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Celiac Disease

Celiac disease is an autoimmune reaction to gluten that damages the small intestine. At GastroDoxs in Houston, Dr. Rishi Chadha offers personalized diagnosis and care - from blood tests and biopsies to tailored gluten-free plans to help you restore your health and thrive.

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Harris County Medical Society
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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 Celiac Disease?

Celiac disease is a chronic autoimmune disorder where the ingestion of gluten (a protein found in wheat, barley, and rye) triggers an immune response that damages the small intestine lining. This damage impairs nutrient absorption and can lead to various gastrointestinal and systemic symptoms.

Common Causes and Risk Factors

  • Genetic predisposition (family history of celiac disease)
  • Presence of other autoimmune disorders (e.g., type 1 diabetes, thyroid disease)
  • Early gluten introduction in infancy (controversial factor)
  • History of gastrointestinal infections
  • Down syndrome or Turner syndrome

Signs and Symptoms

  • Chronic diarrhea or constipation
  • Abdominal pain and bloating
  • Unexplained weight loss
  • Fatigue or weakness
  • Iron-deficiency anemia
  • Dermatitis herpetiformis (itchy skin rash)
  • Delayed growth or puberty in children

How Dr. Rishi Diagnoses Celiac Disease?

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

Medical History and Symptom Review

He evaluates your dietary habits, family history of autoimmune conditions, and symptoms like digestive issues, fatigue, or rashes.

Blood Tests

We perform serologic tests to detect specific antibodies such as tTG-IgA and EMA, which are commonly elevated in celiac disease.

Genetic Testing (if needed)

HLA-DQ2 and HLA-DQ8 gene testing may be done to support diagnosis, especially in unclear cases or if antibody tests are inconclusive.

Endoscopy with Biopsy

  • Upper endoscopy is performed to visually inspect the small intestine.
  • Biopsies are taken from the duodenum to confirm villous atrophy — a hallmark of celiac disease.

Gluten Challenge (in certain cases)

If the patient has already been avoiding gluten, Dr. Rishi may recommend a temporary gluten challenge before testing to ensure accurate results.

Rishi Chadha
Treatment

Treatment Options at GastroDoxs

Lifestyle and Diet Changes

  • Gluten-free diet: Stay away from wheat, rye, barley, and non-certified oats
  • Label reading : Check food, vitamins, and even lip balm
  • Support groups : Local Houston groups can offer tips and recipes

Medications

  • Supplements : Iron, vitamin D, or calcium to fix nutrient problems
  • Skin treatments : Creams or pills for rash relief
  • Probiotics or enzymes : May help with gut symptoms

Advanced or Minimally Invasive Procedures

  • Endoscopy with biopsy : A small camera helps take a sample of the intestine
  • Capsule endoscopy : A tiny camera pill shows the whole small intestine
  • Imaging tests : Used if strictures, ulcers, or other complications are found
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

How is celiac disease diagnosed?

Through blood tests to check for celiac antibodies (like tTG-IgA) followed by a small intestine biopsy via endoscopy.

Can I test for celiac disease at home?

No. Accurate diagnosis requires lab blood work and physician-supervised exams.

What blood tests are used?

The primary test is tTG-IgA along with total IgA levels to rule out IgA deficiency.

What if I already eat gluten-free?

You may need a medically supervised gluten challenge before testing to ensure reliable results.

What is the celiac disease ICD-10 code?

The official code for celiac disease is K90.0.

Can I manage celiac disease in Houston with self-care?

Yes, maintain a strict gluten-free diet and join local support groups for guidance and recipes.

How soon will I feel better after quitting gluten?

Many patients notice symptom relief within weeks; full intestinal healing can take several months.

Are there medicines for celiac disease?

There's no cure yet. Treatment focuses on supplements (iron, vitamin D, calcium) and skin therapies for rashes.

Should I ask about cross-contact when eating out?

Absolutely. Always confirm that restaurants follow strict gluten-free prep to avoid hidden gluten.

Can kids outgrow celiac disease?

No. Lifelong adherence to a gluten-free diet prevents intestinal damage and complications.

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