How Dr. Rishi Chadha Diagnoses Nonalcoholic Steatohepatitis (NASH)
1. Medical History & Physical Exam
Dr. Chadha reviews your personal and family medical history, alcohol use, medications, and risk factors�then performs a targeted physical exam.
2. Blood Tests
We measure liver enzymes and other blood markers to assess liver function and rule out alternate causes of liver injury.
3. Imaging Studies
- Ultrasound: Evaluates fat accumulation and liver texture.
- FibroScan� (Transient Elastography): Measures liver stiffness and quantifies fat content.
4. Noninvasive Scoring
Dr. Chadha applies validated scoring systems (e.g., NAFLD Fibrosis Score) to estimate the degree of liver scarring.
5. Liver Biopsy (When Needed)
In uncommon or uncertain cases, a liver biopsy provides definitive grading of inflammation and fibrosis.
Frequently Asked Questions
What is NASH?
Nonalcoholic Steatohepatitis (NASH) is a form of fatty liver disease not caused by alcohol. Fat builds up in the liver, leading to inflammation, cell damage, and scarring.
What causes NASH?
Key risk factors include obesity or rapid weight gain, type 2 diabetes or prediabetes, high cholesterol or triglycerides, metabolic syndrome, PCOS, and certain medications (e.g., steroids).
What are the symptoms?
Many people have no symptoms. Others may experience fatigue, mild pain in the upper right abdomen, unplanned weight loss, or elevated liver enzymes on blood tests.
What is the ICD-10 code for NASH?
The ICD-10 code for Nonalcoholic Steatohepatitis is K75.81.
How is NASH different from simple fatty liver?
Simple fatty liver (NAFL) involves fat accumulation without damage. NASH includes inflammation and scarring, increasing the risk of progression to cirrhosis.
Can NASH be reversed?
Yes�when caught early, NASH can be halted or even reversed through gradual weight loss (5�10% of body weight), a healthy diet, and regular exercise.
What tests are used to diagnose NASH?
Diagnosis may involve blood tests for liver enzymes, ultrasound or FibroScan� to assess fat and stiffness, noninvasive scoring systems, and'rarely�a liver biopsy.
What foods should I avoid with NASH?
Avoid sugary drinks, processed foods, refined carbohydrates (white bread, pastries), and snacks high in added sugars and unhealthy fats.
Do I always need a liver biopsy?
No. Dr. Chadha begins with noninvasive tests and uses biopsy only when results are unclear or advanced liver scarring is suspected.
How do I get expert NASH care in Houston?
Call GastroDoxs to schedule a consultation with Dr. Rishi Chadha. He'll create a personalized liver-health plan tailored to your needs.