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Irritable Bowel Syndrome Diarrhea

Struggling with frequent loose stools, abdominal cramps and unpredictable urges? IBS-D affects daily life, but relief is within reach. At GastroDoxs in Houston, Dr. Rishi Chadha offers expert diagnosis, personalized diet, treatment plans to help you regain comfort and control.

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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 IBS-D?

  • IBS-D stands for Irritable Bowel Syndrome with Diarrhea, a common digestive disorder
  • Characterized by belly cramps, loose stools, and sudden urges to go
  • Often triggered by eating and can disrupt daily life, travel, and social activities

Common Causes

  • Sensitive nerves in the gut
  • An imbalance in gut bacteria
  • Food intolerances
  • Stress or anxiety
  • Past stomach infections
  • Family history of IBS

Signs and Symptoms

  • Loose or watery stools, especially after meals
  • Belly cramps or pain
  • Bloating and gas
  • A strong, sudden urge to use the bathroom
  • The sensation of incomplete bowel movements

How Dr. Rishi Diagnoses Irritable Bowel Syndrome with Diarrhea?

1. Symptom Review & Medical History

Dr. Chadha begins by discussing your pattern of loose stools, abdominal pain, bloating and any food or stress-related triggers. He'll review your personal and family history to spot risk factors.

2. Blood & Stool Tests

Simple blood work and stool analysis help rule out infections, inflammation, celiac disease and other conditions that can mimic IBS-D.

3. Breath Tests

Breath testing evaluates for small intestinal bacterial overgrowth (SIBO) or sugar intolerances (lactose, fructose) that may be driving your diarrhea.

4. Colonoscopy (If Indicated)

When warning signs appear or you're over age 45, Dr. Chadha may recommend a colonoscopy to exclude inflammatory bowel disease, microscopic colitis or other GI disorders.

5. Personalized Explanation & Next Steps

Every finding is reviewed in plain language. Together you'll outline a tailored plan-diet, lifestyle, testing or procedures-to get your symptoms under control.

Dr. Rishi Chadha
Treatment

IBS-D Treatment Options at GastroDoxs in Houston

1. Lifestyle and Diet Tips

  • Adopt a low-FODMAP diet with guidance from our team
  • Increase soluble fiber intake (e.g., oats, bananas, rice)
  • Avoid common triggers:
    • Fatty or greasy foods
    • Caffeine and alcohol
    • Spicy or gas-forming foods
  • Keep a food journal to identify personal triggers

2. Medications

  • Anti-diarrheal agents (e.g., loperamide)
  • Bile acid binders for patients with bile salt malabsorption
  • Probiotics or gut-targeted antibiotics
  • Low-dose antidepressants to ease gut pain and discomfort

3. Advanced Support

  • Biofeedback therapy to improve bowel control and reduce urgency
  • Neuromodulation techniques in select cases
  • Referrals to ongoing clinical trials for emerging IBS-D therapies
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 IBS-D?

Stress, food triggers, past infections, and sensitive gut nerves are common causes.

Can diet help with IBS-D?

Yes. Many patients improve on a low-FODMAP or customized diet plan.

What makes IBS-D worse?

Fatty or greasy foods, caffeine, dairy, alcohol, and stress can all trigger flare-ups.

How long does IBS-D last?

Symptoms can come and go. Flares may last from a few days to several weeks.

Is treatment covered by insurance?

Most plans cover tests, office visits, and basic care. We can help verify your benefits.

What foods should I avoid?

Limit fried foods, alcohol, onions, garlic, beans, and other gas-forming items.

Does stress make IBS-D worse?

Yes. Stress and anxiety can heighten gut activity and lead to more frequent episodes.

Do probiotics work?

Certain probiotic strains may help. Dr. Chadha can recommend the best options for you.

Will I need a colonoscopy?

Only if you're over 45 or if there are warning signs-Dr. Chadha will advise if needed.

How soon will I feel better?

Most patients notice improvement within 2-4 weeks of starting treatment and diet adjustments.

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