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Acute Pancreatitis

Acute pancreatitis, a sudden inflammation of the pancreas, requires prompt care. At GastroDoxs in Houston, Dr. Rishi Chadha provides advanced diagnostics and personalized treatments from IV fluids and dietary guidance to ERCP and minimally invasive procedures for swift relief and lasting recovery.

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Texas Medical Board
Harris County Medical Society
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American Society for Gastrointestinal Endoscopy
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Houston Methodist leading Medicine
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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 Acute Pancreatitis?

Acute pancreatitis is a sudden inflammation of the pancreas. In this condition, digestive enzymes activate too early, causing swelling and damage to pancreatic tissue. Symptoms often include severe abdominal pain, nausea, and vomiting.

Common Causes and Risk Factors

  • Gallstones blocking the pancreatic duct
  • Heavy alcohol use
  • Elevated triglycerides (hypertriglyceridemia)
  • Certain medications or infections
  • Obesity or metabolic syndrome
  • Family history of pancreatic disorders

Signs and Symptoms

  • Intense, sharp pain in the upper abdomen (may radiate to the back)
  • Nausea and persistent vomiting
  • Fever or rapid heart rate
  • Abdominal tenderness or swelling
  • Loss of appetite and unexplained weight loss

How Dr. Rishi Diagnoses Acute Pancreatitis?

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

Medical History and Exam

He reviews your symptom timeline, pain characteristics, gallstone history, alcohol use and other risk factors.

Blood Tests

We check serum amylase and lipase to confirm pancreatic inflammation and assess triglyceride levels.

Imaging Studies

  • Abdominal ultrasound to look for gallstones or duct obstruction.
  • CT scan to evaluate pancreatic swelling, fluid collections or necrosis.

ICD-10 Coding and Documentation

Uses K85 series codes (e.g. K85.0, K85.1) for accurate diagnosis tracking, billing and quality reporting.

Dr. Rishi Chadha
Treatment

Our Houston team offers a full range of care for acute pancreatitis.

1. Lifestyle and Diet Support

  • IV fluids to prevent dehydration
  • Gradual reintroduction of low-fat foods
  • Abstinence from alcohol and avoidance of fried or greasy meals
  • Customized meal planning with our diet expert

2. Medications

  • Pain control with acetaminophen or prescription analgesics as needed
  • Anti-nausea medications to manage vomiting
  • Pancreatic enzyme supplements if digestion is compromised

3. Minimally Invasive and Advanced Procedures

  • Endoscopic Retrograde Cholangiopancreatography (ERCP) to remove ductal gallstones
  • Drainage or necrosectomy to clear infected or necrotic pancreatic tissue
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 acute pancreatitis?

The general code is K85. Specific subcodes (for example, K85.0 or K85.1) identify causes such as gallstones or alcohol.

What are the 4 stages of acute pancreatitis?

1. Initial inflammation
2. Fluid collections form
3. Necrosis (tissue damage)
4. Possible involvement of other organs

What causes acute pancreatitis?

The most common triggers are gallstones and heavy alcohol use. Other factors include high triglycerides, certain medications, infections, and genetic predisposition.

How is acute pancreatitis treated?

Treatment usually involves IV fluids, bowel rest, pain control, and anti-nausea medications. In some cases, procedures such as ERCP or surgical drainage are needed.

What is the outlook after acute pancreatitis?

Mild cases often resolve completely with proper care. Severe cases can take longer but generally improve with timely, expert treatment.

How long does acute pancreatitis last?

Mild attacks typically improve within 3-7 days. Severe episodes may require weeks of inpatient care and ongoing follow-up.

Can diet help prevent acute pancreatitis?

Yes. A low-fat diet, alcohol avoidance, and maintaining a healthy weight reduce the risk of an acute episode.

When should I go to the ER?

Seek emergency care for sudden, severe abdominal pain, persistent vomiting, high fever, or a very fast heart rate.

Can acute pancreatitis become chronic?

Repeated attacks can lead to chronic pancreatitis. Prompt diagnosis and treatment help minimize the risk of long-term damage.

Is treatment for acute pancreatitis covered by insurance?

Most insurance plans cover diagnostic tests, hospital stays, ERCP, and follow-up care. Our team can verify your benefits and assist with billing.

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