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Gastric Ulcer

Discover comprehensive gastric ulcer care in Houston with Dr. Rishi Chadha at GastroDoxs. From precise H. pylori testing and endoscopy to personalized lifestyle guidance, advanced treatments, and compassionate support, our dedicated, experienced team ensures expert, tailored relief for ulcer sufferers.

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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 a Gastric Ulcer?

A gastric ulcer is a sore in the lining of your stomach. It can cause pain, burning, or an upset stomach. If untreated, it may lead to bleeding or a perforation. The ICD-10 code for a gastric ulcer is K25.9.

Common Causes and Risk Factors

  • H. pylori infection
  • Use of NSAIDs (like ibuprofen or aspirin)
  • Smoking or heavy alcohol use
  • High stress levels
  • Family history of ulcers
  • Age over 60

Signs and Symptoms

  • Burning or dull pain in the stomach
  • Nausea or bloating
  • Heartburn or frequent burping
  • Loss of appetite or unintended weight loss
  • Dark, tarry stools (a sign of bleeding)

How Dr. Rishi Diagnoses Gastric Ulcer?

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

1. Review of Symptoms & Health History

He evaluates your stomach pain, burning, NSAID or alcohol use, and other risk factors.

2. H. pylori Testing

We perform breath, stool, or blood tests to detect H. pylori infection.

3. Upper Endoscopy (EGD)

An endoscope is used to visualize the stomach lining and confirm the presence of an ulcer.

4. Blood Tests

Blood work checks for anemia, infection markers, and overall health status.

Dr. Rishi Chadha
Treatment

Treatment Options at GastroDoxs

1. Lifestyle and Diet Tips

  • Eat smaller, more frequent meals
  • Best foods: bananas, oatmeal, steamed vegetables, lean meat
  • Avoid: spicy food, citrus, alcohol, caffeine
  • Quit smoking
  • Try yoga, meditation, or light walking for stress relief

2. Medications

  • Proton pump inhibitors (PPIs) to reduce acid
  • H2 blockers for short-term relief
  • Antibiotics if H. pylori is present
  • Antacids or sucralfate to protect the stomach lining

3. Procedures (If Needed)

  • Endoscopic therapy to treat a bleeding ulcer
  • Injection or heat therapy during endoscopy
  • Surgery (rare) if the ulcer won-t heal or causes a perforation
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 a gastric ulcer?

The ICD-10 code for a non-bleeding, non-perforated gastric ulcer is K25.9.

Which foods are safe?

Try bananas, yogurt, oatmeal, lean chicken, and cooked vegetables to soothe your stomach.

What should I avoid?

Avoid spicy foods, tomatoes, citrus fruits, caffeine, alcohol, and fried or fatty foods.

Can stress cause ulcers?

Stress doesn-t directly cause ulcers but can worsen pain and delay healing.

How is H. pylori tested?

H. pylori can be detected with a breath test, stool test, blood test, or biopsy during endoscopy.

What antibiotics are used?

Common antibiotics include amoxicillin, clarithromycin, or metronidazole for H. pylori eradication.

How long does healing take?

Most gastric ulcers heal in 4 to 8 weeks with proper treatment and acid suppression.

Do I need an endoscopy?

Yes. An upper endoscopy (EGD) confirms the ulcer, assesses severity, and checks for bleeding.

Are PPIs safe long-term?

Proton pump inhibitors are generally safe for long-term use but require periodic monitoring by your doctor.

When should I call for help?

Seek immediate care if you experience severe abdominal pain, vomit blood, or notice black, tar-like stools.

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