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Budd-Chiarai Syndrome

Budd-Chiari syndrome blocks blood flow from the liver, leading to pain, swelling and potential damage. In Houston, Dr. Bharat Pothuri at GastroDoxs offers expert diagnosis, personalized treatments and advanced procedures to help protect your 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.

Common Causes and Risk Factors

  • Blood clotting disorders (e.g., factor V Leiden, protein C or S deficiency)
  • Myeloproliferative disorders (polycythemia vera, essential thrombocythemia)
  • Hormonal influences (oral contraceptives, pregnancy, hormone replacement therapy)
  • Chronic liver disease (cirrhosis, hepatitis)
  • Underlying malignancies (hepatocellular carcinoma, other cancers)
  • Dehydration, infection or inflammatory states that promote clot formation

Signs and Symptoms

  • Upper-right abdominal pain or discomfort
  • Ascites (fluid accumulation in the abdomen)
  • Leg or ankle swelling (peripheral edema)
  • Hepatomegaly (enlarged, tender liver)
  • Nausea, loss of appetite, early satiety
  • Fatigue, jaundice or unexplained weight loss (in advanced cases)

Expert Treatment for Budd-Chiarai Syndrome by Dr. Bharat Pothuri

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

Medical History and Exam

He reviews your symptoms-especially epigastric pain, abdominal swelling, leg edema-and asks about clotting risks (family history, hormone use, pregnancy).

Blood Tests

We check liver enzymes (AST, ALT), bilirubin, albumin, CBC and a full coagulation panel (INR, protein C/S, antithrombin III) to assess clotting abnormalities and liver function.

Imaging Studies

  • Ultrasound with Doppler: Evaluates blood flow through hepatic veins and detects obstructions.
  • CT or MRI Venography: Offers detailed views of vein blockages, collateral vessels and any liver parenchymal changes.

Advanced Testing (if needed)

In select cases, hepatic venography confirms the site and severity of the blockage. Rarely, a liver biopsy gauges the degree of fibrosis or inflammation.

Bharat Pothuri
Treatment

Our Team offers a full range of care for Budd-Chiari Syndrome.

1. Lifestyle and Diet Modifications

  • Low-salt diet to help reduce abdominal and leg swelling
  • Balanced meals rich in lean proteins, fruits, vegetables, and whole grains
  • Light activity and walking programs to boost circulation

2. Medications

  • Anticoagulants (blood thinners) to prevent new clots
  • Diuretics to remove excess fluid buildup
  • Beta-blockers to lower pressure in the liver veins

3. Minimally Invasive or Advanced Procedures

  • Transjugular Intrahepatic Portosystemic Shunt (TIPS) to ease liver blood pressure
  • Angioplasty and stenting to open and support blocked hepatic veins
  • Liver transplant for advanced cases unresponsive to other treatments
1K

Patients Treated

Dr. Pothuri has treated more than 1K 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 the digestive symptoms of Budd-Chiari Syndrome?

You may feel full quickly, lose your appetite, experience nausea, or have trouble digesting fats, which can cause bloating and indigestion.

Can Budd-Chiari Syndrome damage the liver?

Yes. Persistent blood congestion in the liver can lead to scarring (fibrosis), reduced liver function, and eventually cirrhosis if untreated.

How is Budd-Chiari Syndrome diagnosed by a GI doctor?

A GI doctor uses abdominal ultrasound with Doppler to check blood flow, followed by CT or MRI scans and blood tests to assess liver function and clotting factors.

Where can I find a Budd-Chiari liver specialist in Houston?

Dr. Bharat Pothuri at GastroDoxs in Houston is a board-certified gastroenterologist and hepatologist with extensive experience in Budd-Chiari Syndrome care.

Is Budd-Chiari Syndrome dangerous?

It can be serious if untreated, but with early diagnosis and appropriate treatment, many patients manage symptoms and maintain good liver health.

Can pregnancy cause Budd-Chiari Syndrome?

Yes. Pregnancy increases clotting risk, especially in women with underlying clotting disorders or other risk factors.

What is recovery like after a TIPS procedure?

Most patients stay in the hospital for 1-2 days and notice symptom relief within a week, with gentle activity recommended during recovery.

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