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Chrons Colitis Gastroenterologist - Dr. Rishi Chadha

Learn the specialization of Dr. Rishi Chadha, Houston-based and a board-certified gastroenterologist, in the diagnosis and treatment of Crohn colitis. Gain knowledge on the etiology, symptoms and progressive treatments, including lifestyle change and drug treatment to minimally invasive surgery and be able to reach long-lasting relief.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
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Houston Methodist leading Medicine
HCA Houston Healthcare
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 Crohn's Colitis?

A type of Crohn disease which attacks the colon is known as Crohn colitis. It causes sores and swelling of the large intestine.

Crohn colitis can penetrate the bowel wall as opposed to ulcerative colitis which remains on the surface.

The question people tend to put is on the Crohn vs. ulcerative colitis. This manual elaborates the major distinctions.

Common Causes and Risk Factors

  • Genetics: Family history raises your risk.
  • Immune response: An overactive immune system attacks gut tissue.
  • Environment: Diet, smoking and stress play a role.
  • Age: Most people are diagnosed between 15-35 years.
  • Infections: Past gut infections can trigger symptoms.

Signs and Symptoms

  • Abdominal pain and cramping
  • Frequent, urgent diarrhea (sometimes bloody)
  • Weight loss and fatigue
  • Fever and night sweats
  • Anal pain, fissure or fistula

How Dr. Rishi Chadha Diagnoses Crohn's Colitis

Dr. Chadha uses a simple but complete process:

Health History and Symptoms

He begins by me talking about your symptoms, your history of medical problems, and any trends in flare-ups or digestion difficulties.

Blood and Stool Tests

These assist in the investigation of inflammation, anemia, or infections that might suggest Crohn ailment or complexes.

Colonoscopy with Biopsy

During colonoscopy, Dr. Chadha examines the colon lining and may collect tissue samples for confirmation.

Imaging Scans

He can order MRI or CT in order to examine inflammation outside the colon or to identify complications such as abscesses or fistulas.

Rishi Chadha
Treatment

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

Lifestyle and Dietary Interventions

  • Eat smaller, frequent meals
  • Give attention to low-fiber and well-cooked dishes on the occasion of flare-ups
  • Stay hydrated
  • Stop smoking—it aggravates colitis of Crohn

Medications

  • Aminosalicylates to suppress inflammation
  • Short-term corticosteroids use in controlling flare
  • Calming of the immune response with the help of immunomodulators
  • Biologics that can be used to target certain inflammatory pathways

Minimally Invasive Operations or Advanced Operations

  • Stricture dilation by an endoscope balloon
  • Damaged colon parts are resected using laparoscopy
  • High-quality images through the use of the capsule endoscopy
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 the distinction between Crohn's colitis and ulcerative colitis?

Crohn colitis may involve any section of the colon wall and potentially other sections of the GI tract whereas ulcerative colitis is confined to the innermost section of the colon.

Is it possible to transform Crohn to ulcerative colitis?

No. These are different states having similar symptoms though different inflammatory and tissue localization patterns.

What is the diagnosis of Crohn's colitis?

Diagnosis is based on the medical history, blood tests, stool tests, colonoscopy with biopsy, and imaging tests including MRI or CT enterography.

Will I have to have surgeries for Crohn's colitis?

Complications such as strictures, fistulas, or uncontrolled bleeding may require surgery. Most patients can cope with medication and lifestyle modification.

What are the foods to avoid during a flare?

Raw vegetables, nuts, seeds, spicy foods, and high-fiber foods may aggravate active inflammation. Dr. Chadha's nutritionalists will develop a customized program.

What is the length of action of treatment?

Remission can be maintained after weeks of treatment, and many patients feel relieved, although maintenance is essential to prevent flares and reduce recurrence.

Is Crohn's colitis hereditary?

Genetics contribute to susceptibility, but environmental factors and immune system function are also important contributors to disease development.

Is there an increase in anal fissures in Crohn or ulcerative colitis?

Both can result in fissures; however, those caused by Crohn are deeper, usually persistent, and often linked to fistulas.

Is it possible to manage side effects of IBD medications?

Yes. Dr. Chadha carefully monitors lab results and adjusts dosages or changes therapy to reduce side effects while managing the disease effectively.

Does Houston have support groups for Crohn and colitis?

Yes. Patients are affiliated with local chapters of the Crohn’s and Colitis Foundation and other patient support groups around the city.

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