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.
Primary sclerosing cholangitis (PSC) is a chronic liver disease marked by inflammation, scarring and narrowing of the bile ducts that carry bile from the liver to the small intestine. When these ducts become blocked, bile backs up into the liver, causing tissue damage that can progress to cirrhosis. PSC is often seen in people with ulcerative colitis.
Dr. Chadha reviews your symptoms, medical background (including ulcerative colitis), family history, and any risk factors.
We measure liver enzymes (ALP, ALT, AST) and immune markers (ANCA) to detect cholestasis and rule out other liver diseases.
A non-invasive MRI that provides detailed images of the bile ducts, highlighting areas of inflammation, strictures, or scarring.
In select cases, a small tissue sample is taken to confirm PSC, determine disease stage, and guide treatment decisions.
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.
Fatigue, itching, and yellowing of the skin or eyes (jaundice) are common early signs.
PSC affects both large and small bile ducts, while PBC mainly involves the small bile ducts within the liver.
No. PSC does not cause ulcerative colitis, but many people with PSC also have ulcerative colitis.
Blood tests for liver enzymes and immune markers such as ANCA are useful in identifying PSC.
There is no cure yet, but treatments like ursodeoxycholic acid and other therapies can help slow disease progression.
ERCP can open blocked or narrowed bile ducts and may place stents to keep them open.
A liver transplant is considered when PSC leads to liver failure or severe complications that cannot be managed otherwise.
Yes. A healthy, low-fat diet rich in fruits and vegetables supports liver health and can reduce symptoms.
Typically every 3 to 6 months, depending on your condition and stage of PSC.
Yes. Ask Dr. Chadha's team about new studies and treatments you may qualify for.
