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.
Pancreatic insufficiency, also called Exocrine Pancreatic Insufficiency (EPI), occurs when your pancreas doesn-t produce enough digestive enzymes. Without these enzymes, your body can-t properly break down fats, proteins, or carbohydrates, leading to weight loss, poor nutrition, and gastrointestinal discomfort.
Dr. Chadha reviews your symptoms (weight loss, steatorrhea, bloating), family history (cystic fibrosis, pancreatitis), lifestyle factors (alcohol, smoking), and any past pancreatic surgery.
A dietitian collaborates to document dietary intake, identify malabsorption patterns, and plan enzyme dosing trials.
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.
They're the same. EPI stands for Exocrine Pancreatic Insufficiency.
Most people feel better within a few days of starting them.
Some people may feel mild stomach cramps, but it's rare.
No. Diet helps, but enzyme pills are usually needed.
Yes. They help check vitamin levels and track your progress.
Not usually. Most people get better with pills and diet.
Dr. Chadha writes a prescription for you and adjusts it if needed.
Sometimes. Treatment may change over time based on your health.
Yes-especially with cystic fibrosis. We refer to pediatric specialists if needed.
Visit the Pancreas Foundation: pancreasfoundation.org
