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Diverticula Gastroenterologist - Dr. Rishi Chadha

Diverticula are little pockets of the colon and most of them are asymptomatic until they enlarge. Dr. As a 15-year practitioner, Rishi Chadha incorporates his experience at GastroDoxs into providing highly compassionate specialist diagnosis, tailored and effective treatment, and realistic lifestyle consultation to attain the best digestive health in Houston.

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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
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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 Are Diverticula?

  • Small pouches that form in the wall of the colon.
  • They develop when weak spots in the colon wall bulge outward.
  • Commonly referred to as diverticulosis when not inflamed.
  • When these pouches become inflamed or infected, the condition is called diverticulitis.

Common Causes and Risk Factors

  • Low-fiber diet leading to increased pressure within the colon.
  • Age over 40 years.
  • Family history of diverticular disease.
  • Excess body weight and sedentary lifestyle.
  • Use of certain medications such as NSAIDs or steroids.

Common Symptoms

  • Often asymptomatic in the early stages.
  • Abdominal cramping, bloating, or discomfort.
  • Constipation or diarrhea.
  • Occasional presence of blood in the stool.
  • Seek immediate medical attention if you experience severe pain, fever, or significant bleeding.

How Dr. Rishi Diagnoses Diverticula?

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

Medical History and Exam

He inspects your presentation, eating habits, bowel movements and family history followed by a selective abdominal examination.

Imaging Studies

  • The CT scan determines the existence of the diverticula, inflammation, abscesses or any other complication.
  • Colonoscopy provides the possibility of viewing the colon and pouches directly.

Lab Tests

Blood tests to detect the symptoms of infection (white count, CRP) and anemia. Stool test eliminates bleeding or infection.

Advanced Evaluation (if needed)

In rare cases, additional imaging or endoscopic ultrasound may be necessary to find out the severity of the condition and then make a decision on the treatment.

Rishi Chadha
Treatment

Our Houston team offers a full range of care for diverticular disease.

1. Lifestyle and Diet Modifications

  • Eat a balanced diet rich in whole grains, vegetables, and fruits with low fat.
  • Drink plenty of fluids to help keep stools soft and prevent constipation.
  • Engage in daily physical activities to promote healthy bowel function.
  • Learn proper bowel habits and respond promptly when feeling the urge to defecate.

2. Medications

  • Use stool softeners or fiber supplements (pills or powder) to ease bowel movements.
  • Acetaminophen is a safe pain reliever for managing mild discomfort.
  • Anti-inflammatory medications may be prescribed if signs of inflammation are present.

3. Minimally Invasive or Advanced Procedures

  • Colonoscopy for diagnosis and targeted treatment under direct visualization.
  • Laparoscopic surgery for complicated or recurrent cases of severe diverticulitis.
  • Elective colon resection when conservative treatments fail to achieve the desired results.
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 difference between diverticulosis and diverticulitis?

Diverticulosis refers to small, harmless pouches (diverticula) that form in the wall of the colon. Diverticulitis occurs when one or more of these pouches become inflamed or infected.

Can I have diverticula painlessly?

Yes. Most people with diverticulosis do not experience any symptoms or discomfort, and the condition is often discovered incidentally during screenings.

How common is this?

Diverticulosis affects at least half of individuals over the age of 60. The risk increases with age but can develop earlier in people who consume low-fiber diets.

Do I need surgery?

Usually not. Surgery is only considered for patients with recurrent complications, severe flare-ups, or abscesses that do not respond to medical therapy.

Can fiber make it worse?

Initially, adding fiber may cause mild bloating. Gradually increase fiber intake, drink plenty of water, and allow your body to adjust — this will help soften stools and reduce strain.

How do I prepare for a colonoscopy?

Preparation involves emptying your bowels the day before the procedure by following a clear-liquid diet and taking a prescribed bowel cleansing solution.

Can mild diverticulitis be treated without surgery?

Yes. Mild cases are usually managed with rest, a clear-liquid diet, antibiotics (if needed), and close follow-up with your doctor.

When should I call Dr. Chadha?

Contact Dr. Rishi Chadha immediately if you experience severe abdominal pain, fever, or blood in your stool — these may indicate infection or bleeding.

Could diverticula develop into cancer?

No. Diverticulosis does not increase the risk of colon cancer. However, a colonoscopy is important to rule out other conditions such as polyps or malignancies.

What can I do to prevent new diverticula from forming?

Adopt a high-fiber diet rich in fruits, vegetables, and whole grains, stay hydrated, exercise regularly, and avoid delaying bowel movements to maintain colon health.

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