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Epigastric Pain Treatment - Dr. Rishi Chadha

Constant burning pains or pains in your upper abdomen? Such problems as acid reflux and ulcers can be the result of epigastric pain, and the timely examination of the issues is the necessity. Dr. Rishi Chadha of GastroDoxs in Houston is a board-certified gastroenterologist who provides specialized diagnosis and personalized care services.

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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 (inflation of the stomach-lining)
  • Gallbladder disease
  • Pancreatitis
  • Stress, alcohol, smoking and NSAID drugs.

Signs and Symptoms

  • Sharp pain or blunt pain in the middle of the abdomen.
  • Full, swelly belly.
  • Minor nausea and vomiting.
  • The increase or decrease of pain with food.
  • Greater than 24 hours of acute, acute or chronic pain or pain (seek urgent attention).

How Dr. Rishi Diagnoses Epigastric Pain?

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

Medical History and Exam

He looks into your symptoms, digestive disorder history, medications and alcohol use, smoking or risk factor or not. The soft abdominal examination helps to conclude on the area of tenderness or swelling.

Blood Tests

Laboratory tests will be done on your complete blood count, liver and pancreatic enzyme level and will also rule out inflammation or infection.

Imaging Studies

  • Abdominal Ultrasound to examine the liver, the gallbladder and the pancreas.
  • Endoscopy Topical exam of the stomach and duodenum upper endoscopy (EGD) to examine esophagus, stomach and duodenum to determine ulcers/ gastritis.

Advanced Testing (if needed)

He can order CT or MRI, H. pylori breath test, gastric emptying test or any other special test, in case the diagnosis is not clear.

Rishi Chadha
Treatment

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

1. Lifestyle and Diet Modifications

  • Reduce bigger meals and eat more often so that they can be easily digested.
  • Foods to avoid include spicy, acidic or greasy food that causes discomfort.
  • Quit smoking and drink alcohol in moderation to reduce aggravation.
  • Include stress relieving practices like yoga, walking or breathing.

2. Medications

  • To relieve acutely and temporarily, antacids or H2-blockers.
  • Heavier and protracted acid control of proton pump inhibitor (PPIs).
  • Antibiotics against infection due to H. pylori in case of its detection.

3. Minimally Invasive or Advanced Procedures

  • Upper end endoscopy to observe ulcers, inflammation or other abnormalities.
  • Endoscopic management of the bleeding or constricted areas.
  • Laparoscopy operation- such as the removal of the gallbladder as and when required.
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 of epigastric pain?

The code is R10.13. It is used when there is pain in the upper belly in the middle and top.

What triggers the pain after eating?

This is normally due to acid reflux, ulcers of the peptic or a problem with the gall bladder.

When should I see a doctor?

When the pain is more than 24 hours or there is a presence of a fever, vomiting, or blood in stool or vomit.

What is the diagnosis of Dr. Chadha?

He will sift through your medical history, check your physical status and could test you like some blood tests, ultrasound or endoscopy.

Can lifestyle changes help?

Yes. The symptoms can be relieved by consuming small amounts, avoiding triggers (spicy/greasy food), smoking termination and stress relievers.

Are there non-drug options?

Yes. It can be reduced by changing the diet and stress management techniques and alcohol or NSAID avoidance.

How soon will I feel better?

Most of the patients are able to feel better in less than 1 or 2 weeks depending on the cause and medication.

Is endoscopy safe?

Yes. Dr. Chadha applies soft, tranquilised technique of comfort and safety in the operation.

Do you treat H. pylori?

Yes. We perform a test of H. pylori and prescribe any particular antibiotics in case the bacteria is bearable.

What is it you are supposed to carry with me?

Bringing your health records, a list of the drugs currently in action, and a description of your symptoms and their frequency is essential.

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