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Irritable Bowel Syndrome Mixed

At GastroDoxs in Houston, Dr. Rishi Chadha offers comprehensive IBS-M care, addressing both constipation and diarrhea. Using tailored diets, lifestyle advice, medications and advanced therapies, he delivers personalized treatment plans to ease symptoms, improve gut health and restore overall comfort.

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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-M?

IBS-M stands for Irritable Bowel Syndrome Mixed. It causes both constipation and diarrhea, which may switch without warning. You can also experience belly pain, gas and bloating. The ICD-10 code for this condition is K58.3.

Common Symptoms

  • Belly pain or cramping
  • Gas and bloating
  • Constipation and diarrhea (may switch daily)
  • A sudden urge to use the bathroom
  • Feeling like you didn�t fully empty your bowels

What Causes IBS-M?

  • Stress or anxiety
  • Certain foods (spicy meals, sugar alcohols, greasy foods)
  • Imbalance in gut bacteria
  • Family history of IBS
  • Hormone changes, often seen in women

How Dr. Rishi Diagnoses Irritable Bowel Syndrome Mixed?

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

Reviews Your Health and Symptoms

He discusses your bowel habits, diet, stress levels, and family history to understand your pattern of constipation, diarrhea, pain and bloating.

Physical Examination

Checks your abdomen for tenderness, distension, and any signs that might point to other conditions.

Rome IV Criteria

Applies the standardized symptom-based guidelines to confirm a diagnosis of IBS-M.

Diagnostic Tests (as needed)

  • Blood Tests: Rules out celiac disease, thyroid disorders, anemia, and markers of inflammation.
  • Stool Tests: Screens for infections, parasites, and assesses gut microbiome balance.
  • Colonoscopy or Imaging: Performed if you're over 45, have warning signs, or to exclude serious conditions.
Dr. Rishi Chadha
Treatment

IBS-M Treatment Options at GastroDoxs

1. Diet and Lifestyle Changes

  • Low-FODMAP diet to reduce gas, bloating, and irregularity
  • Soluble fiber supplementation to help balance bowel movements
  • Hydration�drink water throughout the day to support digestion
  • Relaxation techniques (yoga, breathing exercises, stress management therapy)

2. Medications

  • Antispasmodics for relief of abdominal cramps
  • Loperamide to control diarrhea episodes
  • Mild laxatives to ease constipation as needed
  • Probiotics to promote a healthy gut microbiome

3. Extra Support for Persistent Symptoms

  • Gut-directed hypnotherapy to retrain the brain-gut connection
  • Biofeedback therapy to improve coordination of bowel muscles
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 ICD-10 code for IBS-M?

The ICD-10 code for Irritable Bowel Syndrome Mixed is K58.3.

How is IBS-M different from other types?

IBS-M causes both constipation and diarrhea. IBS-C is mostly constipation, while IBS-D is mostly diarrhea.

Can stress trigger IBS-M?

Yes. Stress affects your gut and can make IBS-M symptoms worse.

Is there a test to confirm IBS-M?

There is no single test. Dr. Chadha uses your symptom history, Rome IV criteria, and lab results to make a diagnosis.

What diet works best for IBS-M?

A low-FODMAP diet combined with soluble fiber often helps manage symptoms.

Will I need a colonoscopy?

A colonoscopy is recommended only if you're over 45 or have warning signs such as blood in your stool or unexplained weight loss.

Do probiotics help?

Yes. Certain probiotic strains can support gut health and reduce IBS-M symptoms.

Can IBS-M be cured?

IBS-M is a chronic condition, but with proper diet, lifestyle changes, and treatment, symptoms can be well managed.

How fast does treatment work?

Most patients notice improvement within 2�4 weeks, though long-term management may take longer.

Is exercise good for IBS-M?

Yes. Gentle activities like walking, yoga, or light stretching can help improve gut motility and reduce stress.

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