Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.
Backwash ileitis Backwash ileitis is the inflammation of the terminal ileum in individuals with ulcerative colitis in which the contents of the colon move backwards and damage the small intestine. It is not as severe as Crohn’s disease and yet needs to be managed.
He examines your history of ulcerative colitis, patterns of symptoms (cramps, diarrhea, urgency), past treatment and risk factors including the previous disease history and previous complications of the colon.
We test inflammatory parameters (CRP, ESR), complete blood count and exclude infections or other factors that can contribute to ileal irritation.
In rare cases, the refinement of the diagnosis or the exclusion of conditions of interest may be done by a capsule endoscopy or specialized microbiome.
Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.
It is inflammation of the terminal ileum as a result of colon contents back washing in that part in individuals with ulcerative colitis.
Backwash ileitis transpires in an estimate of 10-20% of patients with extensive (pancolitis) ulcerative colitis.
Backwash ileitis is restricted to the distal ileum and is usually milder, whereas Crohn has the potential to attack any GI tract, give patchy lesions, and result in deep ulcers.
Yes. The anti-inflammatory diet and small and frequent meals can minimise irritation and enhance the symptoms as it is low-residue.
It can be treated with 5-ASA drugs (e.g.; mesalamine), short course steroids, immunomodulators (like azathioprine), or biologic therapy (infliximab or vedolizumab).
Surgical intervention is not common and only done in the instance of complications like strictures or non-respondent cases of surgery to medical treatment.
It takes some weeks before many patients experience relief of symptoms, but long term medication may be necessary to sustain remission.
Through treatment and changes in lifestyles, majority of individuals live normal lives that are active.
The symptoms may be mild cramps and diarrhea; relevant treatment typically alleviates the painful experience.
Diagnostic tests and treatments are normally covered in most health plans; we have office personnel to help you in insurance verification.
