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Reflux Esophagitis

Reflux esophagitis occurs when stomach acid repeatedly inflames your esophagus lining, causing pain, heartburn, and serious complications. In Houston, Dr. Rishi Chadha at GastroDoxs offers personalized diagnosis�from endoscopy to pH testing�and advanced treatments to restore comfort and prevent long-term damage.

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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 Reflux Esophagitis?

Reflux esophagitis happens when stomach acid flows back into the esophagus. This acid causes irritation and swelling in the esophageal lining, which over time may lead to pain and damage. The ICD-10 code for reflux esophagitis is K21.0.

Common Causes and Risk Factors

  • Hiatal hernia
  • Obesity or sudden weight gain
  • Smoking or alcohol use
  • Foods and drinks that trigger acid (spicy, fatty, acidic, chocolate, caffeine)
  • Pregnancy or hormone changes
  • Medications that relax the esophageal muscle

Signs and Symptoms

  • Persistent heartburn
  • Sour or bitter taste in the throat or mouth
  • Chest pain, often worse when bending or lying down
  • Trouble swallowing (dysphagia)
  • Hoarseness, chronic cough, or asthma-like symptoms
  • Feeling of a lump in the throat (globus sensation)

How Dr. Rishi Chadha Diagnoses Reflux Esophagitis?

Medical History and Physical Exam

Dr. Chadha reviews your symptoms, dietary habits, medication use, and known risk factors to understand your reflux pattern.

Upper Endoscopy (EGD)

A thin, flexible scope with a camera inspects the esophageal lining for inflammation, ulcers, or Barrett's changes.

24-Hour pH Monitoring

A small probe or wireless capsule measures acid exposure in your esophagus over a full day, correlating symptoms with acid events.

Esophageal Manometry

Pressure sensors evaluate the strength and coordination of esophageal muscles and the lower esophageal sphincter.

Barium Swallow X-Ray

You drink a contrast solution while X-rays track its flow, revealing structural abnormalities like strictures or hiatal hernia.

Dr. Rishi Chadha
Treatment

Our Houston team offers a full range of care for reflux esophagitis.

1. Lifestyle and Diet Changes

  • Eat smaller meals more often
  • Avoid spicy, fatty, and acidic foods
  • Limit chocolate, caffeine, and fried items
  • Stay upright after eating�don�t lie down
  • Raise the head of your bed by 6�8 inches
  • Lose extra weight and stop smoking

2. Medications

  • Antacids: for quick relief
  • H2 blockers (like famotidine): lower acid production
  • Proton pump inhibitors (PPIs): for long-term control
  • Prokinetics: help food move faster through the stomach

3. Minimally Invasive or Advanced Options

  • LINX� device: a magnetic ring to stop acid from rising
  • TIF procedure: endoscopic repair without cutting the body
  • Laparoscopic fundoplication: stomach is wrapped to support the esophagus
  • Radiofrequency treatment: tightens weak esophageal muscles
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 reflux esophagitis?

It's when acid from the stomach inflames the esophagus lining.

What foods should I avoid?

Skip spicy foods, citrus, coffee, chocolate, soda, and alcohol.

What is the ICD-10 code?

The code is K21.0, used for tracking and medical billing.

What tests help confirm this condition?

Upper endoscopy, 24-hour pH testing, esophageal manometry, and a barium swallow X-ray.

Will diet alone cure it?

Diet changes help, but many patients also need medication or additional therapies.

How long does it take to get better?

Some patients feel relief in weeks, though full healing can take several months.

Are acid medicines safe for long-term use?

Yes�when monitored by your physician through regular checkups.

Can reflux cause more serious problems?

Yes. Untreated reflux may lead to ulcers, strictures, or Barrett's esophagus.

Do I need surgery?

Surgery or endoscopic procedures are considered if lifestyle changes and medications aren�t enough or for a lasting solution.

Where does Dr. Chadha see patients?

At GastroDoxs near the Texas Medical Center and at Memorial Hermann locations in Houston.

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