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Gastroparesis

Living with gastroparesis can be challenging, but expert care is available in Houston. At GastroDoxs, Dr. Rishi Chadha specializes in diagnosing and treating motility disorders, offering personalized dietary guidance, medication management, advanced procedures like G-POEM. Find relief and support today.

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Texas Medical Board
Harris County Medical Society
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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 Gastroparesis?

Gastroparesis slows the movement of food from your stomach. Food stays in your stomach too long, which can cause bloating, nausea, and stomach pain. You may feel like your food just 'sits there.-

Common Causes and Risk Factors

  • Diabetes (nerve damage)
  • Surgery on the stomach or nerves
  • High triglycerides (even without diabetes)
  • Certain medications (like narcotics)
  • Autoimmune diseases (such as lupus)

Signs and Symptoms

  • Nausea or vomiting undigested food
  • Feeling full quickly
  • Bloating or belly pain
  • Poor appetite and weight loss
  • Acid reflux or heartburn

How Dr. Rishi Chadha Diagnoses Gastroparesis

Medical History & Physical Exam

Dr. Chadha reviews your symptoms and full medical history, including diabetes status, prior abdominal surgeries, medications and other risk factors.

Gastric Emptying Study

A standardized test that tracks how quickly food moves out of your stomach to confirm delayed gastric emptying.

Blood Tests & Imaging

Lab work and abdominal ultrasound or CT scans help rule out other causes of nausea, vomiting or abdominal pain.

Upper Endoscopy (if needed)

An endoscopic evaluation allows Dr. Chadha to visualize the stomach lining and exclude strictures or obstructions.

ICD-10 Code: K31.84

Dr. Rishi Chadha
Treatment

Treatment Options at GastroDoxs

1. Lifestyle and Diet Tips

  • Eat 5 to 6 small meals a day
  • Choose soft, low-fat, low-fiber foods
  • Blend or mash tougher foods for easier digestion
  • Stay upright for 30-60 minutes after eating
  • Sip water slowly between meals

2. Medications

  • Prokinetics (e.g., metoclopramide) to speed gastric emptying
  • Antiemetics (e.g., ondansetron) to control nausea
  • Mild pain relief as needed

3. Advanced Procedures

  • Gastric electrical stimulation for refractory symptoms
  • G-POEM (peroral endoscopic pyloromyotomy) to improve gastric emptying
  • Botox injections into the pyloric sphincter to relax the valve
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 gastroparesis?

Diabetes, surgery on the stomach or nerves, high triglycerides, certain medications, or autoimmune diseases can slow digestion.

What's the ICD-10 code?

The ICD-10 code for gastroparesis is K31.84.

Can gastroparesis go away?

Some cases improve with lifestyle changes and treatment; others require long-term care and management.

How is gastroparesis treated?

Treatment includes dietary modifications, medications (prokinetics and antiemetics), and advanced procedures like G-POEM or gastric electrical stimulation.

How is gastroparesis diagnosed?

Diagnosis is made with a gastric emptying study, blood tests, imaging, and sometimes an upper endoscopy to rule out other issues.

Can high triglycerides cause gastroparesis?

High triglycerides don-t directly cause it but can worsen stomach emptying and symptoms.

What foods should I avoid?

Avoid fried, greasy, high-fiber, and hard-to-digest foods; opt for small, soft, low-fat meals.

Are there non-surgical treatments?

Yes. Many patients improve with diet changes and medications without needing surgery.

What's recovery like after G-POEM?

Most people go home within 1-2 days after G-POEM and feel better in about a week.

Where can I get care in Houston?

Visit GastroDoxs in Houston for personalized gastroparesis care with Dr. Rishi Chadha.

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