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ASLC

Advanced-stage liver cirrhosis causes severe liver scarring and dysfunction, resulting in toxin buildup, fluid retention, and bleeding risks. At GastroDoxs in Houston, board-certified hepatologist Dr. Bharat Pothuri provides expert diagnosis, personalized treatment plans, and multidisciplinary support to optimize liver health.

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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.

What Is ASLC?

Advanced-Stage Liver Cirrhosis (ASLC) is a condition in which healthy liver tissue is replaced by scar tissue, impeding the liver's ability to filter toxins, aid digestion, and produce vital proteins. As cirrhosis advances, patients may develop fluid buildup in the abdomen, bleeding complications, and low blood cell counts.

Common Causes and Risk Factors

  • Chronic hepatitis B or C infection
  • Long-term excessive alcohol consumption
  • Non-alcoholic fatty liver disease (NAFLD)
  • Autoimmune liver diseases
  • Genetic disorders (hemochromatosis, Wilson's disease)
  • Obesity, type 2 diabetes, and high cholesterol

Signs and Symptoms

  • Persistent fatigue and weakness
  • Poor appetite and unintentional weight loss
  • Abdominal discomfort or fullness
  • Jaundice (yellowing of skin and eyes)
  • Swelling in the abdomen (ascites) or legs (edema)
  • Easy bruising or bleeding
  • Cognitive changes or confusion (hepatic encephalopathy)

Expert Treatment for ASLC by Dr. Bharat Pothuri

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

Medical History and Exam

He reviews your health history, alcohol use, and risk factors, then characterizes your epigastric pain-its onset, location, intensity and any triggering factors.

Blood Tests

We check liver enzymes (AST, ALT), bilirubin, albumin and platelet counts to assess liver function and rule out other causes of upper-abdominal pain.

Imaging Studies

  • Abdominal ultrasound evaluates liver surface nodularity, portal vein flow and any ascites that may contribute to epigastric discomfort.
  • FibroScan (elastography) measures liver stiffness to stage cirrhosis and correlate severity with your symptoms.

Advanced Testing (if needed)

Rarely, a liver biopsy confirms cirrhosis or an upper endoscopy evaluates varices and other potential sources of epigastric pain.

Bharat Pothuri
Treatment

Our Team offers a full range of care for advanced-stage liver cirrhosis(ASLC).

1. Lifestyle and Diet Modifications

  • Low-salt meal plans to reduce fluid buildup
  • Fruit, vegetable, and lean-protein choices for optimal nutrition
  • Complete alcohol abstinence and guidance on safe exercise

2. Medications

  • Diuretics to control ascites and edema
  • Non-selective beta-blockers to lower portal vein pressure
  • Lactulose or rifaximin for hepatic encephalopathy management
  • Supplemental vitamins and minerals to correct deficiencies

3. Minimally Invasive or Advanced Procedures

  • Paracentesis to safely drain excess abdominal fluid
  • Endoscopic variceal ligation (banding) for bleeding veins
  • TIPS (transjugular intrahepatic portosystemic shunt) for refractory fluid or bleeding
  • Evaluation for liver transplantation in eligible candidates
1.5K

Patients Treated

Dr. Pothuri has 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 is acute self-limited colitis (ASLC)?

ASLC is a short-term inflammation of the colon that usually resolves on its own within days to weeks. It often follows an infection or minor gut insult.

What causes ASLC?

Common triggers include bacterial or viral gastroenteritis, food poisoning, certain medications (like NSAIDs), or transient ischemia in the colon.

What are the typical symptoms?

Symptoms often include sudden onset diarrhea, abdominal cramps, mild fever, and sometimes blood or mucus in the stool.

How is ASLC diagnosed?

Diagnosis involves reviewing symptoms and medical history, stool studies to rule out pathogens, blood tests, and sometimes a colonoscopy if symptoms persist.

How is acute self-limited colitis treated?

Treatment focuses on supportive care: hydration, a bland diet, and rest. Over-the-counter anti-diarrheal agents and antispasmodics may help with symptoms.

Do I need antibiotics for ASLC?

Antibiotics are usually not needed unless a specific bacterial infection is identified. Most cases improve without antimicrobial therapy.

When should I see a doctor?

Consult your healthcare provider if diarrhea lasts more than two weeks, you have high fever, significant blood loss, severe pain, or signs of dehydration.

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