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Pancreatic Insufficiency

In Houston, GastroDoxs offers specialized care for pancreatic insufficiency, diagnosing digestive enzyme deficiencies and providing comprehensive, expert, personalized treatment plans to restore nutrient absorption, reduce discomfort, and improve overall quality of life for local patients suffering from chronic digestive challenges.

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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 Is Pancreatic Insufficiency?

Pancreatic insufficiency occurs when your pancreas doesn't produce enough digestive enzymes to break down fats, proteins, and carbohydrates. Without these enzymes, your body struggles to absorb vital nutrients. This condition is also known as exocrine pancreatic insufficiency (EPI).

Common Symptoms

Early recognition of symptoms can help prevent complications. Look for signs like:

  • Greasy, foul-smelling stools (steatorrhea)
  • Unintended weight loss
  • Bloating or excessive gas
  • Abdominal pain or cramping after meals
  • General weakness or fatigue

Causes

Several health issues and factors can lead to pancreatic insufficiency:

  • Chronic pancreatitis (long-term inflammation of the pancreas)
  • Cystic fibrosis
  • Surgical removal of part or all of the pancreas
  • Type 1 or type 2 diabetes
  • Certain medications that impair enzyme production
Treatment

Treatment Options for Pancreatic Insufficiency in Houston

Treatment includes enzyme therapy, dietary adjustments, and ongoing care:

  • Pancreatic enzyme replacement therapy (PERT): Prescription enzymes taken with every meal and snack to improve digestion of fats, proteins, and carbohydrates.
  • Diet plan: A personalized, low-fat, nutrient-rich diet with small, frequent meals to ease digestive workload.
  • Vitamin supplementation: Supplementing fat-soluble vitamins A, D, E, and K to prevent deficiencies and support overall health.
  • Symptom management: Medications to relieve bloating, gas, and abdominal discomfort.
  • Meal planning support: Structured meal plans and nutritional counseling to establish healthy eating habits and optimize nutrient intake.
  • Monitoring and follow-up: Regular blood tests to track nutrient levels and enzyme efficacy, plus scheduled visits to adjust your care plan.

Why Choose GastroDoxs?

At GastroDoxs in Houston, we combine the latest diagnostics with personalized, compassionate care to effectively manage pancreatic insufficiency. From tailored enzyme replacement plans to nutritional guidance and ongoing support, our expert team is dedicated to helping you restore proper digestion, regain energy, and improve your quality of life. Ready to feel better and reclaim your health? Book your appointment today with our Houston specialists and take the first step toward digestive wellness.

1.5K

Patients Treated

We've successfully treated more than 1.5K 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

What causes pancreatic insufficiency?

Pancreatic insufficiency can arise from chronic pancreatitis, cystic fibrosis, pancreatic surgery, diabetes, or certain medications that impair the pancreas's ability to produce digestive enzymes.

How is pancreatic insufficiency diagnosed?

Diagnosis usually involves stool tests to measure fat content, imaging studies such as CT or MRI to evaluate the pancreas, and blood panels to assess nutritional status and enzyme levels.

What is the best diet for managing pancreatic insufficiency?

A balanced, low-fat diet combined with pancreatic enzyme replacement therapy (PERT) taken with meals helps improve digestion and nutrient absorption.

Can pancreatic insufficiency be cured?

While there's no permanent cure, long-term enzyme replacement and dietary management effectively control symptoms and support healthy digestion.

Can I take over-the-counter enzymes for pancreatic insufficiency?

Always consult your doctor first; most patients require prescription-strength PERT to ensure proper dosing and effectiveness.

When should I take pancreatic enzyme pills?

Enzyme pills should be taken with every meal and snack. Your physician will tailor the dose based on the size and fat content of each meal.

Will I need vitamin supplements with pancreatic insufficiency?

Yes. Fat-soluble vitamin deficiencies (A, D, E, and K) are common, so your doctor may recommend supplementation to maintain optimal nutrition.

Can I regain weight after being diagnosed with pancreatic insufficiency?

With appropriate enzyme replacement, dietary adjustments, and medical follow-up, many patients successfully regain weight and improve their energy levels.

How often should I have follow-up appointments for pancreatic insufficiency?

Initially, follow-ups are usually every 4-6 weeks to adjust enzyme doses. Once stable, visits may be spaced every 6-12 months.

What is the ICD-10 code for exocrine pancreatic insufficiency?

The ICD-10 code for exocrine pancreatic insufficiency is K90.4, used for medical records and insurance claims.

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