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CMV (Cytomegalovirus)

At GastroDoxs in Houston, Dr Rishi Chadha provides comprehensive CMV diagnosis and personalized treatment for patients of all ages. Utilizing advanced diagnostics�including blood tests, endoscopy, and imaging�he develops tailored antiviral and supportive care plans to help you manage cytomegalovirus effectively.

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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 CMV (Cytomegalovirus)?

Cytomegalovirus (CMV) is a common virus from the herpes family. Many healthy people can have CMV without any symptoms or knowing they were infected.

However, CMV can cause serious illness in people with weak immune systems, such as transplant recipients, individuals with HIV, or those undergoing chemotherapy.

At GastroDoxs in Houston, Dr. Rishi Chadha provides expert diagnosis, monitoring, and treatment for CMV infection to protect your long-term health.

Common Causes and Risk Factors

  • Close contact with bodily fluids (saliva, urine, breast milk)
  • Weakened immunity (HIV infection, transplant recipients, chemotherapy)
  • Pregnancy (risk of passing CMV to the fetus)
  • Age extremes (infants and older adults)

Signs and Symptoms

  • Fever and fatigue
  • Sore throat or swollen glands
  • Muscle aches
  • Gastrointestinal discomfort (abdominal pain, diarrhea)

How Dr. Rishi Diagnoses CMV (Cytomegalovirus)?

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

Medical History and Physical Exam

He reviews your full medical history, assesses risk factors (e.g., immunosuppression, pregnancy), and performs a thorough physical exam.

Blood Tests

He orders CMV AB IgM and CMV IgG antibody assays to distinguish an active infection from past exposure and gauge immune response.

Endoscopy and Tissue Biopsy

For suspected GI involvement, he performs endoscopic evaluation with targeted biopsy to confirm CMV colitis or other organ-specific disease.

Imaging Studies (if needed)

  • CT or MRI scans to rule out alternative causes of symptoms or identify complications.
Dr. Rishi Chadha
Treatment

Our Houston team offers a full range of care for CMV infection.

1. Lifestyle and Diet Modifications

  • Stay hydrated�aim for 6�8 glasses of water daily
  • Eat small, nutrient-dense meals if appetite is low
  • Rest and avoid overexertion to support your immune system
  • Practice good hygiene (hand-washing, avoiding shared utensils)

2. Medications

  • Ganciclovir or valganciclovir�first-line antivirals for moderate to severe CMV
  • Letermovir�used in transplant patients to prevent CMV reactivation
  • Pain relievers and antacids to ease fever and GI discomfort

3. Minimally Invasive or Advanced Procedures

  • Endoscopic monitoring�follow-up scopes to ensure healing in GI CMV colitis
  • Infusion port placement for patients requiring long-term antiviral therapy
  • Nutritional support via feeding tubes if severe malabsorption occurs
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 cytomegalovirus (CMV) infection?

CMV infection occurs when the virus enters your body and multiplies. Many people never notice symptoms, but it can cause illness in those with weakened immunity.

How do you know if CMV is active?

A positive CMV IgM test or a significant rise in CMV IgG antibody levels typically indicates a current or recent infection.

Can a blood test show CMV?

Yes. Blood tests measuring CMV IgM and IgG antibodies can confirm whether you have an active infection or past exposure.

What are common CMV symptoms?

Many cases are mild or asymptomatic. When present, symptoms include fever, fatigue, sore throat, swollen glands, and sometimes abdominal pain or diarrhea if the GI tract is involved.

What does CMV IgG positive mean?

IgG positive indicates past exposure to CMV. It means you have developed antibodies and may have lasting immunity, although the virus can remain dormant.

Is CMV serious?

In most healthy adults, CMV causes mild illness. It can be serious for newborns, transplant recipients, and people with compromised immune systems.

How is CMV treated?

Treatment typically involves antiviral medications such as ganciclovir or valganciclovir, along with supportive care like hydration and rest.

Can CMV recur?

Yes. CMV stays in your body in a latent state and can reactivate if your immune system weakens.

How long does CMV treatment last?

Treatment duration varies by patient. Most require 2�6 weeks of antivirals; transplant patients may need longer preventive therapy with agents like letermovir.

Where can I learn more about CMV?

For detailed information, visit the Centers for Disease Control and Prevention: https://www.cdc.gov/cmv/index.html

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