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Epigastric Pain

Feeling persistent burning or discomfort in your upper abdomen? Epigastric pain can stem from issues like acid reflux and ulcers, and timely evaluation is crucial. At GastroDoxs in Houston, board-certified gastroenterologist Dr. Rishi Chadha provides expert diagnosis with personalized care.

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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

  • Acid reflux (GERD)
  • Peptic ulcers
  • Gastritis (stomach-lining inflammation)
  • Gallbladder disease
  • Pancreatitis
  • Stress, smoking, alcohol use, and NSAID medications

Signs and Symptoms

  • Dull or burning ache in the upper middle abdomen
  • Bloating or feeling full quickly
  • Mild nausea or occasional vomiting
  • Pain that worsens or improves with eating
  • Sharp, sudden, or persistent pain lasting over 24 hours (seek prompt care)

How Dr. Rishi Diagnoses Epigastric Pain?

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

Medical History and Exam

He reviews your symptoms, digestive history, medication and alcohol use, smoking status and any risk factors. A gentle abdominal exam helps pinpoint areas of tenderness or swelling.

Blood Tests

Laboratory work checks your complete blood count, liver and pancreatic enzyme levels, and screens for inflammation or infection.

Imaging Studies

  • Abdominal ultrasound to evaluate the liver, gallbladder and pancreas.
  • Upper endoscopy (EGD) to visualize the esophagus, stomach and duodenum for ulcers or gastritis.

Advanced Testing (if needed)

If the diagnosis remains unclear, he may order CT or MRI scans, an H. pylori breath test, gastric emptying study or other specialized procedures.

Rishi Chadha
Treatment

Our Houston team offers a full range of care for epigastric pain.

1. Lifestyle and Diet Modifications

  • Eat smaller meals more often to ease digestion
  • Avoid spicy, acidic, or greasy foods that trigger discomfort
  • Quit smoking and limit alcohol to reduce irritation
  • Incorporate stress-reduction techniques like yoga, walking, or deep breathing

2. Medications

  • Antacids or H2-blockers for quick, short-term relief
  • Proton pump inhibitors (PPIs) for stronger, longer-lasting acid control
  • Targeted antibiotics if H. pylori infection is detected

3. Minimally Invasive or Advanced Procedures

  • Upper endoscopy to visualize ulcers, inflammation, or other abnormalities
  • Endoscopic treatments to manage bleeding or dilate narrowed areas
  • Laparoscopic surgery'such as gallbladder removal�when indicated
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 the ICD-10 code for epigastric pain?

The code is R10.13. It's used for upper middle belly pain.

What causes pain after eating?

This often comes from acid reflux, peptic ulcers, or gallbladder issues.

When should I see a doctor?

If pain lasts more than 24 hours or comes with fever, vomiting, or blood in stool or vomit.

How does Dr. Chadha diagnose it?

He reviews your medical history, performs a physical exam, and may order tests like blood work, ultrasound, or endoscopy.

Can lifestyle changes help?

Yes. Eating smaller meals, avoiding triggers (spicy/greasy foods), quitting smoking, and reducing stress can ease symptoms.

Are there non-drug options?

Yes. Diet modifications, stress management techniques, and avoiding alcohol or NSAIDs can provide relief.

How soon will I feel better?

Most patients notice improvement within days to weeks, depending on the underlying cause and treatment.

Is endoscopy safe?

Yes. Dr. Chadha uses a gentle, sedated approach for comfort and safety during the procedure.

Do you treat H. pylori?

Yes. We test for H. pylori and prescribe targeted antibiotics if the bacteria is present.

What should I bring to my visit?

Please bring your health records, a list of current medications, and notes on your symptoms and their timing.

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