1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Cirrhosis

Discover how Dr. Bharat Pothuri at GastroDoxs in Houston diagnoses and treats cirrhosis, a serious liver condition. Learn about causes, symptoms, treatment options and lifestyle changes that support liver health. Take control of your well-being with expert, comprehensive, compassionate care.

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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.

Common Causes and Risk Factors

  • Chronic heavy alcohol use
  • Long-term hepatitis B or C infection
  • Nonalcoholic fatty liver disease (NAFLD)
  • Autoimmune liver diseases (autoimmune hepatitis)
  • Inherited disorders (hemochromatosis, Wilson's disease)
  • Prolonged exposure to toxins or certain medications

Signs and Symptoms

  • Often none in early stages
  • Persistent fatigue or weakness
  • Poor appetite or unexplained weight loss
  • Swelling in legs (edema) or abdomen (ascites)
  • Yellowing of skin and eyes (jaundice)
  • Itchy skin, easy bruising, or bleeding
  • Abdominal discomfort or fullness in the right upper quadrant
  • Mental confusion or -brain fog- (advanced disease)

Expert Treatment for Cirrhosis by Dr. Bharat Pothuri

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

Medical History and Exam

He asks detailed questions about your epigastric pain-onset, duration, relation to meals, and any associated symptoms such as nausea, vomiting or weight loss. He then performs a focused abdominal exam to check for tenderness, masses or signs of gallbladder and pancreatic disease.

Blood Tests

We order lab work including a complete blood count (CBC), liver function tests, amylase and lipase to assess for pancreatitis, plus H. pylori serology or stool antigen if ulcer disease is suspected.

Imaging Studies

  • Abdominal ultrasound evaluates the gallbladder, bile ducts, liver and pancreas for stones, inflammation or masses.
  • Upper endoscopy (EGD) allows direct visualization of the esophagus, stomach and duodenum to identify ulcers, gastritis, reflux esophagitis or tumors.

Advanced Testing (if needed)

If symptoms persist despite initial workup, Dr. Pothuri may recommend gastric emptying studies for gastroparesis, esophageal pH-impedance monitoring for reflux, or endoscopic ultrasound to further evaluate pancreatic or biliary disease.

Bharat Pothuri
Treatment

Our Team offers a full range of care for cirrhosis.

1. Lifestyle and Diet Modifications

  • Complete alcohol cessation support and counseling
  • Low-salt meal plans to reduce fluid buildup
  • Balanced nutrition with adequate protein, fruits, and vegetables
  • Weight management guidance to optimize liver function

2. Medications

  • Diuretics to help remove excess fluid
  • Beta-blockers to lower portal blood pressure
  • Vitamins and supplements to address nutritional deficiencies
  • Antiviral therapies for hepatitis-related cirrhosis

3. Minimally Invasive or Advanced Procedures

  • Paracentesis for safe removal of abdominal fluid
  • Endoscopic banding to prevent or control variceal bleeding
  • TIPS (transjugular intrahepatic portosystemic shunt) to reduce portal hypertension
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

What is cirrhosis?

Advanced scarring of the liver caused by long-term injury from alcohol, viruses, or fatty liver disease.

What symptoms appear?

Fatigue, jaundice, abdominal swelling (ascites), easy bruising, and confusion (hepatic encephalopathy).

How is cirrhosis diagnosed?

Blood tests, imaging (ultrasound, elastography), and sometimes liver biopsy confirm the diagnosis.

Can cirrhosis be reversed?

Early-stage fibrosis may improve with treatment, but established cirrhosis is generally irreversible.

What treatments are available?

Manage complications (diuretics for ascites, beta-blockers for varices), antiviral or alcohol-cessation programs, and transplant evaluation.

How often should I be monitored?

Regular blood panels and imaging every 6-12 months, plus variceal screening endoscopy.

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