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Diverticulum

Diverticula are small pouches that can develop in organs like the colon, bladder or small intestine, triggering discomfort or infection. At GastroDoxs in Houston, Dr. Bharat Pothuri offers comprehensive diagnosis and treatments-from dietary changes to minimally invasive surgery-to restore 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

  • Age (most people develop diverticula after age 40)
  • Low-fiber diet leading to increased colon pressure
  • Straining during bowel movements
  • Inherited conditions such as Meckel's diverticulum
  • Frequent urinary tract infections or bladder outlet obstruction

Signs and Symptoms

  • Often no symptoms in early or uncomplicated cases
  • Lower abdominal pain or cramping
  • Bloating and changes in bowel habits (constipation or diarrhea)
  • Pain or urgency when urinating (bladder or urethral diverticula)
  • Blood in stool or urine
  • Fever, chills, or signs of infection when pouches become inflamed

Expert Treatment for Diverticulum by Dr. Bharat Pothuri

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

Medical History and Symptom Review

He asks about your abdominal or pelvic pain, bowel and bladder-related changes, past infections and family history of diverticular disease.

Physical Examination

An abdominal and pelvic exam helps identify areas of tenderness, masses or signs of urinary tract involvement.

Endoscopic Evaluation

  • Colonoscopy or sigmoidoscopy to directly visualize colonic diverticula and assess for inflammation or bleeding.
  • Cystoscopy when bladder diverticulum is suspected, to inspect the bladder lining and ureteral orifices.

Imaging Studies

  • CT scan or MRI of the abdomen and pelvis to map diverticular pouches, detect complications (abscess, perforation) and evaluate surrounding organs.
  • Pelvic ultrasound or endovaginal ultrasound for women to detect urethral or vaginal diverticula.

Contrast and Specialized Tests (if needed)

Barium enema or voiding cystourethrogram can further delineate pouch anatomy; endoscopic ultrasound may be used for detailed imaging.

Bharat Pothuri
Treatment

Our Team offers a full range of care for diverticulum.

1. Diet and Lifestyle Changes

  • Increase fiber intake with fruits, beans, and whole grains
  • Stay well-hydrated to keep stool soft and regular
  • Practice gentle bowel habits-go when you need to and avoid straining

2. Medications

  • Fiber supplements (powder or capsules) to support healthy digestion
  • Acetaminophen or other mild analgesics for discomfort relief
  • Prescribed antibiotics when diverticular infections are present

3. Minimally Invasive or Advanced Procedures

  • Endoscopic pouch repair for recurrent or complicated diverticula
  • Laparoscopic resection to remove diseased segments of the colon
  • Urethral diverticulum excision or repair for women with symptomatic pouches
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 the difference between diverticulosis and diverticulitis?

Diverticulosis means you have small pouches (diverticula) in your organ walls without infection. Diverticulitis means those pouches are inflamed or infected, often causing pain, fever, or other symptoms.

Can diet fix duodenal diverticulum?

No. While a high-fiber diet helps prevent and manage colon diverticula, it does not treat duodenal diverticula. Duodenal pouches may require monitoring or specific medical intervention.

Is it common after age 50?

Yes. About half of people over age 50 develop diverticula-most remain symptom-free, but some will experience discomfort or complications.

When should I see a doctor for bladder diverticulum?

See a doctor if you have urinary pain, frequent bladder infections, difficulty emptying your bladder, or blood in your urine. Early evaluation can prevent complications.

Do all Meckel's diverticulum cases need surgery?

No. Asymptomatic Meckel's diverticulum often only requires observation. Surgery is recommended if there's bleeding, obstruction, inflammation, or other complications.

How long is recovery after diverticulum surgery?

Most patients go home within two days after laparoscopic repair and return to normal activities in one to two weeks, depending on the procedure and individual health.

Can bladder diverticulum lead to cancer?

It's rare. Regular follow-up with imaging and cystoscopic exams helps detect any abnormal changes early and reduces long-term risk.

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