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Colonic Volvulus

Colonic volvulus is twisting of the large intestine that blocks food, blood flow and causes severe pain. At GastroDoxs in Houston, Dr. Bharat Pothuri provides prompt diagnosis and personalized care-ranging from imaging and endoscopic decompression to advanced surgical solutions for swift recovery.

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Difficulty Swallowing

American Society for Gastrointestinal Endoscopy

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 constipation that stretches and elongates the colon
An unusually long or mobile segment of colon
Scar tissue (adhesions) from prior abdominal surgery
Advanced age (over 60 years)
Underlying neurological disorders (e.g., Parkinson's disease)
Dehydration and persistent constipation in hot climates

Signs and Symptoms

Sudden, severe abdominal pain or cramping
Visible abdominal swelling or bloating
Nausea and repeated vomiting
Inability to pass gas or have a bowel movement
Fast heart rate, fever, or low blood pressure (signs of emergency)

Expert Treatment for Colonic Volvulus by Dr. Bharat Pothuri

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

Medical History and Physical Exam

He reviews your symptoms, bowel habits, prior abdominal surgeries and risk factors (age, neurologic conditions, dehydration). Then he gently examines your abdomen for tenderness, distension and abnormal bowel sounds.

Imaging Studies

Abdominal X-ray to look for a distended colon loop and the classic "coffee-bean" sign.
CT scan of the abdomen/pelvis to confirm the twist, assess blood flow and check for complications.

Contrast Enema

If further detail is needed, a water-soluble contrast enema outlines the colon's shape and pinpoints the site of torsion.

Laboratory Tests (if indicated)

Blood work to evaluate dehydration, electrolyte imbalances, infection markers or signs of tissue injury from compromised circulation.

Treatment

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

1. Lifestyle and Diet Modifications

Add more fiber gradually (fruits, vegetables, whole grains)
Maintain adequate hydration, especially in hot weather
Establish regular bathroom routines
Light abdominal massage or breathing exercises

2. Medications

Stool softeners or mild laxatives to relieve constipation
IV fluids for dehydration management
Mild pain medications that do not impair bowel function

3. Minimally Invasive or Advanced Procedures

Endoscopic decompression: gently untwisting the colon with a flexible tube
Laparoscopic surgery: small-incision repair or resection of the twisted segment
Open surgery: emergency resection of damaged tissue and restoration of blood flow

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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

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

How urgent is treatment for colonic volvulus?

Very urgent. The twisted colon can block blood flow quickly. Prompt treatment helps save your colon and prevents serious complications.

Is the endoscopic procedure painful?

No. You'll receive mild sedation, and most patients feel little or no pain during endoscopic decompression.

Can colonic volvulus come back after treatment?

Yes, recurrence is possible but uncommon. Surgical fixation or resection can be performed to reduce the risk of future twists.

Do I need to stay in the hospital?

If you undergo endoscopic decompression only, you may go home the same day. Surgical cases typically require a short stay of 2-5 days for monitoring and recovery.

When can I eat again?

Most patients begin with clear liquids and advance to soft foods within 1-2 days, depending on tolerance and procedure type.

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