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Expert NAFLD Gastroenterologist - Dr. Rishi Chadha

Nonalcoholic fatty liver disease (NAFLD) is a disorder that is characterized by the buildup of fat in the liver of individuals who consume minimal or no alcohol. Prevention and treatment will make it possible to prevent progression; lifestyle changes and and professional care at GastroDoxs will recover the liver health.

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Texas Medical Board
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American Society for Gastrointestinal Endoscopy
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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.

What Is NAFLD?

NAFLD is an abbreviation that is used to denote nonalcoholic fatty liver disease. It is a condition happening as a result of luxurious fat accumulating in the liver of individuals consuming little or no alcohol. Other individuals just develop rather light forms of fat build-up whereas some develop a more severe type known as nonalcoholic steatohepatitis (NASH). Take advantage at the beginning of the disease to preserve your liver and prevent the development.

Common Causes and Risk Factors

  • Toss up to obesity or new weight gain.
  • The type 2 or insulin resistance.
  • Much triglycerides or high cholesterol.
  • Metabolic syndrome
  • Poor, unhealthy diet and physical inactivity.

Signs and Symptoms

  • Symptoms may often be no more than minimal at early phases.
  • Feeling tired or weak
  • Abdominal discomfort or pain in the upper-right.
  • Unexplained weight loss
  • Increased liver size is observed on the physical examination.

How Dr. Rishi Chadha Diagnoses NAFLD

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

1. Medical History and Lifestyle Review

He examines your history of health, drinking, nutrition, physical activities and risk factors.

2. Physical Exam

He examines and palpates the liver of the abdomen to enlarge or to be tender.

3. Blood Tests

He monitors liver enzymes (ALT, AST), eliminates other liver injury causes, and examines eliminate metabolic indicators.

4. Imaging Studies

  • Ultrasound in order to find the presence of fat and to determine the texture of liver.
  • FibroScan- (transient elastography) to evaluate the liver fat and hepatic rigor.

5. Liver Biopsy (Advanced Testing, if needed)

A biopsy, which determines the NASH and measures the inflammatory condition and the presence of fibrosis or scarring, is performed in specific cases.

Rishi Chadha
Treatment
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Our Houston team offers a full range of care for fatty liver disease.

1. Lifestyle and Diet Modifications

  • Healthy slimming down and attainable targets.
  • NALFD Friendly Diet with lean protein, whole grains and vegetables.
  • The everyday life exercise such as walking or gentle strength exercises.
  • Reducing sugars, processed carbohydrates, and processed fat.

2. Medications

  • Vitamin E to aid in the reduction of inflammation in the liver among some patients.
  • Pioglitazone of some patients with NASH.
  • The availability of newer clinical trials using investigative treatment.

3. Minimally Invasive or Advanced Procedures

  • FibroScan- to monitor suet and fibrosis of the liver with time.
  • Endoscopic surgeries in dealing with accompanying digestive complications.
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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's the difference between NAFLD and NASH?

NASH, is a severe variant of NAFLD that is characterized by liver inflammation and potential scarring.

Can NAFLD be reversed?

Yes. Most individuals become better by shedding off the weight, eating better, and exercising.

What foods should I avoid?

Restrict the consumption of sugary beverages, fried foods, red meat and packed snacks.

Will I need a liver biopsy?

Unless blood tests and imaging provide a definite diagnosis of NASH.

Does weight loss really help?

Yes. Even losing 5-10 percent of your body weight would help to decrease fat and inflammation in the liver.

Can kids get NAFLD?

Yes. It is becoming prevalent in obese children and early intervention is critical.

How often do I need liver checks?

Depending on the condition, your doctor will advise you to take blood tests and imaging after every 6-12 months.

Is NAFLD inherited?

It may be familial, although diet and physical activity are more significant.

Should I take supplements?

Only if prescribed. Dr. Chadha can prescribe Vitamin E or other supplements as long as it is suitable.

Can I get NAFLD if I-m not overweight?

Yes. Venture even to lean people could develop NAFLD, particularly, when there is poor diet or metabolic problems.

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