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Diseases Of Stomach And Duodenum

At GastroDoxs in Houston, Dr. Rishi Chadha specializes in diagnosing and treating non-cancerous stomach and duodenal conditions from gastritis and ulcers to indigestion. Using advanced endoscopy and personalized care, his expert team provides comprehensive solutions for lasting relief and digestive health.

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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.

Common Causes and Risk Factors

  • H. pylori bacterial infection
  • Regular use of NSAIDs (aspirin, ibuprofen)
  • Smoking or heavy alcohol intake
  • Spicy, fatty, or highly acidic foods
  • High stress levels
  • Family history of peptic ulcers
  • Age over 50 years

Signs and Symptoms

  • Burning or gnawing pain in the upper abdomen
  • Bloating, belching, or feeling full quickly
  • Nausea or occasional vomiting
  • Loss of appetite or unintended weight loss
  • Black, tarry stools (suggesting gastrointestinal bleeding)

How Dr. Rishi Diagnoses Diseases Of Stomach And Duodenum?

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

Medical History and Physical Exam

He reviews your symptoms (pain, bloating, nausea), dietary habits, NSAID/alcohol use, stress levels, family history, and performs an abdominal exam.

Laboratory Tests

Blood work evaluates for anemia or inflammation; stool testing checks for occult (hidden) blood.

H. pylori Testing

  • Breath test to detect active infection
  • Stool antigen or blood antibody test for confirmation

Upper Endoscopy (EGD)

An endoscope is used to directly visualize and, if needed, biopsy the stomach and duodenal lining for ulcers, gastritis, or other lesions.

Imaging Studies (if indicated)

Abdominal ultrasound or CT scan to rule out complications or alternative diagnoses when symptoms are unclear.

Rishi Chadha
Treatment

Our Houston team offers a full range of care for diseases of the stomach and duodenum.

1. Lifestyle and Diet Modifications

  • Eat smaller, more frequent meals to ease digestion
  • Avoid trigger foods like spicy, fatty, or acidic items
  • Quit smoking and limit alcohol consumption
  • Incorporate stress-relief practices such as meditation or yoga
  • Maintain a healthy weight through balanced diet and exercise

2. Medications

  • Proton pump inhibitors (PPIs) to reduce excess stomach acid
  • H2-receptor blockers for ongoing acid suppression
  • Antibiotic regimens to eradicate H. pylori infection
  • Antacids for rapid, short-term relief of burning pain
  • Mucosal protectants to promote healing of the stomach lining

3. Minimally Invasive and Advanced Procedures

  • Therapeutic endoscopy to control bleeding ulcers or remove debris
  • Balloon dilation to widen strictured (narrowed) segments
  • Radiofrequency ablation to target and reduce chronic inflammation
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 does other diseases of the stomach and duodenum mean?

It refers to non-cancerous conditions'such as gastritis, peptic ulcers, and functional indigestionthat aren't classified elsewhere.

What is the ICD-10 code for these problems?

The general code is K31.9 for other and unspecified diseases of the stomach and duodenum.

How do I know if I have an ulcer?

Common signs include burning upper-abdominal pain (often between meals or at night), nausea, or black/tarry stools. Definitive diagnosis is made via upper endoscopy.

Can stress affect the stomach?

Yes. Chronic stress can increase stomach acid production and worsen inflammation, contributing to gastritis and ulcers.

Is H. pylori common in Houston?

Yes. H. pylori infection is common worldwide, including in Houston, and is a leading cause of peptic ulcer disease.

How long do ulcers take to heal?

With appropriate medical therapy antibiotics for H. pylori plus acid suppression; most ulcers heal within 4-8 weeks.

Is endoscopy painful?

No. You'll receive sedation during an upper endoscopy (EGD), so you should feel minimal discomfort or none at all.

Do I need to fast before an endoscopy?

Yes. You should have no food or drink for 6-8 hours before your procedure to ensure a clear view and reduce risks.

Can diet alone cure stomach issues?

Diet and lifestyle changes (smaller meals, avoiding triggers, stress management) are important but usually work best in combination with medication.

How do I book an appointment with Dr. Chadha?

Simply call our Houston clinic or visit our website to schedule a consultation with Dr. Rishi Chadha and the GastroDoxs team.

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