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Eosinophilic Duodenitis Specialist - Dr. Rishi Chadha

Eosinophilic duodenitis is a rare immunologic condition which is marked by the accumulation of eosinophils in the duodenum leading to pain in the abdomen, nausea and digestive problems. Dr. Rishi Chadha, GastroDoxs in Houston gives a correct diagnosis using endoscopy and special treatment in order to cure the symptoms at once.

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Texas Medical Board
Harris County Medical Society
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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 Eosinophilic Duodenitis?

  • It is an infrequent inflammation of the duodenum (first segment of the small intestine).
  • Caused by an artificial build-up of eosinophils (type of white blood cells).
  • Brings about swelling, pain and problems of food digestion.

Common Causes and Risk Factors

  • Asthma/eczema (allergic disorders).
  • Allergies/intolerance to food (dairy, wheat, soy, nuts)
  • Past history of allergic or eosinophilic disease in family.
  • Immune reaction on the gastrointestinal tract is hypersensitive.

Common Symptoms

  • On the upper part, abdominal pain/cramping.
  • The vomiting or acid reflux, or nausea.
  • Liquid or chronic diarrhea.
  • Unintended weight loss
  • Satiety (fulfilledness) Early effect.
  • Filled up or swollen abdomen.

How Dr. Rishi Chadha Diagnoses Eosinophilic Duodenitis?

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

Symptom Review and Medical History

The physician examines your digestive system symptoms, asthma, allergies, and past medication history to establish potential triggers.

Upper Endoscopy

A small intestine is forced into the endoscope to provide a firsthand look at the duodenal lining to determine whether it is irritated or swollen.

Duodenal Biopsy

Eosinophil amount is measured in endoscopy by removing small fragments of tissue in the duodenum with the help of the microscope.

Pathology Analysis

In order to confirm the diagnosis, expert pathologists test the biopsy to determine the increased eosinophil and inflammatory cells in the biopsy.

ICD-10 Coding

When this is confirmed, Dr. chadha writes the condition K52.81 in order to fill medical records and insurance properly.

Dr. Rishi Chadha
Treatment

Our Houston team offers a full range of care for eosinophilic duodenitis.

1. Lifestyle and Diet Modifications

  • Personalized diets of food allergies to find out and avoid food allergens (dairy, wheat, soy).
  • Dairy-free or any other specific meal plans, with gluten-free.
  • Not many or not big meals in order to digest.
  • Optimal gut health: Soft-fiber diets and tailored hydration.

2. Medications

  • Reduce stomach-acid using anti-reflux and antistomachic proton pump inhibitors (PPIs).
  • Budesonide Low-dose budesonide Buddiesonide Low-dose budesonide is a locally acting steroid to suppress inflammation.
  • To suppress immunity, antihistamines or mast cell stabilizers.
  • Particular diet to restore the weight and overcome the lack.

3. Minimally Invasive or Advanced Procedures

  • Endoscopic swollen segment or stricture dilation / therapy.
  • Endoscopy and biopsy to check the level of eosinophils and treat them.
  • The rest of the GI tract of allergic or inflammatory disease is considered.
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 eosinophilic duodenitis?

A condition where the eosinophils or a type of white blood cells build up in the duodenum causing it to swell, hurt as well as not being easy to digest.

What is the eosinophilic duodenitis etiology?

It is normally caused by food allergies (dairy, wheat, soy), asthma or other allergic diseases, hyperactivity of the immune reaction in the gut.

What is the diagnosis of Dr. Chadha?

He examines your history and symptoms, performs an upper endoscopy, and duodenal biopsy in which he diligently counts the eosinophils under laboratory.

Which is the ICD-10 code of this?

The insurance and records code of diagnosis is K52.81.

But what role do eosinophils and mast cells play?

These are immune cells that under hyperactivity in the intestine produce contents that cause irritation and inflammation of the intestinal wall.

Should eosinophilic duodenitis be treated?

Therapy includes, elimination diets, PPIs, low dosage budesonide, antihistamines or mast cell stabilizers, and nutritional support.

Will Dieting be one of the solutions to the problem?

Yes. A few weeks later, the removal of trigger foods can lead to the removal of symptoms on a large scale.

Long term safety of steroids?

Dr. Chadha prescribes low dosage of budesonide which is low dose of topical steroid having less side effects in the body than traditional steroid.

When can I feel well again?

Less pain as well as nausea and improvement of digestion are observed in weeks of treatment by patients.

How do you make a consultation booking?

Call Dr. Rishi Chadha to place a reservation in GastroDoxs in Houston and start your personal treatment plan.

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