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Colitis

Discover comprehensive support and evidence-based guidance for managing colitis with Dr. Rishi Chadha at GastroDoxs. Explore tailored lifestyle tips, effective medical therapies, and advanced procedures designed to bring relief. Access expert resources and personalized care for your needs in Houston.

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Rishi Chadha

About the Expert

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.

What Is Colitis?

Colitis is inflammation of the colon (large intestine), which can cause abdominal pain, diarrhea and rectal bleeding. Ulcerative colitis, one common form, typically involves the rectum and lower colon. In ICD-10 coding, unspecified ulcerative colitis is classified as K51.9.

Common Causes and Risk Factors

  • Genetics: A family history of colitis or inflammatory bowel disease.
  • Immune response: An overactive immune system attacking healthy colon tissue.
  • Environment: Diet, stress and imbalances in gut bacteria.
  • Age: Symptoms often begin between ages 15 and 35.
  • Other factors: Infections or adverse reactions to certain medications.

Signs and Symptoms

  • Abdominal pain and cramping
  • Frequent, urgent diarrhea'sometimes with blood
  • Unintended weight loss and poor appetite
  • Fatigue and low energy levels
  • Fever during active flares

How Dr. Rishi Diagnoses Colitis?

Dr. Rishi uses a thorough, step-by-step approach:

Medical History and Physical Exam

He reviews your symptom patterns, family history, medication use and other risk factors.

Laboratory Tests

Blood work checks for anemia, inflammation markers (CRP, ESR) and nutritional deficiencies. Stool studies rule out infections and detect occult blood.

Endoscopic Evaluation

  • Colonoscopy: Direct visualization of the colon lining and targeted biopsies for histologic confirmation.
  • Flexible sigmoidoscopy: A shorter scope exam to quickly assess rectum and lower colon when appropriate.

Imaging Studies

  • CT or MRI enterography: Detailed cross-sectional views of the bowel wall and surrounding tissues.
  • Abdominal ultrasound: Non-invasive assessment of bowel wall thickness and vascularity.

Nutritional Assessment

A dietitian-led review to identify vitamin or mineral deficiencies and guide personalized meal planning.

Rishi Chadha
Treatment

Our Houston team offers a full range of care for colitis.

1. Lifestyle and Diet Modifications

  • Personalized 7-day meal plan for ulcerative colitis
  • Low-residue, low-fiber foods during flare-ups
  • Balanced diet rich in lean protein and healthy fats
  • Stress-reduction techniques like yoga or counseling

2. Medications

  • Aminosalicylates to target inflammation
  • Corticosteroids for short-term flare control
  • Immunomodulators (e.g., azathioprine) to calm immune overactivity
  • Biologics (e.g., infliximab) for moderate to severe cases

3. Minimally Invasive or Advanced Procedures

  • Endoscopic therapy to treat bleeding or strictures
  • Balloon dilation for narrowed sections of the colon
  • Referral for surgery only when medications and less invasive procedures don�t control symptoms
Rishi Chadha

About the Author

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.

Frequently Asked Questions

What causes ulcerative colitis?

A combination of genetic predisposition, an overactive immune response, and environmental factors such as diet and gut bacteria.

How fast can I expect relief with medication for ulcerative colitis?

Many patients notice symptom improvement within 2�4 weeks of starting therapy, though individual responses vary.

What does ulcerative colitis ICD-10 K51.9 mean?

It's the medical coding designation for �unspecified ulcerative colitis,� used in health records and billing.

Can diet alone control colitis?

Dietary adjustments help manage symptoms but most patients require medication to achieve and maintain remission.

Where can I find a 7-day meal plan for ulcerative colitis?

Dr. Chadha provides a personalized 7-day meal plan during your consultation at GastroDoxs.

When is surgery needed for ulcerative colitis?

Surgery is considered if medications and endoscopic procedures fail to control symptoms or complications arise.

Does GastroDoxs follow Crohn's & Colitis Foundation guidelines?

Yes. Our treatment protocols align with the latest evidence-based recommendations from the Foundation.

Are biologic medications safe for long-term use?

Biologics can be safe long term under regular monitoring for infections, antibodies, and side effects.

How do I prepare for a colonoscopy?

You'll follow a clear-liquid diet and take a prescribed bowel prep solution the day before the procedure.

How do I schedule an appointment with Dr. Chadha in Houston?

Call our office or book online to set up your consultation at one of our Montrose, Memorial City, or Sugar Land locations.

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