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HSV

At GastroDoxs in Houston, Dr. Rishi Chadha delivers specialized comprehensive herpes simplex virus (HSV) care, offering personalized diagnostics, antiviral therapies, lifestyle guidance, and advanced laser treatment. His compassionate expertise ensures effective outbreak management and long-term support for optimal patient well-being.

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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

  • Direct skin-to-skin contact during an active outbreak
  • Oral sex spreading HSV-1 to the genitals or HSV-2 to the mouth
  • Weakened immune system from stress or illness
  • Sharing personal items (eating utensils, razors) when a sore is present

Signs and Symptoms

  • Tingling or itching sensation before a blister appears
  • Small, painful fluid-filled blisters or ulcers
  • Flu-like symptoms such as fever and swollen glands
  • Recurrent outbreaks in the same area
  • In males with HSV-2: pain during urination or itching on the penis

How Dr. Rishi Diagnoses HSV?

1. Detailed Health History & Symptom Review

Dr. Chadha begins by exploring your medical background, outbreak frequency, sexual history, and potential triggers.

2. Physical Examination

He inspects any visible blisters or sores to determine stage and severity of the outbreak.

3. Viral Swab Test

If an active lesion is present, a swab is taken for PCR or culture to confirm HSV infection and identify the type.

4. Blood Antibody Testing

Serologic tests detect HSV-1 and HSV-2 antibodies, useful when sores are not visible or for confirming past exposure.

5. Personalized Diagnosis & Plan

Based on lab results and exam findings, Dr. Chadha crafts a tailored treatment strategy to manage symptoms and reduce recurrences.

Dr. Rishi Chadha
Treatment

Our Houston team offers a full range of care for HSV.

1. Lifestyle and Diet Modifications

  • Drink plenty of water and eat immune-boosting foods
  • Avoid triggers such as excessive sun exposure, stress, and high-arginine foods (chocolate, nuts)
  • Maintain regular sleep patterns and practice stress management techniques

2. Medications

  • Antiviral pills (acyclovir, valacyclovir, famciclovir) to shorten outbreaks
  • Daily suppressive therapy to reduce viral shedding and outbreak frequency
  • Customized dosing and timing based on your individual needs

3. Minimally Invasive or Advanced Procedures

  • Laser therapy for patients with severe or frequent outbreaks to speed healing and reduce recurrences
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 difference between HSV 1 and 2?

HSV-1 usually affects the mouth; HSV-2 usually affects the genitals. Both types can occur in either area.

Can HSV ever go away?

The virus stays in nerve cells for life. With treatment, outbreaks can become milder and less frequent.

How do I know if I have HSV 2?

Look for blisters or ulcers in the genital area. A swab or blood test from Dr. Chadha's office confirms the diagnosis.

Is there a test for HSV 1 vs HSV 2?

Yes. Blood tests distinguish antibodies for each type, and swab tests identify the active virus during an outbreak.

Are HSV 2 symptoms in males different?

Men may notice pain during urination, itching, or fluid-filled blisters on the penis or scrotum.

Can I spread HSV when I have no symptoms?

Yes. Asymptomatic viral shedding can occur. Using condoms and daily antiviral medication lowers the risk of transmission.

Does diet affect HSV outbreaks?

A low-arginine, high-lysine diet can help. Foods like yogurt, fish, and legumes support immune health and may reduce outbreak frequency.

How long do outbreaks last?

First outbreaks may last 2-3 weeks. Recurrences often heal in 1-2 weeks with antiviral therapy.

Are there side effects from HSV medications?

Most people tolerate antiviral pills well. Mild headaches or nausea can occur, and Dr. Chadha adjusts treatment if needed.

Can I have children if I have HSV?

Yes. With proper antiviral therapy and careful management during delivery, risks to newborns are very low.

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