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Colonic Pseudoobstruction

Colonic pseudoobstruction, or Ogilvie's syndrome, mimics intestinal blockage without a physical cause. At GastroDoxs in Houston, Dr. Bharat Pothuri specializes in diagnosing and treating this condition through personalized, minimally invasive advanced care. Discover causes, recognize symptoms, and explore effective treatments.

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Harris County Medical Society
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American Society for Gastrointestinal Endoscopy
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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

  • Recent surgery or serious illness
  • Use of certain medications (narcotics, anticholinergics)
  • Chronic conditions such as diabetes or Parkinson's disease
  • Prolonged hospitalization or extended bed rest
  • Nerve or spinal cord injury

Signs and Symptoms

  • Abdominal bloating or swelling
  • Persistent abdominal pain or cramping
  • Inability to pass stool or gas
  • Nausea and vomiting
  • Feeling full after eating small amounts
  • No bowel movement for several days

Expert Treatment for Colonic Pseudoobstruction by Dr. Bharat Pothuri

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

Medical History and Physical Exam

He reviews your recent surgeries, hospital stays, medication use (especially narcotics or anticholinergics), and underlying conditions like diabetes or Parkinson's. He then performs a careful abdominal exam to assess distention, tenderness, and bowel sounds.

Blood Tests

We draw labs to check white blood cell count, electrolytes, kidney function, and inflammatory markers-ruling out infection, dehydration, and metabolic imbalances that can mimic or worsen pseudoobstruction.

Imaging Studies

  • Abdominal X-ray or CT scan to identify colonic dilation, measure cecal diameter, and exclude a mechanical blockage.
  • Ultrasound if needed to evaluate other abdominal organs and rule out alternate causes of epigastric pain.

Endoscopic Assessment

A diagnostic colonoscopy allows direct visualization of the colon to confirm no true obstruction and enables therapeutic decompression when indicated.

Colonic Motility Testing (if needed)

In select cases, specialized transit studies or manometry help assess nerve and muscle function within the colon.

Bharat Pothuri
Treatment

Our Team offers a full range of care for colonic pseudoobstruction.

1. Diet and Lifestyle Changes

  • Eat smaller meals more often
  • Drink 6 to 8 glasses of water each day
  • Eat high-fiber foods if tolerated
  • Incorporate light walking to stimulate gut motility

2. Medications

  • Prokinetic agents to enhance colon muscle movement
  • Intravenous fluids to correct dehydration and electrolyte imbalances
  • Pain relief options that avoid narcotics when possible

3. Minimally Invasive or Advanced Procedures

  • Colonoscopic decompression to relieve gas and stool buildup
  • Percutaneous endoscopic colostomy for long-term drainage
  • Nerve stimulation therapies to improve bowel motility
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 colonic pseudoobstruction?

It is a condition where the large intestine stops moving normally, causing symptoms of blockage without any physical obstruction.

What causes it?

It can occur after surgery or serious illness, with certain medications (like narcotics or anticholinergics), or from chronic conditions such as diabetes, Parkinson's, nerve or spinal damage, or prolonged bed rest.

What are the symptoms?

Common signs include belly bloating, abdominal pain, nausea, vomiting, inability to pass stool or gas, and feeling full quickly.

How is it treated?

Treatment may involve diet and lifestyle changes, pro-motility medications, IV fluids, pain management avoiding narcotics, or procedures like colonoscopic decompression or percutaneous endoscopic colostomy.

How quickly does treatment work?

Some patients experience relief within hours of decompression or medication, while others may need a few days of supportive care.

Is this condition dangerous?

If untreated, the colon can become overly distended and risk perforation or infection. Early diagnosis and management prevent serious complications.

Will I need to stay in the hospital?

Mild cases may be managed at home with close follow-up. Severe cases often require a brief hospital stay for IV fluids, monitoring, and possible endoscopic intervention.

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