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Colonic Volvulus

Colonic volvulus occurs when your colon twists, blocking stool and gas flow. Swift diagnosis and treatment are vital to avoid serious complications. Dr. Rishi Chadha at GastroDoxs in Houston offers care with advanced, minimally invasive options tailored to your needs.

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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 Volvulus?

Colonic volvulus occurs when a section of the large intestine twists on itself, blocking the flow of stool and gas. This twist can cause sudden, severe abdominal pain, bloating, and nausea. If not treated promptly, it may cut off blood supply to the colon and lead to serious complications.

Common Causes and Risk Factors

  • Long, mobile segments of the colon that twist more easily
  • Chronic constipation or sudden changes in diet
  • Older age and neurological disorders (e.g., Parkinson's, multiple sclerosis)
  • Pervious abdominal surgeries leading to scar tissue (adhesions)
  • Certain medications that slow bowel motility (e.g., opioids)
  • ICD-10 code: K56.2

Signs and Symptoms

  • Sudden, sharp abdominal pain and cramping
  • Visible bloating or distension of the abdomen
  • Inability to pass stool or gas
  • Nausea, vomiting, and loss of appetite
  • In severe cases, signs of shock (rapid heartbeat, low blood pressure)

How Dr. Rishi Chadha Diagnoses Colonic Volvulus?

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

Medical History and Physical Exam

He reviews your bowel habits, past abdominal surgeries, and current symptoms such as pain, bloating, and inability to pass stool or gas.

Imaging Tests

  • Abdominal X-rays identify classic coffee bean signs and air-fluid levels.
  • CT scans offer detailed views of the twisted colon and assess blood supply to rule out ischemia.

Contrast Enema (if needed)

This fluoroscopic study confirms the location of the twist and can sometimes reduce the volvulus non-surgically.

Rishi Chadha
Treatment

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

1. Lifestyle and Diet Changes

  • Add foods high in soluble fiber such as oats, bananas, and cooked vegetables
  • Drink plenty of water: aim for at least 8 glasses a day to stay hydrated
  • Establish a regular bathroom routine by going at the same time each day

2. Medications

  • Stool softeners or mild laxatives to relieve chronic constipation
  • Pain management under Dr. Chadha's guidance for cramping and discomfort
  • Intravenous (IV) fluids to correct dehydration in more severe presentations

3. Minimally Invasive or Surgical Treatments

  • Endoscopic Detorsion: A flexible scope is used to untwist the colon, often providing immediate relief
  • Laparoscopic Surgery: Small incisions and a camera allow precise repair or removal of damaged colon segments
  • Colopexy: Anchoring the colon to the abdominal wall to prevent future twisting episodes
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

A twist in part of the colon that blocks stool and gas.

How serious is a colonic volvulus

It can be dangerous if not treated quickly, as it may cut off blood flow to the colon.

What causes colonic volvulus

Long, mobile sections of the colon, chronic constipation, or scar tissue from past surgeries.

How is colonic volvulus diagnosed

With a physical exam, abdominal X-ray or CT scan, and sometimes a contrast enema.

What is the ICD-10 code for colonic volvulus

The code is K56.2.

Can diet help prevent colonic volvulus

Yes. Eating fiber-rich foods, drinking plenty of water, and staying regular may lower the risk.

Is surgery always needed for colonic volvulus

No. Many patients improve after endoscopic detorsion; surgery is reserved for recurrent or severe cases.

What are the main risk factors

Aging, chronic constipation, certain medications, nerve disorders, and prior abdominal surgery.

Whats the recovery like after treatment

Most people recover in a few days. Dr. Chadha will guide your diet, activity, and follow-up care.

When should I go to the ER

If you have sudden, severe abdominal pain and cannot pass gas or stool, seek emergency care immediately.

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