Expert Treatment for Bloating by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Physical Exam
He reviews your symptom timeline, dietary habits, medication use, stress levels and any prior GI issues. A focused abdominal exam checks for tenderness, distension or abnormal bowel sounds.
Blood Tests
We obtain a complete blood count to look for anemia or infection, metabolic panel to assess organ function, celiac serologies and inflammatory markers (CRP, ESR) to rule out malabsorption or inflammatory bowel disease.
Breath Tests
Lactose and fructose breath tests help identify sugar intolerances. A glucose or lactulose breath test detects small-intestinal bacterial overgrowth (SIBO). Urea breath testing may be used to screen for H. pylori infection.
Imaging Studies
- Abdominal ultrasound evaluates the liver, gallbladder and pancreas for stones or masses.
- CT scan of the abdomen/pelvis provides detailed views of the bowel wall and surrounding structures.
Endoscopy and Functional Testing
An upper endoscopy (EGD) allows direct visualization of the esophagus, stomach and duodenum to rule out ulcers, gastritis or celiac changes. Motility studies-such as gastric emptying scans or wireless motility capsules-assess how well your GI tract muscles are working.
Frequently Asked Questions
How long does bloating last?
In many cases, bloating resolves within a few hours or by the next day. If it's frequent or lasts more than a week, you should seek evaluation.
Do probiotics help with bloating?
Certain strains such as Bifidobacteria and Lactobacillus can reduce gas production and improve overall digestion, easing bloating.
What is the best medicine for bloating?
Simethicone is commonly used for gas relief. Depending on your diagnosis, you may also benefit from medications for IBS, acid reflux, or specific enzyme supplements.
Is bloating a sign of pregnancy?
Bloating can occur in early pregnancy but typically appears alongside other symptoms like a missed period or nausea. A pregnancy test can confirm it.
When should I see Dr. Pothuri?
Contact Dr. Pothuri if your bloating is severe, recurrent, lasts more than a week, or is accompanied by alarming signs such as weight loss or bleeding.
Can stress cause bloating?
Yes. Stress can disrupt normal gut motility and increase tension in digestive muscles, leading to symptoms like bloating.
Are there home remedies for bloating?
Yes. Sipping warm water, drinking peppermint tea, doing gentle yoga, applying a heating pad, and keeping a food diary can all help identify triggers and relieve discomfort.