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.
Protein-calorie malnutrition (PCM) happens when your body doesn�t get enough protein and calories. This can lead to muscle loss, slow healing, and a weak immune system. In medical records, PCM may be coded under ICD-10 codes E40�E46, depending on severity.
Dr. Chadha reviews your dietary intake, unintentional weight changes, appetite patterns, and risk factors such as chronic illness, difficulty swallowing, or limited access to food. He performs a detailed physical exam, assessing muscle bulk, skin turgor, and signs of nutrient deficiencies.
Blood work includes serum albumin and prealbumin to gauge protein status, a complete blood count, and a metabolic panel. These results help classify severity using ICD-10 codes E40�E46 and guide personalized treatment planning.
Simple measures such as handgrip dynamometry and gait speed assess muscle strength and functional status, providing baseline data to monitor progress over time.
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.
Poor diet, chronic illness, or swallowing/digestion problems can all lead to PCM.
PCM means you're lacking overall calories and protein, whereas a vitamin deficiency is missing specific micronutrients.
Yes. Kids with feeding difficulties or chronic health issues are also at risk.
Severe cases usually use the code E43 in the ICD-10 classification.
With the right nutrition plan and follow-up, most patients notice increased energy within 2�4 weeks.
No. PEG feeding tubes are typically temporary and removed once normal eating resumes.
Yes. Using the appropriate ICD-10 codes (like E43 or E44) helps secure insurance approval.
Yes. Light strength training supports muscle rebuilding alongside nutrition therapy.
No. Feeding tubes are placed endoscopically (a minimally invasive PEG procedure), not major surgery.
Call our Houston office to schedule a visit with Dr. Rishi Chadha at GastroDoxs.
