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Overlap Syndrome

At GastroDoxs in Houston, our specialized comprehensive Overlap Syndrome evaluation and treatment service offers personalized care for patients experiencing overlapping liver conditions, combining advanced diagnostics with compassionate support to improve outcomes and enhance quality of life right here in Texas.

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Bharat Pothuri
Symptoms

What Is Overlap Syndrome?

Overlap Syndrome happens when two related diseases occur together, sharing symptoms or influencing each other. Common examples include Asthma-COPD Overlap Syndrome (ACOS) and myelodysplastic/myeloproliferative (MDS/MPN) overlap. Early diagnosis and coordinated care can prevent serious complications.

Common Symptoms

Symptoms depend on the type but often involve breathing or blood issues:

  • Shortness of breath or wheezing (asthma-COPD overlap)
  • Chronic cough with excess mucus
  • Fatigue, easy bruising, or low red blood cell counts (MDS/MPN)
  • Low-grade fevers or frequent infections
  • Chest discomfort or tightness

Causes

Several factors can contribute to Overlap Syndrome by promoting inflammation or genetic changes:

  • Genetic predisposition affecting lung or blood cell function
  • Long-term inflammation in the airways or bone marrow
  • Exposure to smoke, pollution, or chemical irritants
  • Pre-existing asthma or chronic obstructive pulmonary disease
  • Bone marrow abnormalities seen in MDS or MPN disorders
Treatment

Treatment Options for Overlap Syndrome in Houston

Treatment includes lifestyle changes and medical care:

  • Inhalers and steroids: Bronchodilators and inhaled corticosteroids help reduce airway inflammation and ease breathing.
  • Targeted therapies: Chemotherapy or disease-modifying agents tailored for MDS/MPN to control abnormal blood cell growth.
  • Pulmonary rehabilitation: Supervised exercise routines and breathing techniques to strengthen lung function and reduce symptoms.
  • Smoking cessation support: Counseling, nicotine replacement, and behavior-change plans to help you quit smoking and protect lung health.
  • Nutritional guidance: Customized diet plans rich in anti-inflammatory nutrients and antioxidants to support immune function.
  • Regular monitoring: Periodic lung function tests, CT scans, blood panels, and bone marrow biopsies to track disease progress.
  • Coordinated care: Collaborative management with pulmonologists, hematologists, and your primary care provider for a unified treatment approach.

Why Choose GastroDoxs?

Our Houston team specializes in diagnosing and managing Overlap Syndrome, offering integrated care for both respiratory and blood-related conditions. From advanced lung function testing and personalized inhaler regimens to targeted therapies for blood disorders, nutritional counseling, and ongoing monitoring, we tailor every treatment plan to your unique needs. With a patient-centered approach, multidisciplinary collaboration, and a commitment to long-term relief, GastroDoxs is here to help you regain control of your health. Don't wait-book your appointment today and start your journey toward better well-being.

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Patients Treated

We've successfully treated more than 1k 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 asthma-COPD overlap?

Asthma-COPD Overlap Syndrome (ACOS) occurs when you have features of both asthma and chronic obstructive pulmonary disease. You may experience airway inflammation and reversible bronchospasm typical of asthma, along with the persistent airflow limitation seen in COPD. Treatment often combines therapies used for each condition.

How is asthma-COPD overlap coded in ICD-10?

Most clinicians document asthma-COPD overlap by assigning two ICD-10 codes: J44.9 for COPD, unspecified, and J45.9 for asthma, unspecified. This combination accurately reflects both diagnoses for billing and clinical record-keeping.

Can MDS/MPN lead to leukemia?

In some cases, overlapping myelodysplastic syndromes (MDS) and myeloproliferative neoplasms (MPN) can evolve into acute leukemia. Early diagnosis, regular monitoring, and timely treatment help reduce this risk and improve long-term outcomes.

When should I see a specialist in Houston?

If you're experiencing mixed symptoms-such as persistent shortness of breath coupled with fatigue, bruising, or unexplained fevers-you should schedule an appointment with an Overlap Syndrome specialist as soon as possible.

What tests are used?

Evaluation may include pulmonary function tests (spirometry), chest CT scans, complete blood counts, and, when blood disorders are suspected, a bone marrow biopsy. These tests help pinpoint the overlap and guide your personalized treatment plan.

Can lifestyle changes help?

Yes. Quitting smoking, following a balanced diet, maintaining a healthy weight, exercising as tolerated, and managing stress can all support your treatment and improve symptom control.

Can Overlap Syndrome be cured?

Overlap Syndrome isn't always curable, but many patients achieve excellent control of their symptoms with the right combination of medications, lifestyle adjustments, and regular monitoring.

How often will I need to see a doctor?

Follow-up frequency depends on the severity and type of overlap. Typically, visits occur every 3 to 6 months to assess your symptoms, adjust treatments, and order necessary tests.

Do you treat kids with Overlap Syndrome?

Yes. Our multidisciplinary team provides comprehensive care for both pediatric and adult patients with Overlap Syndrome, tailoring interventions to each age group's unique needs.

How should I prepare for my appointment?

Before your visit, compile a list of current medications and dosages, gather any previous test results or imaging reports, and keep a symptom diary noting triggers, severity, and timing. This preparation helps us develop the most effective treatment plan.

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