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.
Hepatic fibrosis occurs when scar tissue builds up in your liver over time, replacing healthy tissue. It's an early sign that your liver is trying to heal after long-term damage. If left untreated, it can progress to cirrhosis or even liver failure.
Dr. Chadha reviews your personal and family liver history, alcohol use, medications, and other risk factors, then performs a thorough physical exam.
We check liver enzymes (AST, ALT), bilirubin, platelet count and viral markers to assess function and rule out other causes of liver injury.
When noninvasive tests are inconclusive, a percutaneous liver biopsy may be performed to directly assess the degree of scarring and inflammation.
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.
Fibrosis is the early formation of scar tissue in the liver as it heals from long-term injury. Cirrhosis (stage F4) is advanced, widespread scarring that disrupts liver function and can lead to failure.
Hepatic fibrosis is graded from F0 (no scarring) to F4 (cirrhosis). Stage F3 is severe scarring but not yet full cirrhosis.
The primary code for hepatic fibrosis is K74.0.
Yes. In early stages (F1-F2), lifestyle changes and appropriate treatment often reduce or even reverse scar tissue buildup.
Many patients notice improved energy levels, lab results, and symptoms within 3-6 months of following a personalized care plan.
No. Noninvasive tests'like blood work, ultrasound elastography (FibroScan) and MRI-usually provide enough information. A biopsy is reserved for unclear or advanced cases.
Avoid fried and highly processed foods, sugary drinks and snacks, and alcohol. Focus on fruits, vegetables, whole grains and lean proteins.
Only if Dr. Chadha recommends them. In some cases, vitamin E or other nutrients may be prescribed to support liver health.
Yes, but it's rare. Pediatric fibrosis often stems from congenital or genetic liver disorders rather than lifestyle factors.
Most patients benefit from repeat blood tests and imaging every 6-12 months, though your schedule will be personalized based on your stage and risk factors.
