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Meckel's Diverticulitis

Meckel's diverticulitis occurs when a small congenital pouch in your small intestine becomes inflamed or infected, causing symptoms similar to appendicitis. In Houston, board-certified gastroenterologist Dr. Rishi Chadha at GastroDoxs offers diagnosis and minimally invasive treatment to get you relief.

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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 Meckel's Diverticulitis?

Meckel's diverticulitis is an infection or swelling in a small pouch called Meckel's diverticulum. This pouch forms in the small intestine before birth and is found in about 2 out of every 100 people. Most people never know they have it-until it becomes inflamed, often causing symptoms similar to appendicitis.

Common Causes and Risk Factors

  • A pouch present since birth
  • Bacteria overgrowth inside the pouch
  • Food, stool, or scar tissue blocking the pouch
  • Being male or a young adult
  • Rarely, a family history of this condition

Signs and Symptoms

  • Sharp stomach pain (often near the belly button or lower right side)
  • Fever or chills
  • Nausea or vomiting
  • Belly swelling or gas
  • Rectal bleeding or dark stools (sometimes)

How Dr. Rishi Chadha Diagnoses Meckel's Diverticulitis

1. Medical History & Physical Exam

Dr. Chadha begins by reviewing your symptoms'such as abdominal pain, fever or bleeding-and your personal and family medical history. A focused physical exam helps pinpoint tenderness near the belly button or lower right abdomen.

2. Bloodwork

Routine labs check for elevated white blood cells, markers of infection, and signs of inflammation that support the diagnosis of diverticulitis.

3. Imaging Studies

  • CT Scan: The gold standard to visualize the inflamed Meckel's pouch, detect complications like abscess or perforation, and guide treatment decisions.
  • Abdominal Ultrasound: A radiation-free option to identify a fluid-filled or thickened pouch when CT is contraindicated.

4. Diagnosis & Coding

Once confirmed, Dr. Chadha documents the condition under ICD-10 code K57.8 to ensure accurate billing, facilitate insurance coverage, and streamline follow-up care.

Dr. Rishi Chadha
Treatment

Treatment Options at GastroDoxs

1. Lifestyle and Diet Tips

  • Eat a low-fiber diet during a flare-up
  • Drink plenty of clear fluids to stay hydrated
  • Return to high-fiber foods slowly as symptoms ease
  • Try small, frequent meals for easier digestion

2. Medications

  • Antibiotics to treat infection
  • Pain relief medications (prescribed as needed)
  • Anti-inflammatory drugs to reduce swelling

3. Minimally Invasive Procedures

  • Laparoscopic surgery to remove the inflamed pouch
  • Imaging-guided drainage if fluid or an abscess is present
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 Meckel's diverticulitis?

It's inflammation or infection of a small pouch (Meckel's diverticulum) in the small intestine present from birth.

What are the common symptoms?

Sharp abdominal pain (near the belly button or lower right side), fever, nausea or vomiting, bloating, and sometimes rectal bleeding or dark stools.

What causes Meckel's diverticulitis?

Irritation or blockage of the pouch by bacteria, food, stool, or scar tissue-more common in males and young adults.

How is it diagnosed?

Dr. Chadha reviews your history, checks bloodwork for infection, and uses ultrasound or CT imaging. We document it with ICD-10 code K57.8.

Can it be treated without surgery?

Yes. Mild cases often improve with antibiotics, anti-inflammatories, pain relief, rest, and dietary changes.

When is surgery needed?

If symptoms persist or complications (abscess/fluid) develop, minimally invasive laparoscopic removal of the pouch or imaging-guided drainage may be recommended.

What is the recovery time after surgery?

Most patients recover from laparoscopic surgery in 1 to 2 weeks, with less pain and faster return to normal activities.

How should I adjust my diet during a flare-up?

Stick to a low-fiber, clear-liquid diet until symptoms ease, then gradually reintroduce high-fiber foods and small, frequent meals.

Are there risks if left untreated?

Yes-untreated inflammation can lead to recurrent infections, abscess formation, bleeding, or bowel obstruction.

Where is Dr. Rishi Chadha located?

At GastroDoxs in Houston, just off the Texas Medical Center. Call today to schedule your visit.

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