Backwash ileitis is inflammation of the terminal ileum-the end of the small intestine-that occurs when severe ulcerative colitis in the colon extends backward into the ileum. This leads to a red, swollen lining with small, shallow ulcers and a flattened or damaged surface.
Symptoms often resemble a severe ulcerative colitis flare and may include:
Backwash ileitis most commonly results from severe ulcerative colitis, but other contributing factors include:
At GastroDoxs in Jersey Village, our expert team specializes in diagnosing and treating backwash ileitis with the latest, evidence-based therapies. We deliver compassionate, patient-centered care-tailoring nutrition plans, stress-management strategies, and advanced medical treatments to your unique needs. Ready to take control of your gut health? Book your appointment today and start your journey to lasting relief.
We've successfully treated more than 2.3K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.
With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients
Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.
Diagnosis is made via colonoscopy with biopsy of the terminal ileum; your doctor may also order blood and stool tests to rule out other causes.
Yes. Backwash Ileitis most commonly occurs in people with severe or extensive ulcerative colitis when inflammation spreads backward into the ileum.
No. Crohn's disease can affect any layer of the bowel and any part of the gastrointestinal tract, whereas Backwash Ileitis is limited to the surface layer of the terminal ileum in the setting of ulcerative colitis.
A low-residue, low-fat diet is usually recommended to reduce irritation; your gastroenterologist will provide personalized dietary guidance to support healing.
Some medications can cause side effects such as nausea, headache, or increased infection risk. Your doctor will review potential risks and monitor you closely.
You should start treatment as soon as possible. Early intervention helps control inflammation, reduces the severity of flares, and improves overall outcomes.
Yes. Stress can trigger or exacerbate symptoms. Techniques such as relaxation exercises, counseling, or stress management programs may be beneficial.
With appropriate medical therapy and regular follow-up, most people achieve symptom relief and maintain good quality of life.
Surgery is reserved for cases that do not respond to medical treatment or when complications arise. The majority of patients manage well with medications alone.
Follow-up visits are generally recommended every 3 to 6 months to monitor disease activity, adjust treatment as needed, and perform routine surveillance.
