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.
Ascites is the accumulation of excess fluid in the space between your abdominal organs and the inner lining of your belly. It most often indicates an underlying problem with the liver or other organs.
He reviews your medical history, alcohol and medication use, and risk factors for liver, heart, or kidney disease. During the physical exam, he checks for abdominal distension, shifting dullness, fluid wave, and peripheral edema.
We assess liver function (AST, ALT, bilirubin), kidney function (BUN, creatinine), serum electrolytes, albumin, and coagulation parameters to determine organ status and protein levels.
Paracentesis allows in-office fluid drainage and analysis. We measure the serum-ascites albumin gradient (SAAG), cell count, cytology, and cultures to distinguish between portal hypertension, infection, or malignancy.
Dr. Pothuri has treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.
With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients
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.
Ascites is most often caused by liver cirrhosis. Other causes include heart failure, kidney disease, and certain cancers.
Symptoms include a swollen, tight abdomen, rapid weight gain, discomfort, shortness of breath, and reduced appetite.
Doctors use physical exams, ultrasound or CT imaging, and sometimes fluid sampling (paracentesis) to confirm ascites and find its cause.
Treatment options include sodium restriction, diuretic medications, therapeutic paracentesis, and addressing the underlying condition (e.g., liver disease).
Yes. A low-sodium diet helps reduce fluid buildup. Your doctor or dietitian can provide a tailored meal plan.
Prognosis depends on the underlying cause. Managing liver health, adhering to treatment, and regular monitoring can improve outcomes.
