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Abdominal Pain

Abdominal pain can be debilitating and signals various conditions. In Houston, board-certified gastroenterologist Dr. Bharat Pothuri provides comprehensive evaluation and treatment-from dietary guidance and medications to advanced endoscopic and laparoscopic procedures-ensuring personalized care to alleviate discomfort and restore digestive health.

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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

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. 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.

Common Causes and Risk Factors

  • Appendicitis
  • Gallstones or bile duct obstruction
  • Kidney stones
  • Pancreatitis
  • Irritable bowel syndrome (IBS)
  • Acid reflux or gastroesophageal reflux disease (GERD)
  • Stomach or duodenal ulcers
  • Viral or bacterial gastroenteritis
  • Stress, poor diet, or smoking
  • Family history of digestive disorders
  • Previous abdominal surgeries
  • Certain medications (NSAIDs, antibiotics, etc.)

Signs and Symptoms

  • Discomfort or aching between chest and pelvis
  • Pain quality: sharp, dull, or cramp-like
  • Pain timing: intermittent or constant, lasting minutes to hours
  • Bloating, gas, or fullness
  • Nausea or vomiting
  • Fever or chills (with infection)
  • Changes in bowel habits: diarrhea or constipation
  • Location-based clues: upper (stomach, liver, gallbladder) vs. lower (colon, reproductive organs)
  • Red flags: severe pain, blood in stool, unexplained weight loss, high fever

Expert Treatment for Abdominal Pain by Dr. Bharat Pothuri

Dr. Pothuri uses a step-by-step approach:

Medical History and Exam

He asks about the exact location of your pain, timing, triggers (meals, stress), medications and prior GI issues. A focused abdominal exam checks for tenderness in the epigastric area, guarding or rebound.

Laboratory Tests

Blood work typically includes a complete blood count (CBC) to look for anemia or infection, liver function tests and pancreatic enzymes (amylase, lipase). H. pylori testing (breath or stool) may be ordered if ulcer disease is suspected.

Imaging Studies

  • Abdominal ultrasound evaluates the gallbladder, bile ducts and pancreas for stones or inflammation.
  • CT scan of the abdomen can identify pancreatitis, masses or perforations if the pain is severe or atypical.
  • HIDA scan measures gallbladder function when biliary dyskinesia is a concern.

Endoscopy

Upper endoscopy (EGD) allows direct visualization of the esophagus, stomach and duodenum. Biopsies can confirm gastritis, ulcers or celiac disease.

Advanced Testing (if needed)

Ambulatory pH monitoring or esophageal manometry helps diagnose refractory reflux. Endoscopic ultrasound may be used to further evaluate pancreatic or biliary abnormalities.

Bharat Pothuri
Treatment

Our Team offers a full range of care for abdominal pain.

1. Diet and Lifestyle Changes

  • Smaller, more frequent meals to ease digestion
  • Food diary to identify triggers like caffeine, dairy, and spicy foods
  • Increased water intake to support gut health
  • Stress management techniques such as exercise, deep breathing, and meditation

2. Medications

  • Antacids or acid H2 blockers for reflux and heartburn
  • Antispasmodics to relieve cramping
  • Prokinetics to improve stomach emptying
  • Antibiotics or probiotics to treat or balance gut bacteria

3. Minimally Invasive or Surgical Options

  • Endoscopic dilation or polyp removal using advanced tools
  • Laparoscopic surgery for gallstones or appendicitis
  • Endoscopic retrograde cholangiopancreatography (ERCP) for bile duct issues
15K

Patients Treated

Dr. Pothuri has treated more than 15K 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 are common causes of abdominal pain?

Abdominal pain can stem from gas, indigestion, constipation, infections, muscle strain, or more serious issues like gallstones or appendicitis.

When should I worry about stomach pain?

If pain is severe, sudden, lasts more than 24-48 hours, or comes with fever, vomiting blood, jaundice, or difficulty breathing, seek medical care immediately.

Can stress cause abdominal pain?

Yes. Stress can trigger or worsen digestive symptoms through changes in gut motility and increased sensitivity to pain.

How is abdominal pain diagnosed?

Diagnosis may include a medical history, physical exam, blood tests, imaging (ultrasound, CT), and endoscopy or colonoscopy if needed.

What home remedies can help mild abdominal pain?

Try a warm compress, peppermint or ginger tea, small frequent meals, and over-the-counter antacids or antispasmodics as directed.

Can diet changes relieve abdominal pain?

Yes. Avoiding trigger foods (spicy, fatty, gas-producing), eating bland, low-fiber meals during flares, and staying hydrated can help.

When should I see a specialist for stomach pain?

See a gastroenterologist if you have chronic or recurrent pain, unintended weight loss, blood in stool, or if initial treatments don't help.

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