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Angiodysplasia

At GastroDoxs in Houston, our specialized team offers advanced angiodysplasia treatment, using cutting-edge endoscopic techniques to detect and manage these fragile blood vessels in the digestive tract, ensuring personalized care and symptom relief for local patients experiencing chronic gastrointestinal bleeding.

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Bharat Pothuri
Symptoms

What is Angiodysplasia?

Angiodysplasia is a condition in which fragile, dilated blood vessels form in the lining of your digestive tract-most commonly in the right (ascending) colon, small intestine, or stomach. These weakened vessels can rupture and bleed, leading to iron-deficiency anemia or visible blood in the stool. In some cases, angiodysplasia is associated with heart valve disorders such as aortic stenosis (Heyde's syndrome).

Common Symptoms

Early on, you may have no symptoms. When bleeding occurs, you might experience:

  • Fatigue or weakness (from low iron)
  • Black, tarry stools or bright red blood in stool
  • Dizziness or shortness of breath
  • Abdominal pain or cramps
  • Anemia (low red blood cell count)

Causes

The exact cause of angiodysplasia often remains unclear, but several factors can contribute:

  • Aging, which weakens blood vessel walls over time
  • Elevated pressure in the veins of the gastrointestinal tract
  • Aortic stenosis (narrowing of the aortic valve)
  • Inherited connective tissue disorders (rare)
  • Chronic irritation or inflammation of the gut lining
Treatment

Treatment Options for Angiodysplasia in Houston

Treatment includes endoscopic therapies, medications, radiology procedures, and surgery:

  • Argon plasma coagulation (APC): A non-contact endoscopic thermal therapy to seal fragile vessels and stop bleeding.
  • Thermal or laser therapy: Targeted heat or light application during endoscopy to cauterize bleeding lesions.
  • Iron supplements: Oral or intravenous iron to correct anemia from chronic blood loss.
  • Hormonal therapy: In select patients, estrogen-progesterone regimens can reduce recurrent bleeding episodes.
  • Interventional radiology: Embolization procedures to block the bleeding vessel when endoscopic control is insufficient.
  • Surgery: Reserved for severe, ongoing bleeding that cannot be managed by less invasive methods.

Why Choose GastroDoxs?

At GastroDoxs in Houston, our board-certified gastroenterologists combine cutting-edge endoscopic therapies with a compassionate, patient-centered approach to manage angiodysplasia. We offer same-day scheduling for most procedures, personalized care plans and close coordination with cardiology and hematology specialists. Don't let bleeding or anemia go untreated-book your appointment today and take control of your digestive health.

487

Patients Treated

We've successfully treated more than 487 patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

Where is angiodysplasia most common?

Angiodysplasia most commonly occurs in the right side of the colon (ascending colon), but it can also appear in the small intestine or stomach.

How is small bowel angiodysplasia found?

Small bowel angiodysplasia is typically detected using capsule endoscopy or specialized endoscopic scopes that visualize the small intestine.

Can angiodysplasia cause heavy bleeding?

Yes. While bleeding may be slow and chronic, angiodysplasia can lead to significant blood loss and anemia over time.

Is it connected to heart problems?

Yes. Angiodysplasia is often linked with aortic stenosis (Heyde's syndrome), where a heart valve issue contributes to bleeding in the gut.

What does it look like during a scope?

During endoscopy, angiodysplasia appears as small, flat or slightly raised red spots or patches that bleed easily when touched.

Can iron pills help?

Iron supplements can help correct anemia caused by chronic bleeding but do not address the underlying vascular lesions.

Is treatment painful?

Most endoscopic treatments-such as argon plasma coagulation or laser therapy-are minimally invasive, well-tolerated, and require little to no recovery time.

What's the ICD-10 code for angiodysplasia?

The most commonly used ICD-10 codes are K31.82 (angiodysplasia of stomach and duodenum) and K63.5 (angiodysplasia of intestine); your physician will select the appropriate code.

Will I need follow-up?

Yes. Regular follow-up endoscopies every 6-12 months-or sooner if bleeding recurs-are recommended to monitor and manage any new lesions.

Can it come back?

Recurrence is possible. Ongoing surveillance and prompt treatment of new bleeding sites help prevent complications and maintain iron levels.

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