1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Top Eosinophilic Ileitis Gastroenterologist

In GastroDoxs, Houston, Dr. Rishi Chadha is concerned with the diagnosis and therapy of rare eosinophilic ileitis where the eosinophils attack the ileum causing pain and digestive disorders. With the customized diets, medication, cutting edge scopes, he is optimistic that he will relieve the symptoms and recover.

Call Us 832-632-4070 Schedule Now Click Here Text Us 832-632-4070 Learn More Click Here
Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
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 Eosinophilic Ileitis?

Eosinophilic ileitis is a highly rare inflammatory disease in which the eosinophils (type of white blood cell) are accumulated in the ileum, the end of the small intestine. This buildup leads to swelling and abdominal pain, cramping and digestive upsets.

Common Causes and Risk Factors

  • Food allergy or food sensitivity (eggs, dairy, soy, nuts).
  • Eosinophilic GIT history of the family.
  • Autoimmune exudates.
  • Causation of the environment (pollutants, seasonal allergens).
  • Certain drugs which have the capability of causing immune responses.

Common Symptoms

  • Pain or tenderness in the lower abdomen at the lower right hand side.
  • Abdominal cramping or pain- shortly following meal.
  • The unremitting diarrhea or soft stool.
  • Loss of weight and loss of appetite.
  • Fullness, gas and inflated stomach.
  • Absorption problems, lethargy, lack of strength.

How Dr. Rishi Diagnoses Eosinophilic Ileitis?

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

Medical History and Physical Exam

He investigates your history of symptoms, diet, history of allergies and moves on to complete a certain abdominal examination.

Blood Tests

We enumerate the presence of eosinophil and signs of inflammation as the indicator of the activity of immune system.

Stool Studies

The stool analysis is performed to rule out infections and establish the digestive capacity.

Imaging Studies

  • Intestinal swelling and thickening are identified in CT scan.
  • MRI enterography offers images which are of high resolution of the small bowel.

Endoscopy with Biopsy

A digital minimum endoscopy enables Dr. Rishi to view the ileum using the naked eye and sample the tissues to ascertain that the tissues have eosinophilic infiltration.

Rishi Chadha
Treatment

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

1. Lifestyle and Diet Modifications

  • Cutdown of food to diagnose and avoid food triggers.
  • Low-FODMAP diet to reduce cramping and gas.
  • This involves removal of dairy, soy and eggs among others.

2. Medications

  • Anti-inflammatory drug (e.g., budesonide) to reduce gut inflammation.
  • Antihistamine to decrease allergy attack.
  • Protons pump blockers to treat the reflux of the acid and protect the intestine lining.

3. Minimally Invasive or Advanced Procedures

  • Rule out diagnosis Endoscopic diagnosis with biopsy.
  • Constricted areas These areas may be dilated or excised using endoscopy to inflamed mucosa.
  • Follow-up on healing and change treatment through scope-based follow-up.
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 etiology of eosinophilic ileitis?

Usually allergy to food or immunological issues. Gene and environmental role can also be involved.

Does Houston have eosinophilic ileitis?

It is not general but rather is seen more often as there is exposure to a lot of allergens.

When will I feel better?

The best diet and medication plan starts to work after 2-4 weeks and the majority of patients start to get better.

Does endoscopy hurt?

No. You will feel relaxed and by the time you regain consciousness; you will have spent a good time with very little or no presence of the operation.

Is eosinophilic ileitis in children susceptible?

Yes. Dr. Chadha treats both the children and the adults with this condition.

Will I need surgery?

Very few patients do. Majority may improve with change of diet, medication intake or endoscopic examination.

Will I never see dairy again?

Not always. Dr. So you will not just go through testing like Chadha will do.

Are there support groups?

Yes. We have the opportunity to refer you to local and online resources of eosinophilic gastrointestinal disorders in our clinic.

Can I diagnose this at home?

No. The diagnosis must be done using the assistance of special blood test, imaging, and regular biopsy conducted by a GI specialist.

Where can I learn more?

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

Related Blogs
Abdominal Pain

5 Ways (and Reasons) to Eat More Fiber

Read More
Abdominal Pain

The Link Between Obesity and Acid Reflux

Read More
Abdominal Pain

Healthy Habits That Protect Your Gut

Read More