by using antacids.
  • H2 blockers to decrease the amount of stomach acid in several hours.
  • Enhanced, guideline-directed acid reduction with Proton Pump Inhibitors (PPIs).
  • Prokinetics to increase the speed of gastric emptying and reduce reflux periods.

Minimal and high-technology Procedures

  • Endoscopic fundoplication to tighten the gastroesophageal valve without swollen gastrointestinal surgeries.
  • LINX device: an esophagus ring that is a magnetic ring placed around the esophagus in order to assist in preventing back flow of the acid.
  • Laparoscopic Nissen fundoplication: keyhole surgery used to strengthen the lower sphincter of the esophagus.
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 was the ICD-10 code of reflux esophagitis?

It's K21.0.

Is reflux esophagitis under the control of diet?

Diet is beneficial, yet medicine or other treatments are required by most people to cope with symptoms.

How long do PPIs take to work?

The improvements in most patients take between 1-2 weeks, and the esophagus may still take long to heal completely.

Is it safe to do endoscopic treatments?

Yes. Endoscopies are less invasive, the risks of complications and the recovery can be rather fast.

What should I do to prepare an endoscopy?

Abstain of taking food or beverages 6-8 hours prior to the procedure. Under detailed instructions, we will give the preparation instructions.

Is my insurance going to cover treatment?

The majority insurance covers the diagnostic tests and reflux remedies. We help in authorizations and paperwork.

Can stress cause reflux?

Stress does not directly lead to reflux although it may increase the symptoms. It can be assisted by relaxation methods and lifestyle modifications.

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