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Gallstones

Discover gallstone care in Houston with Dr. Rishi Chadha at GastroDoxs. Specializing in advanced diagnostics, minimally invasive treatments, and personalized plans, Dr. Chadha helps relieve pain and restore digestive health, providing compassionate care so you can return to life stronger.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
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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

  • Bile contains too much cholesterol
  • Gallbladder doesn-t empty fully
  • Rapid weight loss
  • Hormonal changes (pregnancy or hormone therapy)
  • Age over 40
  • Obesity
  • High-fat diet
  • Family history of gallstones

Signs and Symptoms

  • Often no symptoms in early stages
  • Sudden pain in the upper right belly or back
  • Nausea or vomiting
  • Indigestion, bloating, or gas
  • Fever or chills (if infection occurs)

How Dr. Rishi Chadha Diagnoses Gallstones

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

Medical History & Physical Exam

He reviews your symptoms, past medical history and performs a detailed physical examination to look for signs of gallbladder disease.

Ultrasound Imaging

An abdominal ultrasound is the first-line test to visualize gallstones and assess gallbladder structure and function.

Blood Tests

Laboratory studies check liver enzymes, bilirubin and pancreatic markers to rule out inflammation, infection or bile duct obstruction.

CT Scan or MRI

If further evaluation is needed, a CT scan or MRI provides high-resolution images of the biliary tract and surrounding organs.

HIDA Scan

This nuclear medicine study tracks bile flow and measures gallbladder emptying to identify blockages or functional disorders.

Rishi Chadha
Treatment

Gallstone Treatment Options at GastroDoxs in Houston

1. Diet and Lifestyle Tips

  • Eat smaller, more frequent meals
  • Avoid fried and fatty foods
  • Choose lean proteins and high-fiber foods
  • Stay active and maintain a healthy weight

2. Medications

  • Bile acid pills to dissolve small stones
  • Pain relievers to manage gallbladder attacks

3. Minimally Invasive Procedures

  • Laparoscopic gallbladder removal with tiny incisions
  • Single-incision surgery for minimal visible scarring
  • ERCP (endoscopic retrograde cholangiopancreatography) to remove stones from bile ducts

Most patients recover quickly and go home the same day or the next.

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 causes gallstones?

Too much cholesterol in bile is the most common cause.

Can you pass gallstones naturally?

Small ones might pass on their own, but larger stones often cause pain and require medical treatment.

Can gallstones go away without surgery?

Medication such as bile acid pills can dissolve small stones in select cases, but surgery is the most effective long-term solution.

How is gallstone pain treated?

Pain relievers, dietary modifications, or gallbladder removal (laparoscopic cholecystectomy) are used depending on symptom severity.

Is gallbladder surgery safe?

Yes. Laparoscopic gallbladder removal is low-risk, minimally invasive, and allows for a quick recovery.

What is recovery like after gallstone surgery?

Most patients feel significantly better within a few days and can return to normal activities in about a week.

Will I need a special diet after surgery?

You'll start with light, low-fat meals and typically transition back to a regular diet over time.

Are there non-surgical options?

Yes. In select cases, bile acid medications or ERCP can remove or dissolve stones without gallbladder removal.

How long do gallstones take to form?

They can develop gradually over months or years and often remain symptom-free until they grow large or obstruct bile flow.

Where can I learn more?

For detailed information, visit the American College of Gastroenterology's website.

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