1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Autoimmune Hepatitis

At GastroDoxs in Houston, Dr. Rishi Chadha offers care for autoimmune hepatitis, a chronic liver condition caused by immune attack. Using advanced diagnostics, personalized treatment plans, and lifestyle guidance, he helps patients manage symptoms, reduce liver damage, and achieve wellness.

Call Us 832-632-4070 Schedule Now Click Here Text Us 832-632-4070 Learn More Click Here
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 Autoimmune Hepatitis?

Autoimmune hepatitis is a liver disease.Your immune system attacks your liver by mistake.This can cause swelling, scarring, and liver damage.

Common Causes and Risk Factors

  • Family history of autoimmune diseases
  • Female gender � autoimmune hepatitis is more common in women
  • Other autoimmune conditions, such as thyroid disorders or arthritis
  • Possible triggers: viral infections, certain medications, or environmental toxins

Signs and Symptoms

  • Persistent fatigue and weakness
  • Pain or pressure under the right rib cage
  • Jaundice (yellowing of the skin and eyes)
  • Dark-colored urine or pale, clay-colored stools
  • Joint pain, mild fevers, or skin rash

How Dr. Rishi Diagnoses Autoimmune Hepatitis?

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

Medical History and Exam

He discusses your symptoms, reviews your personal and family health history, alcohol use, and conducts a focused physical exam.

Blood Tests

We measure liver enzymes (ALT, AST), check autoimmune markers (ANA, SMA, IgG), and rule out viral or metabolic causes of liver injury.

Imaging Studies

  • Ultrasound evaluates liver size, texture, and blood flow.
  • MRI or FibroScan (elastography) assesses liver stiffness and estimates fibrosis.

Advanced Testing (if needed)

When clarification is required, a liver biopsy confirms the diagnosis, grades inflammation, and stages scarring.

Rishi Chadha
Treatment

Our Houston team offers a full range of care for autoimmune hepatitis.

1. Lifestyle and Diet Modifications

  • Personalized meal plans rich in fruits, vegetables and lean proteins
  • Complete abstinence from alcohol to protect liver health
  • Reduced sodium intake and avoidance of processed foods
  • Regular exercise programs and stress-management techniques

2. Medications

  • Steroids (e.g., prednisone) to reduce liver inflammation
  • Immunosuppressants (e.g., azathioprine) to slow the autoimmune attack
  • Frequent lab monitoring to adjust doses and watch for side effects

3. Minimally Invasive or Advanced Procedures

  • Ultrasound, MRI or FibroScan for non-surgical monitoring of liver health
  • Liver biopsy when definitive diagnosis or staging is needed
  • Referral for transplant evaluation in severe or treatment-resistant cases
  • Access to clinical trials of novel therapies for challenging cases
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 autoimmune hepatitis?

It's a chronic liver disease where your immune system mistakenly attacks your liver cells.

Is autoimmune hepatitis contagious?

No, it cannot be spread from person to person.

What causes autoimmune hepatitis?

The exact cause is unknown. Genetic factors and environmental triggers like viruses or toxins may play a role.

How is autoimmune hepatitis diagnosed?

Diagnosis involves blood tests for liver function and immune markers, imaging (ultrasound/MRI), and sometimes a liver biopsy.

What treatments are available?

Standard treatment includes steroids (e.g., prednisone) and immunosuppressants (e.g., azathioprine) to reduce inflammation and immune activity.

Will I need long-term medication?

Yes. Many patients require ongoing therapy for months or years to keep the disease under control.

Can lifestyle changes help?

Absolutely. A healthy diet, regular exercise, stress management, and avoiding alcohol support liver health.

Are there any diet restrictions?

Avoid alcohol, high-salt foods, and processed junk foods. Focus on fruits, vegetables, whole grains, and lean proteins.

Can children get autoimmune hepatitis?

Yes. While more common in adults�especially women�it can occur at any age, including childhood.

When should I schedule a visit with Dr. Chadha?

If you experience persistent fatigue, jaundice (yellowing of skin/eyes), or upper right abdominal discomfort, book an appointment for evaluation.

Related Blogs
Abdominal Pain

The Thyroid-Gut Connection: How Your Thyroid Affects Digestive Health

Read More
Abdominal Pain

Tips for Traveling With IBS

Read More