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Eosinophilic Gastritis

Eosinophilic gastritis is a rare inflammatory disorder characterized by accumulation of eosinophils in the stomach lining, causing pain, nausea and digestive issues. At GastroDoxs in Houston, Dr. Rishi Chadha provides personalized care, blending diet modifications, medications and minimally invasive treatments.

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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 Gastritis?

Eosinophilic gastritis is a rare inflammatory condition of the stomach wall caused by an abnormal buildup of eosinophils (a type of white blood cell). This infiltration leads to swelling, pain, digestive problems and, if untreated, may result in weight loss, malnutrition or anemia.

Common Causes and Risk Factors

  • Food allergies (dairy, wheat, soy, eggs)
  • Personal or family history of allergic disorders (asthma, eczema)
  • Other eosinophilic gastrointestinal diseases
  • Genetic predisposition to abnormal immune responses
  • Environmental triggers and seasonal allergies

Signs and Symptoms

  • Upper abdominal pain or cramps
  • Nausea and vomiting
  • Bloating or feeling full quickly
  • Diarrhea or constipation
  • Unexplained weight loss

How Dr. Rishi Diagnoses Eosinophilic Gastritis?

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

Medical History and Exam

He reviews your symptoms, dietary habits, allergy history, and family background.

Blood Tests

We measure peripheral eosinophil counts and rule out other causes of stomach inflammation.

Endoscopic Evaluation

  • Upper endoscopy to visually inspect the stomach lining.
  • Biopsy samples taken to confirm eosinophil infiltration in the tissue.

Allergy and Dietary Testing

Optional skin or blood allergy panels and guided elimination diets to pinpoint food triggers.

Rishi Chadha
Treatment

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

1. Diet Changes

  • Elimination diet to remove common triggers (dairy, wheat, soy, eggs)
  • Safe meals featuring cooked vegetables, rice, and lean meats
  • Personalized meal plans adapted from eosinophilic esophagitis protocols
  • Guidance on identifying and avoiding allergic foods

2. Medications

  • Proton pump inhibitors (PPIs) to lower stomach acid
  • Oral or topical steroids to reduce inflammation
  • Biologic therapies for patients who need additional control

3. Minimally Invasive Treatments

  • Endoscopic balloon dilation to relieve strictures or narrowing
  • Periodic biopsies during endoscopy to track healing progress
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 are the early symptoms of eosinophilic gastritis?

Belly pain, nausea, vomiting and bloating are common early signs.

How long does it take to get a diagnosis?

Most patients receive a diagnosis within 2-4 weeks after blood tests and endoscopy.

Is eosinophilic gastritis genetic?

It may run in families, but food allergies and immune factors also play a role.

Can I eat out at restaurants in Houston?

Yes. Inform staff about your dietary needs to avoid triggers.

Will I need steroids to treat it?

Not always. Many patients start with diet modifications before trying steroids.

Are there risks with treatment?

Dr. Chadha uses the lowest effective doses and monitors closely to minimize side effects.

Can children outgrow eosinophilic gastritis?

Some children do outgrow it, while adults often require long-term management.

How often do I need an endoscopy?

Typically every 6-12 months to track healing and adjust treatment.

Can stress make my symptoms worse?

Yes. Stress can exacerbate symptoms, so we recommend stress reduction and exercise.

Where can I learn more?

Visit the Mayo Clinic's website on Eosinophilic Gastritis for detailed information.

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