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Choledocholithiasis Specialist - Dr. Rishi Chadha

When the common bile duct is obstructed by the gallstones, this leads to choledocholithiasis that is accompanied by pain, jaundice and problems such as pancreatitis. GastroDoxs in Houston provides Dr. Rishi Chadha with specialized diagnosis, serveral levels of imaging and individual care - including dietary advice to ERCP - to achieve a long-term relief and a new sense of health.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
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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 Choledocholithiasis?

The common bile duct is blocked by the presence of stones in the body, that is, choledocholithiasis. The bile is transferred by this duct to your small intestine, which has your transmission of bile by your liver and gall-bladder. Bile helps you digest fats. Bile stagnates when obstructed and may pose pain or health issues.

ICD-10 Code: The ICD-10 code for choledocholithiasis is K80.5.

Common Causes and Risk Factors

Knowing what causes this condition can help you avoid it. You may be at higher risk if you have:

  • Gallstones that move into the bile duct
  • Previous gallbladder disease
  • Rapid weight loss or crash diets
  • A family history of gallstones
  • Age over 40
  • Female gender

Signs and Symptoms

Watch for these symptoms:

  • Pain in the upper right belly or under the ribs
  • Yellow skin or eyes (jaundice)
  • Dark urine
  • Pale-colored stool
  • Itchy skin
  • Fever and chills (if an infection starts)
  • Nausea or vomiting

How Dr. Rishi Chadha Diagnoses This Condition

Dr. Chadha follows a simple plan:

Medical History and Physical Exam

He inquires of you about your symptoms and examines whether you are in pain or jaundiced.

Blood Tests

These are searched to see an infection or hepatavasculoid liver problems or pancreatic problems.

Imaging Tests

  • Ultrasound (first step)
  • MRCP (a special MRI for bile ducts)
  • Endoscopic Ultrasound (EUS)
Dr. Rishi Chadha
Treatment

Our Houston team offers a full range of care for choledocholithiasis.

Lifestyle/ Diet modifications

  • Chew small, light dishes to enhance good bile flow.
  • Decrease the consumption of high-fat foods and fried foods in order to decrease the risk of stones.
  • Eat more of fruits, vegetables, whole grains.
  • Be physically fit by eating well and exercising.

Medications

  • Bile acid pills in order to dissolve small stones.
  • Comfort and symptom relief drugs.
  • Universal antibiotic in case of infection.

Minimal or Technologically Advanced Procedures

  • ERCP to clear bile ducts stones.
  • Removal of the gallbladder through laparoscopic cholecystectomy where necessary.
  • Complex or infected cases Percutaneous drainage.
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 the code of the ICD-10? choledocholithiasis.

The primary code is K80.5. In case of choledocholithiasis that encompasses acute cholecystitis, apply K80.0.

What is the severity of choledocholithiasis?

Bile duct stones untreated may lead to infection of bile (cholangitis), bile duct damage, or pancreatitis which should be treated as an emergency.

What is the duration of recovery?

Majority of patients are discharged on the same or one hospital stay. Recovery normally takes 1- 2 days.

Is it possible that choledocholithiasis can result in pancreatitis?

Yes. The presence of a stone at the ampulla might result in the obstruction of pancreatic drainage as well as the abrupt and acute inflammation.

Which are the risk factors of choledocholithiasis?

History of gallbladder disease, weight loss, obesity, female, age of more than 40 years and family history.

Sufficiency to treat this condition by use of diet?

Change in diet is preventive but not curative of new stones already present in the bile duct.

I need to care in Houston, how soon should I?

Contact GastroDoxs one experienced severe upper-right abdomen pain, jaundice, fever with chills, or unaccounted nausea/vomiting.

Do we have non-surgical alternative therapies?

Yes. Dissolving medications to dissolve small stones, extracting them in ERCP and lifestyle/diet changes may work.

What is the diagnosis of choledocholithiasis?

With the help of a physical examination, blood tests (liver enzymes, pancreatic markers), ultrasound, MRCP, and/or endoscopic ultrasound (EUS).

Does insurance cover ERCP?

The majority of the insurance plans provided by Houston cover diagnostic and therapeutic ERCP in case it is necessary and considered as medically required.

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