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Pancreatitis

At GastroDoxs in Houston, Dr. Rishi Chadha specializes in comprehensive pancreatitis care, combining advanced diagnostics, minimally invasive therapies and personalized lifestyle guidance. From initial assessment to recovery support, his expert team ensures targeted treatment for acute and chronic pancreatitis management.

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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 Pancreatitis?

Pancreatitis is swelling or irritation of the pancreas. The pancreas is a small organ behind your stomach. It helps you digest food and control blood sugar with insulin. When inflamed, it can cause pain and serious health issues. Some cases are mild. Others may be severe or life-threatening.

Common Causes and Risk Factors

  • Gallstones - Can block flow and trigger an attack
  • Heavy alcohol use - Often leads to chronic pancreatitis
  • High triglycerides - Levels above 1,000 mg/dL raise risk
  • Some medications - Certain drugs may harm the pancreas
  • Genetic mutations - Rare genes may raise your chance
  • Smoking - Makes inflammation worse and harder to treat

Signs and Symptoms

  • Upper belly pain that may reach your back
  • Nausea and vomiting
  • Fever or fast heartbeat
  • A bloated or tender stomach
  • Ongoing weight loss in chronic cases

How Dr. Rishi Chadha Diagnoses Pancreatitis?

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

Medical History and Examination

He reviews your symptoms, dietary habits, alcohol use, family history and other risk factors that could trigger pancreatitis.

Blood Tests

Checks pancreatic enzyme levels (amylase and lipase) and triglycerides to confirm inflammation and rule out other causes.

Imaging Studies

  • Abdominal ultrasound to detect gallstones and swelling of the pancreas.
  • CT scan for detailed imagery-identifying fluid collections, necrosis, or complications.

Endoscopic Ultrasound (EUS) and ERCP

Uses EUS for a close-up view of the pancreas and ducts. ERCP is performed if there's a ductal blockage-allowing stone removal or stent placement.

Dr. Rishi Chadha
Treatment

Our Houston team offers a full range of care for pancreatitis.

1. Lifestyle and Diet Changes

  • Eat small, low-fat meals to reduce pancreatic workload
  • Stop drinking alcohol completely to prevent flare-ups
  • Stay hydrated with water and clear fluids
  • Quit smoking to support healing and lower inflammation

2. Medications

  • Digestive enzyme supplements to aid food processing
  • Pain relief starting with non-opioid options
  • Insulin therapy if pancreatitis has disrupted blood sugar control
  • Acid-reducing drugs to ease digestive discomfort

3. Minimally Invasive or Advanced Procedures

  • ERCP (Endoscopic Retrograde Cholangiopancreatography) to remove gallstones or open blocked ducts
  • Pancreatic duct stenting to improve fluid drainage
  • Endoscopic cyst drainage for treatment of fluid-filled pancreatic collections
  • Surgical intervention only when other therapies are insufficient
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

Can pancreatitis be deadly?

Yes, serious cases can be life-threatening. Prompt diagnosis and treatment help lower that risk.

What is the ICD-10 code for acute pancreatitis?

The codes range from K85.0 to K85.9, depending on the underlying cause of the acute attack.

What is the ICD-10 code for chronic pancreatitis?

Chronic pancreatitis is classified under K86.1 in the ICD-10 system.

What are the four stages of acute pancreatitis?

The progression includes mild swelling, tissue necrosis (death), infection, and potential long-term complications.

Can pancreatitis be cured?

There's no definitive cure, but symptoms and complications can be effectively managed with lifestyle changes, medications, and procedures.

How long does recovery take?

Mild cases often improve within about one week. Severe or complicated cases may require several weeks to months of care.

Is pancreatitis genetic?

Yes. Rare gene mutations can increase your risk of developing pancreatitis, particularly chronic forms.

Can I drink alcohol again?

No. Complete abstinence from alcohol is crucial to prevent future attacks and protect pancreatic health.

When is ERCP needed?

Dr. Chadha may recommend ERCP if imaging shows a duct blockage or gallstones that need to be removed or duct flow improved.

Will I need surgery?

Surgery is reserved for cases that don-t respond to medical or endoscopic treatments, or when complications like persistent blockages arise.

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