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Ulcerative Proctitis

Dr. Rishi Chadha at GastroDoxs in Houston offers specialized care for ulcerative proctitis, a localized form of ulcerative colitis affecting the rectum. With tailored treatment plans combining diet, medications, and advanced procedures, he ensures relief and improved quality of life.

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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.

Common Causes and Risk Factors

  • The immune system attacks healthy tissue by mistake
  • Family history of inflammatory bowel disease (IBD)
  • Usually diagnosed between ages 15 and 30
  • More common in Caucasians and Ashkenazi Jews
  • Living in cities or high-stress areas may raise risk

Signs and Symptoms

  • Frequent need to pass stool
  • Blood or mucus in the stool
  • Cramps or pain in the lower belly
  • Feeling like you didn-t finish your bowel movement
  • Tiredness and slight weight loss

How Dr. Rishi Chadha Diagnoses Ulcerative Proctitis?

Health History Review

Dr. Chadha will ask about your symptoms, family history of IBD, and any past digestive issues.

Physical Exam

A gentle rectal exam may be performed to assess inflammation and tenderness.

Stool Tests

Samples are checked to rule out infections and other causes of rectal bleeding.

Blood Tests

Lab work looks for signs of inflammation, anemia or other systemic issues.

Colonoscopy with Biopsy

An endoscopic camera examines the rectum and a small tissue sample is taken to confirm ulcerative proctitis.

Dr. Rishi Chadha
Treatment

Our Houston team offers a full range of care for ulcerative proctitis.

1. Lifestyle and Diet Modifications

  • Follow a low-fiber diet during flares (e.g., white rice, bananas, plain chicken)
  • Avoid raw vegetables, seeds, nuts, spicy foods, and dairy if you're sensitive
  • Stay well hydrated with plenty of water each day
  • Incorporate stress-relief practices like walking or breathing exercises in local parks

2. Medications

  • 5-ASA drugs to reduce rectal inflammation
  • Topical therapies (enemas or suppositories) for targeted relief
  • Short-term steroids during moderate to severe flares
  • Biologics or immunomodulators for persistent or severe cases

3. Minimally Invasive or Advanced Procedures

  • Endoscopic therapy to remove damaged tissue when necessary
  • Referral for surgery only in cases of severe bleeding or rectal narrowing
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 are the signs of ulcerative proctitis?

Bleeding, cramps, mucus in stool, and needing the bathroom often.

How is ulcerative proctitis different from ulcerative colitis?

Ulcerative proctitis affects only the rectum. Ulcerative colitis can affect more of the colon.

Can food cause a flare-up?

Yes. Foods like spicy meals, fiber-rich items, and dairy may trigger symptoms.

What is the ICD-10 code for ulcerative proctitis?

Ulcerative proctitis is coded as K51.2.

Can probiotics help?

They may help. Ask Dr. Chadha which type and how much to take.

Do I need surgery for ulcerative proctitis?

Most people get better without surgery.

How often will I need a colonoscopy?

Usually every 1 to 3 years. It depends on how your symptoms respond to care.

Can I still travel with ulcerative proctitis?

Yes. Keep medicine with you and plan bathroom stops.

Will I need medicine long-term?

Many people stay well with daily medicine to keep symptoms away.

Is ulcerative proctitis genetic?

Having a family member with IBD raises your risk. But it's not passed down directly.

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