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Autoimmune Hepatitis

At GastroDoxs Houston, Dr. Bharat Pothuri delivers expert care for autoimmune hepatitis with thorough diagnosis, personalized treatment, and lifestyle guidance. His approach combines advanced testing, medication management, and ongoing support to preserve liver function, minimize complications, and enhance patient well-being.

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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.

Common Causes and Risk Factors

  • Genetic predisposition or family history of autoimmune disease
  • Existing autoimmune conditions (e.g., thyroid disease, rheumatoid arthritis)
  • Female gender (autoimmune hepatitis is more common in women)
  • Possible triggers such as certain infections or medications
  • Unknown factors leading to an abnormal immune response against the liver

Signs and Symptoms

  • Often none in the early stages
  • Fatigue or persistent tiredness
  • Mild to moderate pain or discomfort under the right ribs
  • Jaundice (yellowing of the skin or eyes)
  • Dark urine or pale-colored stools
  • Joint pain or mild fever

Expert Treatment for Autoimmune Hepatitis by Dr. Bharat Pothuri

Step 1: Health History and Symptom Review

At GastroDoxs in Houston, Dr. Pothuri starts by learning about your symptoms and health history.

Step 2: Blood Tests

He orders blood tests to check liver enzymes and immune markers.

Step 3: Imaging Studies

An ultrasound or MRI may be used to look at your liver for inflammation or damage.

Step 4: Liver Biopsy (if needed)

In some cases, a liver biopsy is done to confirm the diagnosis and rule out other liver problems.

Dr. Bharat Pothuri
Treatment

Our Team offers a full range of care for autoimmune hepatitis.

1. Lifestyle and Diet Changes

  • Guidance on a liver-friendly diet rich in fruits, vegetables, whole grains, and lean proteins
  • Recommendations to avoid alcohol and high-fat or processed foods
  • Stress-management strategies including walking, stretching, and meditation

2. Medications

  • Initial therapy with prednisone to rapidly control inflammation
  • Azathioprine to reduce long-term steroid requirements
  • Bone-strengthening supplements when steroids are used chronically
  • Regular lab monitoring to track liver enzymes and adjust dosages

3. Advanced Care and Procedures

  • Coordination with liver transplant teams for patients with end-stage disease
  • Imaging (ultrasound or MRI) and liver biopsy for accurate diagnosis and follow-up
  • Access to clinical trials and emerging therapies when standard treatment isn't enough
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 autoimmune hepatitis?

Autoimmune hepatitis is a chronic liver disease where the immune system attacks liver cells, causing inflammation and injury.

What are common symptoms?

Symptoms include fatigue, jaundice (yellow skin/eyes), abdominal discomfort, joint pain, and elevated liver enzymes.

How is it diagnosed?

Diagnosis involves blood tests for autoantibodies (ANA, SMA), elevated IgG levels, liver function tests, and liver biopsy.

What causes autoimmune hepatitis?

The exact cause is unknown, but genetic predisposition, environmental triggers, and other autoimmune conditions play a role.

What treatments are available?

First-line treatment uses corticosteroids (e.g., prednisone) often combined with azathioprine to reduce immune attack on the liver.

Is maintenance therapy needed?

Yes. Long-term immunosuppression is usually required to keep inflammation under control and prevent relapse.

Can autoimmune hepatitis lead to cirrhosis?

Without treatment, chronic inflammation can progress to fibrosis and cirrhosis, increasing the risk of liver failure.

How often should I have follow-up tests?

Patients need regular monitoring of liver enzymes, antibody titers, and drug side effects-usually every 3-6 months.

Can lifestyle changes help?

Maintain a healthy diet, avoid alcohol, get vaccinated against hepatitis A and B, and follow your treatment plan closely.

Where can I find support?

Contact local liver disease support groups or visit the American Liver Foundation for resources and patient forums.

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