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Ulcerative colitis

Ulcerative colitis demands personalized, expert care to manage chronic inflammation of the colon and improve quality of life. In Houston, Dr. Rishi Chadha at GastroDoxs offers comprehensive diagnosis, tailored treatments, diet planning, and innovative procedures to help you achieve relief.

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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.

Common Causes and Risk Factors

  • Family history of ulcerative colitis or other inflammatory bowel diseases
  • An overactive immune response that attacks the colon lining
  • Most often diagnosed between ages 15-35
  • Potential triggers such as diet, stress, smoking, or an imbalance in gut bacteria

Signs and Symptoms

  • Frequent diarrhea, sometimes containing blood or mucus
  • Abdominal pain or cramping
  • Unexplained weight loss and a general feeling of fatigue
  • Urgent need to use the restroom
  • Fever or dehydration during severe flares

How Dr. Rishi Chadha Diagnoses Ulcerative Colitis

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

1. Medical History & Examination

He reviews your symptoms, medical background, family history of IBD, and potential risk factors.

2. Blood Tests

Checks for anemia and inflammatory markers (e.g., C-reactive protein, ESR) to gauge disease activity.

3. Stool Tests

Rules out infectious causes and looks for signs of inflammation in the gastrointestinal tract.

4. Colonoscopy & Biopsy

Uses a flexible camera to examine the entire colon lining, identify ulcerations, and collect tissue samples for definitive diagnosis.

Dr. Rishi Chadha
Treatment

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

1. Lifestyle and Diet Changes

  • Meet our dietitian for a personalized 7-day meal plan
  • Eat small meals often to ease digestion
  • Avoid high-fiber, greasy or spicy foods during flares
  • Track your food intake to identify personal triggers

2. Medications

  • Aminosalicylates to calm colon inflammation
  • Short-term steroids for acute flare control
  • Immunomodulators to regulate an overactive immune response
  • Biologic therapies to block inflammatory proteins in severe cases

3. Minimally Invasive & Advanced Procedures

  • Laparoscopic colectomy to remove diseased segments of colon
  • IPAA (J-pouch) surgery to restore bowel continuity without a permanent ostomy
  • Endoscopic balloon dilation to relieve strictures in the bowel
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's the difference between Crohn's disease and ulcerative colitis?

Crohn's can affect any part of the digestive tract, while ulcerative colitis stays in the colon and rectum.

How is ulcerative colitis diagnosed?

Diagnosis includes a review of symptoms and medical history, blood and stool tests, and a colonoscopy with biopsy to examine the colon lining.

What foods should I avoid with UC?

During flares, avoid high-fiber foods, grease, spicy dishes, and dairy. A 7-day meal plan with our dietitian can help you track triggers.

Can surgery cure UC?

Surgery, such as a colectomy, can remove diseased colon segments and stop symptoms, but lifelong care and monitoring remain necessary.

What is the ICD-10 code for ulcerative colitis?

The ICD-10 code for unspecified ulcerative colitis is K51.9, which you may see in your medical record.

Is UC genetic?

Having a family history of ulcerative colitis or other inflammatory bowel diseases raises your risk, but UC is not fully inherited.

How can I reduce stress that triggers UC?

Stress-reduction techniques like yoga, deep-breathing exercises, and counseling can help minimize flare-ups.

What side effects can UC medications have?

Common side effects include nausea, fatigue, and increased susceptibility to infections. Dr. Chadha monitors you closely to manage these risks.

How does UC treatment differ from Crohn's?

Both conditions use similar medications (aminosalicylates, steroids, immunomodulators, biologics), but surgical approaches differ based on disease location.

When should I try advanced treatments or surgery?

If you experience frequent flares, fail to respond to steroids, or have strictures, Dr. Chadha may recommend biologics or minimally invasive surgeries like laparoscopic colectomy or IPAA.

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