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.
Ascites is the buildup of fluid in the abdomen, often due to liver dysfunction. In early stages, your belly may look swollen or feel tight even after small meals. If left untreated, it can cause discomfort, breathing difficulties, and other complications.
He reviews your alcohol or drug use, past liver or heart conditions, and any abdominal swelling or discomfort.
We evaluate liver enzymes, kidney function, electrolytes and look for signs of infection or inflammation.
A small needle withdraws fluid from your abdomen for lab analysis to rule out infection, malignancy or high protein levels.
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.
The primary code is R18. If ascites is due to cirrhosis, K74.60 is often used.
Yes. With dietary changes, medications, and timely care, fluid build-up can resolve or be well-managed.
Ascites typically appears in stage 4 (decompensated) cirrhosis, when the liver's function is severely reduced.
Many patients notice relief-less bloating and discomfort - within days to weeks of starting therapy.
Not usually. We use local anesthesia to numb the area before removing excess fluid with a small needle.
Most patients do. A low-sodium diet helps prevent fluid from re-accumulating in the abdomen.
Yes. Conditions like heart failure or kidney disease can lead to fluid retention. Dr. Chadha will identify and treat the underlying cause.
Generally, yes. TIPS lowers pressure in liver veins. We'll review rare risks-like bleeding or confusion-before proceeding.
Some patients do. We aim to optimize diet and medications to reduce the frequency of paracentesis.
Call our Houston clinic, our team will help you find a convenient appointment time with Dr. Chadha.
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