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Barrett's Esophagus

At GastroDoxs in Houston, Dr. Rishi Chadha offers comprehensive Barrett's esophagus care, from diagnosis and monitoring to advanced endoscopic therapies. Patients receive personalized plans, cutting-edge technology, and compassionate support, empowering them to effectively manage their condition and lower cancer risk.

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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 Barrett's Esophagus?

Barrett's esophagus is a condition in which the normal lining of the lower esophagus is replaced by tissue similar to the intestinal lining. This change happens after years of acid reflux (GERD). While it is not cancer, Barrett's esophagus increases the risk of developing esophageal cancer if left untreated.

Common Causes and Risk Factors

  • Long-term acid reflux or GERD
  • Obesity, particularly excess abdominal fat
  • Smoking or other tobacco use
  • Family history of Barrett's esophagus or esophageal cancer
  • Age over 50 years
  • Male gender
  • Caucasian ethnicity

Signs and Symptoms

  • Often none in the early stages
  • Persistent heartburn or chest burning
  • Difficulty or pain when swallowing (dysphagia)
  • Regurgitation of sour liquid or food
  • Frequent throat clearing or chronic cough
  • Sour or bitter taste in the back of the throat

How Dr. Rishi Diagnoses Barrett's Esophagus?

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

Medical History and Exam

He reviews your acid reflux history, GERD symptoms, lifestyle factors, and risk factors such as obesity, smoking, and family history of esophageal disease.

Upper Endoscopy with Biopsy

A thin, flexible endoscope examines the lining of your esophagus. Small tissue samples are taken to look for the presence of Barrett's changes under a microscope.

Esophageal pH Monitoring

A small probe measures acid levels in your esophagus over 24 hours to quantify reflux severity and correlate symptoms with acid exposure.

Esophageal Manometry

This test evaluates the strength and coordination of esophageal muscles and the function of the lower esophageal sphincter.

Barium Swallow (if needed)

An X-ray study that visualizes esophageal shape and motility, helping identify hiatal hernias or strictures.

Rishi Chadha
Treatment

Our Houston team offers a full range of care for Barrett's esophagus.

1. Lifestyle and Diet Modifications

  • Eat small, frequent meals to reduce reflux
  • Avoid eating within 2-3 hours of bedtime
  • Steer clear of spicy, fried, or acidic foods
  • Elevate the head of your bed by 6-8 inches
  • Maintain a healthy weight through diet and exercise
  • Quit smoking and limit alcohol intake

2. Medications

  • Proton pump inhibitors (PPIs) to lower stomach acid
  • H2 receptor blockers to reduce acid production
  • Antacids for quick, short-term relief of heartburn

3. Minimally Invasive or Advanced Procedures

  • Radiofrequency ablation (RFA) to eradicate abnormal cells
  • Endoscopic mucosal resection (EMR) to remove damaged tissue
  • Cryotherapy to freeze and destroy precancerous areas
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 Barrett's Esophagus?

Barrett's Esophagus is a condition where the normal lining of the esophagus is replaced with cells similar to the lining of the intestine. Dr. Rishi Chadha specializes in diagnosing and managing this condition in Houston.

What causes Barrett's Esophagus?

It is most commonly caused by long-term gastroesophageal reflux disease (GERD). Dr. Chadha evaluates reflux symptoms and recommends screenings if you're at risk.

What are the symptoms of Barrett's Esophagus?

Most people don't have symptoms beyond GERD signs like heartburn, regurgitation, and chest discomfort. Dr. Chadha may recommend an endoscopy if you have persistent reflux.

Is Barrett's Esophagus a form of cancer?

No, but it increases the risk of esophageal cancer. Dr. Chadha monitors patients regularly with biopsies and endoscopic surveillance to detect any changes early.

How is Barrett's Esophagus diagnosed?

Dr. Chadha performs an upper endoscopy with biopsies to confirm the diagnosis and look for any signs of dysplasia or precancerous changes.

Can Barrett's Esophagus be reversed?

While the damage can't always be reversed, Dr. Chadha provides treatments to control GERD, monitor changes, and prevent cancer progression.

What are treatment options?

Treatments include proton pump inhibitors (PPIs), lifestyle changes, and endoscopic procedures like radiofrequency ablation in certain cases. Dr. Chadha creates a plan tailored to your needs.

How often should I get checked?

Dr. Chadha will recommend surveillance endoscopy every 3-5 years or more frequently if dysplasia is found, depending on your risk factors.

What lifestyle changes can help?

Avoid spicy foods, alcohol, caffeine, and smoking. Eat smaller meals and avoid lying down after eating. Dr. Chadha offers diet guidance and reflux control tips.

How do I make an appointment with Dr. Chadha?

Contact GastroDoxs in Houston or book online. Dr. Rishi Chadha provides compassionate, expert care for Barrett's Esophagus and other digestive issues.

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