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.
A duodenal ulcer is an intestinal perforation in the intestine of the duodenum which forms the first part of the small intestine. It happens when acidic gastrointestinal substances of the stomach burst the lining of the stomach exposing the acid to destroy the tissue beneath it. Unlike gastric ulcers developed in the stomach, duodenal ulcers are likely to cause an individual suffer pain a few hours after eating, or even in the night.
He inquires about your symptoms, NSAID or aspirin use, alcohol and tobacco use, stressors and health history, in general.
To diagnose the infection of Helicobacter pylori, we implement urea breath test, stool antigen test or blood antibody test.
The stomach and duodenum lining can be directly observed by Dr. Rishi with help of a thin and flexible camera, which would determine and recognize any ulcers, bleeding or inflammation in the stomach.
Tiny tissue sample will be collected in case of any sign, to eliminate any existence of malignancy and demonstrate the existence of the H. pylori.
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.
Duodenal ulcers develop in the first part of the small intestine (duodenum), while gastric ulcers occur in the stomach. Pain from a duodenal ulcer usually appears a few hours after eating, whereas gastric ulcer pain tends to worsen during or immediately after meals.
With appropriate treatment, including proton pump inhibitors (PPIs) and eradication of H. pylori infection, most duodenal ulcers heal within 4–8 weeks.
The ICD-10 code for an unspecified duodenal ulcer without bleeding or perforation is K26.9. Other specific codes apply if bleeding or perforation is present.
While most duodenal ulcers are not life-threatening, complications such as severe bleeding or perforation can be serious. Early detection and expert medical care greatly reduce these risks.
Diagnosis typically involves endoscopy performed by Dr. Chadha, along with H. pylori testing (via breath, stool, or blood tests) and imaging studies such as X-rays or CT scans if needed.
You should consult Dr. Rishi Chadha if you experience persistent abdominal pain, unexplained weight loss, vomiting blood, or notice black or tarry stools, as these may indicate complications.
