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Change in Bowel Habit

Dr. Bharat Pothuri at GastroDoxs in Houston specializes in diagnosing and treating changes in bowel habits, including constipation, diarrhea, IBS and IBD. He provides personalized evaluations, advanced diagnostics and targeted therapies to restore gut health and improve quality of life.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
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 a Change in Bowel Habit?

A change in bowel habit means your usual bathroom routine has shifted. You might find yourself going more or less often, passing harder or looser stools, or noticing a change in stool shape. These alterations can last for weeks or even months.

Common Causes and Risk Factors

  • Diet low in fiber or inadequate fluid intake
  • Stress, anxiety or other emotional triggers
  • Gut infections (bacterial, viral or parasitic)
  • Irritable bowel syndrome (IBS)
  • Inflammatory bowel disease (Crohn's disease, ulcerative colitis)
  • Medications (especially antibiotics)
  • Normal aging and reduced gut motility
  • Family history of colorectal disorders

Signs and Symptoms

  • Constipation (fewer than three bowel movements per week)
  • Diarrhea (loose, watery or urgent stools)
  • Sensation of incomplete emptying after a bowel movement
  • Abdominal cramps, gas or bloating
  • Mucus or blood in the stool
  • Unexplained fatigue or weight loss

Expert Treatment for Change in Bowel Habit by Dr. Bharat Pothuri

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

Medical History and Physical Exam

He reviews your usual bowel pattern, diet, stressors, medication use and red-flag signs (blood, weight loss).

Laboratory Tests

Stool studies for infection, inflammation markers (CRP), blood count for anemia, thyroid and metabolic panels.

Imaging Studies

  • Abdominal ultrasound to look for masses or organ pathology.
  • CT abdomen/pelvis if structural lesions or complications are suspected.

Endoscopic Evaluation

Colonoscopy or flexible sigmoidoscopy to inspect the colon, take biopsies for IBD, IBS or malignancy work-up.

Documentation and Coding

Provides you with appropriate ICD-10 codes and assists with insurance or work documentation.

Bharat Pothuri
Treatment

Our Team offers a full range of treatment options for changes in bowel habits.

1. Lifestyle and Diet Changes

  • Increase dietary fiber with whole grains, fruits, and vegetables
  • Drink 6-8 glasses of water daily
  • Eat meals at the same times each day
  • Incorporate exercise or relaxation techniques to manage stress
  • Keep a food journal to identify and avoid trigger foods

2. Medications

  • Fiber supplements (e.g., psyllium) for improved stool consistency
  • Stool softeners to relieve constipation
  • Anti-diarrheal agents (e.g., loperamide) for loose stools
  • Prescription therapies for IBS or IBD management
  • Probiotics to support a healthy gut microbiome

3. Minimally Invasive Procedures

  • Colonoscopy with biopsy to evaluate inflammation or growths
  • Balloon dilation for strictures or narrowed bowel segments
  • Radiofrequency ablation for precancerous lesions
  • Submucosal injections to control bleeding spots in the colon
3.2K

Patients Treated

Dr. Pothuri has treated more than 3.2K 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

When should I worry about a change in bowel habits?

If you notice blood in your stool, unexplained weight loss, or severe pain lasting more than two weeks, you should schedule a visit with Dr. Pothuri.

Can stress cause these changes?

Yes. Stress and anxiety can alter gut motility and trigger symptoms like diarrhea or constipation, often seen in IBS.

How soon will I feel better?

Many patients begin to improve within a few weeks after making recommended diet and lifestyle changes or starting medication.

Do I need a colonoscopy?

Not always. Dr. Pothuri may suggest one if you have red-flag symptoms (like blood in stool) or are over age 50.

Can fiber make diarrhea worse?

Soluble fiber (oats, bananas) often helps firm stools, while insoluble fiber (bran) can sometimes worsen diarrhea for sensitive individuals.

What if I need an ICD-10 code for insurance?

Dr. Pothuri can provide the appropriate ICD-10 code and assist with any paperwork required by your insurer or employer.

Are probiotics useful?

They can be. Probiotics support healthy gut flora, and Dr. Pothuri will recommend the best strains based on your specific symptoms.

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