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Liver Disease

At GastroDoxs in Houston, Dr. Rishi Chadha offers expert, liver disease care. With advanced diagnostics-from FibroScan to imaging-and personalized treatment plans encompassing lifestyle changes, medications, and procedures, he helps patients manage hepatitis, NASH, cirrhosis, and more for lasting liver health.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
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 Liver Disease?

Your liver helps digest food, store energy, and remove toxins. Liver disease happens when it can-t do these jobs well. It can be mild or serious, even life-threatening. Getting early care helps protect your liver and your health.

Common Causes and Risk Factors

  • Hepatitis A, B, or C
  • Alcohol overuse
  • Fat buildup in the liver (NAFLD or NASH)
  • Obesity, type 2 diabetes, or high cholesterol
  • Long-term use of certain medicines or exposure to toxins
  • A family history of liver problems

Signs and Symptoms

  • Often none in early stages
  • Feeling tired
  • Pain or pressure in the upper right belly
  • Yellow skin or eyes (jaundice)
  • Itchy skin
  • Swelling in your legs or belly
  • Easy bruising or bleeding

How Dr. Rishi Diagnoses Liver Disease?

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

Comprehensive Medical History & Physical Exam

He reviews your medical history, alcohol use, family history, and other risk factors.

Blood Tests

Panels measure liver enzymes, bilirubin, and other markers to assess liver function.

Imaging Studies

  • Ultrasound, CT scan, or MRI to visualize liver size, shape, and any lesions.
  • FibroScan- or elastography for noninvasive measurement of liver stiffness and scarring.

Liver Biopsy (If Needed)

A small tissue sample is taken to confirm diagnosis, evaluate inflammation, or stage fibrosis.

Rishi Chadha
Treatment

Treatment Options at GastroDoxs

1. Lifestyle and Diet Changes

  • Eat more fruits, vegetables, lean protein, and whole grains
  • Cut back on sugar and unhealthy fats
  • Lose weight slowly (5-10% helps your liver)
  • Exercise at least 30 minutes most days

2. Medications

  • Antivirals for hepatitis B or C
  • Medicines being studied for NASH
  • Vitamin E or pioglitazone (in some cases)
  • Medications to ease symptoms

3. Minimally Invasive or Advanced Procedures

  • Endoscopic treatment for bleeding veins (varices)
  • TIPS procedure for high pressure in liver vessels
  • Liver transplant evaluation for late-stage disease
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 fatty liver disease?

Fatty liver disease is when extra fat builds up in your liver cells, which can lead to inflammation and damage over time.

Can liver disease be reversed?

Yes. In early stages, many types of liver disease improve with a healthier diet, regular exercise, weight loss, and treatment of the underlying cause.

What is the life expectancy with NASH?

With early diagnosis and proper management, most people with NASH live a normal lifespan. Untreated NASH can progress to cirrhosis, which carries more serious risks.

How long can I live with fatty liver?

Life expectancy varies based on your overall health, how well you follow treatment recommendations, and whether complications develop.

When is liver disease serious?

Warning signs of advanced disease include persistent jaundice (yellowing of skin/eyes), fluid buildup in the belly, easy bleeding or bruising, and confusion.

Do I need a liver biopsy?

Not always. Noninvasive tests-blood work, ultrasound, FibroScan- or MRI elastography-often give enough information. A biopsy is reserved for select cases.

What diet helps fatty liver?

A diet low in added sugar and unhealthy fats, rich in fiber, whole grains, fruits, vegetables, and lean proteins supports liver health.

Is hepatitis C curable?

Yes. Modern antiviral medications cure over 95% of people with hepatitis C in 8-12 weeks, eliminating the virus and stopping further liver damage.

What is end-stage liver disease?

End-stage (decompensated) liver disease means the liver can no longer perform its essential functions-often accompanied by jaundice, ascites, and bleeding.

How can I see Dr. Chadha?

Call GastroDoxs in Houston at (713) 554-4880 or visit our website to schedule your first consultation with Dr. Rishi Chadha.

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