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Ileal Stricture

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Bharat Pothuri
Symptoms

What is Ileal Stricture?

Ileal stricture is a narrowing of the ileum, the last part of the small intestine, that can slow or block the passage of food. It often develops when chronic inflammation-most commonly from Crohn's disease-leads to scar tissue formation and digestive complications.

Common Symptoms

Symptoms vary based on how severe the narrowing is, but you may notice:

  • Cramping or pain in the abdomen
  • Bloating or excess gas
  • Nausea and vomiting
  • Unintentional weight loss
  • Diarrhea or constipation
  • Sharp pain after eating or feeling full quickly (in terminal ileal strictures)

Causes

Several factors can lead to the development of an ileal stricture:

  • Crohn's disease - long-term inflammation causes scar tissue buildup
  • Infections or ulcers in the small intestine
  • Radiation therapy to the abdominal area
  • Scar tissue (adhesions) from previous surgeries
Treatment

Treatment Options for Ileal Stricture in Houston

Treatment includes medical therapy, endoscopic procedures, dietary management, and surgery:

  • Medications: Anti-inflammatory drugs (steroids or biologics) to reduce inflammation and antibiotics if bacterial overgrowth or infection is present.
  • Dietary changes: A low-residue or low-fiber diet to minimize intestinal workload and reduce blockage risk; work with a dietitian for personalized meal planning.
  • Endoscopic dilation: Balloon dilation performed via colonoscope to gently stretch the narrowed segment and restore intestinal patency.
  • Surgery: Resection of the diseased ileal segment or bypass surgery to reroute intestinal flow when conservative measures fail or in the case of complete obstruction.
  • Nutrition support: High-calorie, nutrient-dense supplements or enteral nutrition to address weight loss and maintain energy needs during treatment.
  • Follow-up monitoring: Regular imaging (CT/MRI enterography) and endoscopic assessments to track stricture recurrence and guide ongoing care.

Why Choose GastroDoxs?

At GastroDoxs, we specialize in diagnosing and treating ileal strictures with patient-centered care and the latest minimally invasive techniques. Our Houston team offers personalized treatment plans-from medical management and endoscopic dilation to advanced surgical options-so you get the relief you need. Ready to take the next step? Call our Houston office or book online today to schedule your consultation and start feeling better.

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Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What is the ICD-10 code for ileal stricture?

The ICD-10 code for ileal stricture caused by Crohn's disease is K50.09.

How is ileal stricture diagnosed?

Diagnosis typically involves imaging tests such as CT or MRI enterography, endoscopy, and sometimes biopsy to confirm the presence and severity of the narrowing.

Can diet help with ileal stricture symptoms?

Yes. A low-fiber or low-residue diet may help ease symptoms by reducing the workload on the affected segment of the intestine. Always consult your doctor before making dietary changes.

What are the signs of terminal ileal stricture?

Common signs include severe abdominal cramps, nausea, feeling full quickly after eating, and unplanned weight loss.

Is endoscopic dilation safe?

Endoscopic dilation is considered low-risk and is often performed as an outpatient procedure to stretch the narrowed area of the ileum.

When is surgery needed for ileal stricture?

Surgery-such as resection or bypass-is recommended if medications and dilation fail or if the bowel becomes completely blocked.

How long is recovery after ileal stricture surgery?

Recovery time varies but most patients return to normal activities within 4 to 6 weeks, depending on the extent of the procedure.

Can an ileal stricture come back?

Yes. Because Crohn's disease can cause recurrent inflammation and scar tissue, strictures may recur. Regular follow-up care is essential.

Why should I see a GI specialist in Houston?

A gastroenterologist specializing in Crohn's-related strictures ensures accurate diagnosis, personalized treatment plans, and access to advanced therapies for better long-term outcomes.

How do I schedule a visit with GastroDoxs?

You can schedule an appointment by calling our Houston office or using our online form. Our team will assist with appointment times and insurance coordination.

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