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Eosinophilic Ileitis

At GastroDoxs in Houston, Dr. Rishi Chadha specializes in diagnosing and treating rare eosinophilic ileitis, where eosinophils accumulate in the ileum causing pain and digestive issues. With tailored diets, medications, advanced scopes, he aims to relieve symptoms and restore health.

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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 Eosinophilic Ileitis?

Eosinophilic ileitis is a rare inflammatory condition in which eosinophils (a type of white blood cell) accumulate in the ileum, the last segment of the small intestine. This buildup leads to swelling, abdominal pain, cramping, and digestive disturbances.

Common Causes and Risk Factors

  • Food allergies or sensitivities (eggs, dairy, soy, nuts)
  • Family history of eosinophilic gastrointestinal disorders
  • Underlying autoimmune conditions
  • Environmental triggers (pollutants, seasonal allergens)
  • Certain medications that can provoke immune reactions

Common Symptoms

  • Pain or tenderness in the lower right abdomen
  • Cramping or discomfort shortly after eating
  • Persistent diarrhea or loose stools
  • Unexplained weight loss and poor appetite
  • Bloating, gas, and a feeling of fullness
  • Fatigue and weakness due to malabsorption

How Dr. Rishi Diagnoses Eosinophilic Ileitis?

Dr. Rishi follows a step-by-step approach:

Medical History and Physical Exam

He reviews your symptom timeline, dietary habits, allergy history, and family gut health, then performs a focused abdominal exam.

Blood Tests

We measure eosinophil counts and markers of inflammation to look for immune system activity.

Stool Studies

Your stool is analyzed to rule out infections and assess digestive function.

Imaging Studies

  • CT scan pinpoints areas of intestinal swelling and thickening.
  • MRI enterography offers high-resolution images of the small bowel.

Endoscopy with Biopsy

A minimally invasive endoscopy lets Dr. Rishi view the ileum directly and collect tissue samples to confirm eosinophil infiltration.

Rishi Chadha
Treatment

Our Houston team offers a full range of care for eosinophilic ileitis.

1. Lifestyle and Diet Modifications

  • Elimination diet to identify and remove food triggers
  • Low-FODMAP eating plan to reduce gas and cramping
  • Avoidance of common triggers such as dairy, soy, and eggs

2. Medications

  • Anti-inflammatory drugs (e.g., budesonide) to reduce gut inflammation
  • Mast cell stabilizers to calm an overactive immune response
  • Proton pump inhibitors to manage acid reflux and protect the intestinal lining

3. Minimally Invasive or Advanced Procedures

  • Endoscopic evaluation with biopsy to confirm diagnosis
  • Endoscopic dilation or removal of inflamed tissue in narrowed areas
  • Ongoing scope-based monitoring to track healing and adjust treatment
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 eosinophilic ileitis?

Usually food allergies or immune system issues. Genes and environment can also play a role.

Is eosinophilic ileitis common in Houston?

It's rare overall but seen more often here due to high allergy exposure.

When will I feel better?

Most patients start improving in 2-4 weeks with the right diet and medication plan.

Does endoscopy hurt?

No. You'll be gently sedated and wake up comfortably with little to no memory of the procedure.

Can children get eosinophilic ileitis?

Yes. Dr. Chadha treats both pediatric and adult patients with this condition.

Will I need surgery?

Very few patients do. Most improve with diet changes, meds, or endoscopic treatment.

Do I have to give up dairy forever?

Not always. Dr. Chadha will guide you through testing to identify and avoid only your specific triggers.

Are there support groups?

Yes. Our clinic can connect you with local and online groups for eosinophilic gastrointestinal disorders.

Can I diagnose this at home?

No. Accurate diagnosis requires specialized blood tests, imaging, and often biopsy by a GI specialist.

Where can I learn more?

Visit the Mayo Clinic page: https://www.mayoclinic.org/diseases-conditions/eosinophilic-gastroenteritis

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