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Colonic Pseudoobstruction Doctor - Dr. Rishi Chadha

The problem of colonic volvulus happens when your colon twists, and this block stool and gas. Quick diagnosis and treatment is crucial in preventing severe complications. Dr. The GastroDoxs Rishi Chadha in Houston provides advanced and minimally invasive care on a personalized basis.

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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 Colonic Pseudoobstruction?

Colonic volvulus is a condition whereby part of the large intestine twists itself thus preventing the evacuation of stool and gas. This twist may result in immediate, drastic abdominal pains, bloating and nausea. Unless acted upon time, it can sever blood supply to the colon which will cause severe complications.

Common Causes and Risk Factors

Several things can lead to this condition:

  • Surgery or injury
  • Serious illness like infection or heart problems
  • Medicines that slow digestion
  • Low potassium or magnesium levels
  • Nerve or brain conditions (like Parkinson's or spinal cord injury)
  • Being over 60 years old

Dr. Chadha uses these clues to quickly find and treat the cause.

Signs and Symptoms

Watch for these common symptoms:

  • Belly swelling or bloating
  • Pain or cramps in the stomach
  • Constipation or no gas
  • Feeling sick or throwing up
  • Fast heartbeat or a mild fever

If you notice these signs in Houston, get help right away.

How Dr. Rishi Diagnoses Colonic Pseudoobstruction?

How Dr. Rishi Chadha Diagnoses This Condition

Here's how Dr. Chadha finds out if you have colonic pseudoobstruction:

Medical History and Exam

He examines your bowel movements, previous abdominal surgeries, and the existing problems including pain, bloating and inability to pass a stool and gas.

Imaging Tests

An X-ray or CT scan shows how your colon looks and if gas is trapped

Blood Tests

These look for infection, dehydration, or low electrolytes.

Rule Out Blockage

A colonoscopy or barium enema checks if anything is physically blocking the colon. We follow expert guidelines, including the ICD-10 code K59.8, for accurate care.

Dr. Rishi Chadha
Treatment

Our Houston team offers a full range of care for colonic pseudoobstruction.

Lifestyle and Diet Changes

  • Include high soluble fiber foods such as oats, bananas, and cooked vegetables.
  • Drink plenty of water, aiming for at least 8 glasses per day.
  • Establish a consistent bathroom routine by using the restroom at the same time each day.

Medications

  • Stool softeners or mild laxatives to manage chronic constipation.
  • Homeopathic remedies for cramping and pain under the supervision of Dr. Chadha.
  • Intravenous (IV) fluids for treating dehydration in severe cases.

Minimal or Surgical Interventions

  • Endoscopic detorsion: A flexible scope is used to untwist the colon, providing immediate relief.
  • Laparoscopic surgery: Small incisions and a camera are used to repair or remove damaged sections of the colon.
  • Colopexy: The colon is anchored to the abdominal wall to prevent further twisting.
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 is colonic volvulus?

Colonic volvulus is a twist in a section of the colon that prevents the passage of stool and gas.

The severity of a colonic volvulus

Failure to treat it promptly can be dangerous, as it may block blood flow to the colon.

What is the etiology of colonic volvulus?

It can be caused by elongated, mobile parts of the colon, chronic constipation, or scar tissue from prior surgeries.

How is colonic volvulus diagnosed?

Diagnosis usually involves a physical examination, abdominal X-ray or CT scan, and sometimes a contrast enema.

ICD-10 code of colonic volvulus

The ICD-10 code is K56.2.

Is diet useful in the prevention of colonic volvulus?

Yes. Risk may be reduced by consuming fiber-rich foods, drinking plenty of water, and maintaining regular bowel habits.

Is colonic volvulus always treated surgically?

No. Many patients respond to endoscopic detorsion; surgery is reserved for recurrent or severe cases.

What are the principal risk factors?

Old age, chronic constipation, certain medications, nerve disorders, and previous abdominal surgery.

How do you recover after treatment?

Most patients recover within several days. Diet, activity, and follow-ups are guided by Dr. Chadha.

When should I go to the ER?

If you experience sudden, severe abdominal pain and cannot pass gas or stool, emergency treatment is needed.

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