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Angioectasias

At GastroDoxs in Houston, our expert team specializes in diagnosing and treating angioectasias-small blood vessel malformations within the gastrointestinal tract-using advanced endoscopic techniques, ensuring personalized care and relief for local patients experiencing unexplained bleeding or anemia in the Houston community.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri
Symptoms

What are Angioectasias?

Angioectasias are small, fragile blood vessels in the digestive tract-most often the colon, stomach or small intestine-that form abnormally and can bleed. Many people have no symptoms, but if bleeding occurs it may show as visible blood in the stool or hidden blood loss leading to iron deficiency or anemia.

Common Symptoms

While most cases are asymptomatic, when angioectasias bleed you may experience:

  • Blood in the stool (bright red or black tarry stool)
  • Tiredness or weakness from chronic blood loss
  • Dizziness or lightheadedness
  • Shortness of breath
  • Occult (hidden) blood detected on lab tests

Causes

The exact cause is often unclear, but these factors increase the risk of developing angioectasias:

  • Aging, which can weaken blood vessel walls
  • Chronic kidney disease
  • Heart failure or other cardiovascular disease
  • Low oxygen levels in the gut
  • Genetic predisposition
Treatment

Treatment Options for Angioectasias in Houston

Treatment includes endoscopic therapy, medical management, and follow-up care:

  • Endoscopic therapy: Sealing bleeding vessels with argon plasma coagulation, heat probe, clipping, or band ligation during colonoscopy or enteroscopy.
  • Iron therapy: Oral or intravenous iron supplementation to correct anemia from chronic blood loss.
  • Hormonal therapy: Estrogen-progesterone regimens in select patients to reduce recurrent bleeding.
  • Blood transfusions: Administration of packed red blood cells for acute or severe blood loss to stabilize hemoglobin levels.
  • Repeat endoscopy: Scheduled follow-up scopes to identify and treat new or recurrent angioectasias.
  • Diet and supplementation: Iron-rich diet and vitamin B12/folate supplements to support healthy red blood cell production.

Why Choose GastroDoxs?

Our Houston specialists combine advanced endoscopic techniques with compassionate, patient-centered care to diagnose and treat angioectasias effectively. From your first consultation through follow-up, we create a personalized treatment plan-whether that's endoscopic therapy, iron supplementation, or ongoing monitoring-to help you regain your health and confidence. Ready to get started? Call us at 832-632-4070 or book your appointment online today!

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We've successfully treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

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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

What is an angioectasia?

An angioectasia is a small, fragile blood vessel in the lining of the stomach, small intestine, or colon that can bleed intermittently or chronically.

How is angioectasia diagnosed?

Diagnosis is made using endoscopic techniques such as colonoscopy or capsule endoscopy, often supplemented by imaging tests and blood work to detect hidden bleeding.

What ICD-10 code is used for angioectasias?

The primary code is K31.819 for vascular malformation of the digestive system. Other codes include K55.89 for colonic/small bowel angioectasia and K31.89 for stomach angioectasia.

Can angioectasias affect the colon?

Yes. The colon is one of the most common sites for angioectasias, which may lead to visible or occult blood loss.

Does angioectasia always cause bleeding?

No. Many angioectasias remain asymptomatic, but some cause slow, long-term bleeding that can lead to anemia.

What is stomach angioectasia?

Stomach angioectasia refers to abnormal, fragile blood vessels in the stomach lining, often coded as K31.89 in ICD-10.

Is angioectasia painful?

Angioectasias typically do not cause pain unless bleeding is severe or there is an additional gastrointestinal issue.

How is bleeding from angioectasia treated?

Bleeding vessels are sealed during endoscopy using heat or plasma therapy. Iron supplementation or blood transfusions may be prescribed to correct anemia.

Can angioectasias come back after treatment?

Yes. New or recurrent lesions can develop over time, so follow-up endoscopic evaluations are important.

When should I see a doctor about angioectasia?

Schedule an evaluation if you notice blood in your stool, experience unexplained fatigue or dizziness, or have laboratory evidence of low iron or anemia.

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