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Hepatitis A

Dr. Rishi Chadha, a hepatologist at GastroDoxs in Houston, specializes in diagnosing and managing hepatitis A. This acute liver infection spreads via the fecal-oral route. Our comprehensive care approach combines advanced testing, treatment plans, and lifestyle guidance for optimal recovery.

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Harris County Medical Society
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Houston Methodist leading Medicine
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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.

Common Causes and Risk Factors

  • Eating food or drinking water contaminated with the Hepatitis A virus
  • Poor hand hygiene after using the bathroom (fecal-oral transmission)
  • Close personal contact with someone who is infected
  • Travel to areas with inadequate sanitation
  • Working in childcare settings or in food service
  • Living in shelters or having unstable housing

Signs and Symptoms

  • Fatigue or general weakness
  • Nausea, vomiting, or loss of appetite
  • Mild fever
  • Jaundice (yellowing of the skin and eyes)
  • Dark urine or pale-colored stools
  • Pain or discomfort in the upper right abdomen

How Dr. Rishi Chadha Diagnoses Hepatitis A?

Step 1: Medical History & Physical Exam

Dr. Chadha reviews your recent travel, food-handling activities, close contacts, and housing situation. He also examines you for signs of liver inflammation, such as abdominal tenderness or jaundice.

Step 2: Blood Tests

  • Hepatitis A IgM antibody - confirms an active infection.
  • Hepatitis A Total antibody - indicates past infection or immunity from vaccination.

Step 3: Liver Function Tests

Measurement of serum ALT and AST enzymes helps gauge the extent of liver inflammation and guides symptom management.

Additional Testing (if needed)

Ultrasound or other imaging studies are reserved for cases with suspected complications, such as significant pain or abnormal liver enzymes that don-t improve.

Dr. Rishi Chadha
Treatment

Our Houston team offers a full range of care for Hepatitis A.

1. Symptom Management and Supportive Care

  • Rest and plenty of fluids to help your body clear the virus
  • Regular monitoring of liver enzymes (ALT, AST) to track inflammation
  • Follow-up visits with Dr. Chadha to assess recovery

2. Lifestyle and Diet Tips

  • Drink plenty of water and clear fluids to stay hydrated
  • Eat light, balanced meals rich in protein and vitamins
  • Avoid alcohol and any drugs that can further stress the liver
  • Get ample rest to support immune function

3. Medications

  • Anti-nausea or mild pain relievers as needed for comfort
  • No special antiviral required-your body will clear the infection

4. Procedures and Imaging

  • No routine procedures for uncomplicated Hepatitis A
  • Ultrasound or other imaging only if complications are suspected
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 incubation period?

15 to 50 days after contact with the virus.

Can I spread the virus before I feel sick?

Yes. You may be contagious up to 2 weeks before symptoms start.

Is there a vaccine?

Yes. It's safe and recommended for travelers, food workers, and high-risk groups.

How long does recovery take?

Most people feel better in 4-8 weeks. Fatigue may last longer.

Should I isolate at home?

Yes. Stay away from others, especially when cooking, for at least a week after symptoms begin.

Can it become chronic?

No. Hepatitis A does not lead to long-term liver problems.

What does -Hepatitis A Ab total reactive- mean?

It shows you-ve had the virus or were vaccinated and now have immunity.

How do I avoid reinfection?

Wash hands well, cook food safely, and get vaccinated if needed.

Can children get hepatitis A?

Yes. Kids often have mild symptoms but can still spread the virus.

Can hepatitis A cause liver cancer?

No. It does not lead to liver cancer.

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