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Ascites Gastroenterologist - Dr. Rishi Chadha

Dr. Rishi Chadha is a specialist in diagnosing and treatment of ascites, which is the abnormal accumulation of fluid in the abdomen commonly attributed to liver disease, at GastroDoxs in Houston. By using customized diets, drugs, and procedures with minimal invasions - patients get quality, holistic services that will bring them lifelong relief.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
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.

What Is Ascites?

Ascites refers to the accumulation of fluid in the abdominal area and the reason behind this is usually the dysfunction of the liver. At first, your belly might be swollen or even tight following small meals. When not treated, it may lead to discomfort, breathing problems and so on.

Common Causes and Risk Factors

  • Liver cirrhosis (especially stage 4 or decompensated)
  • Heart failure
  • Kidney disease
  • Abdominal cancers
  • Peritoneal infections
  • Portal hypertension (high pressure in liver veins)
  • Heavy alcohol use
  • Long-term hepatitis
  • Obesity

Signs and Symptoms

  • Abdominal swelling or bloating
  • Rapid weight gain
  • Shortness of breath when lying down
  • Abdominal pressure or pain
  • Swelling in ankles or legs

How Dr. Rishi Diagnoses Ascites?

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

Medical History and Exam

He examines your alcohol/drug use, liver or heart issues history, swelling/gut pain in the abdomen.

Blood Tests

We test liver enzymes, renal function, electrolytes and test whether there are signs of an infection or inflammation.

Imaging Studies

  • Abdominal ultrasound checks for fluid accumulation and assesses liver texture.
  • CT scan is used to show images that are detailed to detect tumors, infections or vascular problems.

Diagnostic Paracentesis (if needed)

A little needle is used to remove the fluid in your abdomen to test it with the lab and exclude infection, malignancy or high protein level.

Dr. Rishi Chadha
Treatment

Our Houston team offers a full range of care for ascites management.

1. Modifications in lifestyle and diet.

  • Low sodium diet in order to reduce fluid retention.
  • Restriction of fluid where required.
  • Well-balanced high-protein, low-calorie, and fiber-rich meals.
  • Anti-alcohol and liver-damaging substances should be avoided.

2. Medications

  • Spironolactone and furosemide to get rid of excess fluid.
  • Regular Blood checks of renal activity and electrolytes.

3. Minimal or Advanced Procedures.

  • Abdominal fluid removal Paracentesis to remove abdominal fluid rapidly and carefully.
  • Transjugular intrahepatic portosystemic shunt (TIPS) to treat portal hypertension.
  • Select, complicated cases Peritoneovenous shunt.
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.

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Frequently Asked Questions

What is the ICD10 code of ascites?

The primary code is R18. When the ascites is caused by cirrhosis K74.60 is a common one.

Can ascites go away?

Yes. Fluid accumulation can be either solved or well controlled with change in diet, medications as well as timely care.

What is the stage of liver disease that causes ascites?

Ascites is seen in stage 4 (decompensated) cirrhosis when the functioning of the liver is seriously impaired.

How soon after the treatment will I feel better?

Most patients experience pain and discomfort without relief - a few days to weeks of therapy.

Is paracentesis painful?

Not usually. Local anesthesia is done to the locality using a small needle to extract any unnecessary water.

Should I have a low-salt diet on the long run?

Most patients do. The low-sodium diet serves to block the fluid impressions in the abdomen.

Is ascites brought about by heart or kidney problems?

Yes. Fluid retention may be caused by such conditions as heart failure or kidney disease. Dr. Chadha will diagnose and cure the etiology.

Is the TIPS procedure safe?

Generally, yes. TIPS reduces the pressure in the liver veins. Before proceeding, we will examine rare dangers such as bleeding or confusion.

Would that require additional fluid removal?

Some patients do. We strive to streamline dietary and drug therapy to lessen the rate of paracentesis.

How do I schedule a visit?

Get in touch with our Houston clinic where our staff will assist you to get a convenient appointment with Dr. Chadha.

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