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.
Fatty liver (hepatic steatosis) is a pathology, which occurs when the liver cells become overstuffed with fat. At its early stages, the liver may be normal but in the long-term, the accumulated fats may result in inflammation, scarring and damage to the liver when untreated. Early diagnosis and treatment will save your liver and complications can be avoided.
He analyzes your medical history, alcohol intake, medications and risk factors and he analyses your physical examination to establish whether your liver is swollen.
We check liver enzymes (ALT, AST), check cholesterol and triglycerides, and get rid of other factors that may cause liver damage.
Sometimes liver biopsy is recommended to verify the diagnosis or approximate the inflammation and scarring.
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.
Some of the causes include obesity or rapid weight gain, diabetes type 2 or insulin resistance, high cholesterol/triglycerides, poor food, heavy drinking which Dr. Chadha would examine the first time you visit him.
Eat a balanced moderate diet, exercise more and avoid excessive consumption of alcohol. In GastroDoxs, Dr. Chadha creates a personalized program to help you put your liver levels back to normal levels.
Noninvasive imaging technologies like the ultrasound and FibroScan measure the fat and stiffness of the liver. Our clinic (Westheimer) offers such tests which do not require any surgery.
In some cases, Dr. Chadha can prescribe the insulin-sensitizing drugs, cholesterol-blocking drugs and vitamin E. He tailor-fits any prescription to your lab findings and overall wellbeing.
Depending on the disease stage, survival depends on the disease. NASH can be properly managed at an early age through diet, exercise and follow up which can help an individual live a normal life. Dr. Chadha will investigate your own prognosis.
Most of the patients avoid liver biopsy. Dr. Chadha polishes with blood tests, imaging and FibroScan to establish the status of the liver, and only applies biopsy in case of specification staging.
