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Pancreatic Pseudocyst

Dr. Rishi Chadha at GastroDoxs in Houston specializes in diagnosing and treating pancreatic pseudocysts-fluid-filled sacs often arising from pancreatitis or injury. Using advanced imaging, endoscopic drainage, and care plans, he offers minimally invasive solutions to relieve symptoms and prevent complications.

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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.

Common Causes and Risk Factors

  • Acute or chronic pancreatitis (from alcohol or gallstones)
  • Injury to the pancreas (from trauma or surgery)
  • Blocked pancreatic duct
  • Heavy alcohol drinking
  • Smoking

Signs and Symptoms

  • Pain or fullness in the upper belly
  • Nausea and vomiting
  • Feeling full quickly (early satiety)
  • Fever (a sign of infection)
  • Losing weight without trying
  • A lump under your ribcage

How Dr. Rishi Chadha Diagnoses Pancreatic Pseudocyst?

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

Medical History and Physical Exam

He listens carefully to your symptoms, reviews prior pancreatitis or injuries, and palpates your abdomen for tenderness or masses.

Blood Tests

Orders serum amylase and lipase levels to assess pancreatic inflammation and rules out other causes of abdominal pain.

Abdominal Ultrasound

Performs an initial ultrasound to detect fluid collections and evaluate nearby organs.

CT Scan

Uses contrast-enhanced CT imaging to determine the pseudocyst's size, location, and relation to blood vessels.

Endoscopic Ultrasound (EUS)

If more detail is needed, performs EUS for high-resolution images and, when appropriate, guides fine-needle aspiration or drainage.

Dr. Rishi Chadha
Treatment

Our Houston team offers a full range of care for pancreatic pseudocysts.

1. Lifestyle and Diet Changes

  • Eat low-fat foods in small, frequent meals
  • Avoid alcohol and tobacco completely
  • Drink plenty of clear fluids
  • Try light exercise or yoga to manage stress

2. Medications

  • Pain relievers such as acetaminophen or stronger options if needed
  • Pancreatic enzyme supplements to aid digestion
  • Antibiotics if the cyst is infected

3. Minimally Invasive or Surgical Procedures

  • Endoscopic drainage: Drains the cyst into the stomach or intestines
  • Percutaneous drainage: Uses a needle to drain the cyst through the skin
  • Surgical drainage or resection for large, complex, or hard-to-treat cysts
  • Stent placement: Keeps drainage pathways open to prevent fluid buildup
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 ICD-10 code for pancreatic pseudocyst?

The ICD-10 code is K86.3.

Can a pancreatic pseudocyst go away on its own?

Yes. Small, painless pseudocysts often heal with time and close follow-up.

How is a pseudocyst confirmed?

A CT scan is the most accurate test. Endoscopic ultrasound (EUS) adds extra detail.

When is drainage needed?

If the cyst is large (over 6 cm), painful, infected, or causing problems, drainage may be needed.

Is endoscopic drainage painful?

No. Sedation and local anesthesia are used for comfort during the procedure.

How long is the recovery after drainage?

Most people feel better within 3 to 7 days after drainage.

Will I need surgery?

Surgery is rare and only used if simpler treatments, like endoscopic or percutaneous drainage, don-t work.

What foods help prevent pseudocysts?

A low-fat diet, avoiding alcohol, and eating small, frequent meals can help prevent pseudocyst formation.

Are there risks with stent placement?

Risks include infection or stent migration. Dr. Chadha uses advanced techniques to minimize these risks.

Where can I learn more about the ICD-10 code?

Visit the American College of Gastroenterology website for up-to-date details on coding.

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