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Duodenal Ulcer

At GastroDoxs in Houston, Dr. Bharat Pothuri diagnoses and treats duodenal ulcers with tailored plans. From H. pylori management to acid-reducing therapies, get expert care for fast relief and long-term healing.

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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.

What Is a Duodenal Ulcer?

A duodenal ulcer is a painful sore in the lining of the duodenum-the first segment of your small intestine-caused when stomach acid erodes its protective mucosal layer. Left untreated, it can lead to inflammation, bleeding, or perforation.

Common Causes and Risk Factors

  • Helicobacter pylori (H. pylori) infection
  • Frequent use of NSAIDs (ibuprofen, aspirin)
  • Smoking or heavy alcohol consumption
  • High stress levels
  • Spicy foods and caffeine (can aggravate symptoms)

Signs and Symptoms

  • Burning or gnawing pain in the upper abdomen, often between meals or at night
  • Nausea or occasional vomiting
  • Bloating, belching, or indigestion
  • Unintended weight loss or reduced appetite
  • Pain that may radiate to the back

Expert Treatment for Duodenal Ulcer by Dr. Bharat Pothuri

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

Medical History and Symptom Review

He discusses your epigastric pain patterns, nighttime discomfort, NSAID or alcohol use, and other risk factors.

Physical Exam

Careful abdominal palpation checks for tenderness, bloating, or signs of guarding.

Upper Endoscopy

A thin, flexible scope with a camera is guided into the upper GI tract to visualize the duodenal lining and confirm the presence of an ulcer.

H. pylori Testing

  • Breath test measures bacterial urease activity.
  • Stool antigen test detects H. pylori proteins.
  • Biopsy during endoscopy provides a definitive diagnosis.

Imaging and Lab Tests

Blood work checks for anemia or infection; abdominal ultrasound, CT scan, or barium study may be ordered to rule out complications like perforation.

Bharat Pothuri
Treatment

Our Team offers a full range of care for duodenal ulcers.

1. Lifestyle and Diet Tips

  • Lean proteins like grilled chicken or fish
  • Soft vegetables and whole grains
  • Low-acid fruits like bananas or melons
  • Avoid spicy foods, caffeine, smoking, and alcohol during healing

2. Medications

  • Proton pump inhibitors (PPIs) - reduce stomach acid
  • H2 blockers - especially helpful at night
  • Antibiotics - to treat H. pylori if detected

3. Advanced or Minimally Invasive Procedures

  • Endoscopic therapy to stop bleeding
  • Minimally invasive surgery in rare, serious cases
1.3K

Patients Treated

Dr. Pothuri has treated more than 1.3K 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

How long does a duodenal ulcer take to heal?

Most duodenal ulcers heal within 4-6 weeks when treated with the appropriate medications, diet modifications, and H. pylori eradication if needed.

What's the ICD-10 code for a duodenal ulcer?

The ICD-10 code for a duodenal ulcer without complications is K26.9. Your medical records and billing will reference this code.

Can duodenal ulcers cause back pain?

Yes. Ulcers located on the posterior wall of the duodenum can radiate pain to the back, often described as a deep, burning ache.

What should I eat during treatment?

Opt for non-spicy, low-acid foods such as bananas, melons, oatmeal, lean proteins (chicken or fish), and cooked vegetables to minimize irritation.

When should I see a doctor?

Seek medical attention if you have severe abdominal pain, persistent vomiting, black or tarry stools, dizziness, or unexplained weight loss.

Do I need an H. pylori test?

Yes. Identifying and eradicating H. pylori infection is essential for effective treatment and reduces the risk of ulcer recurrence.

Are ulcer medications safe?

Most patients tolerate proton pump inhibitors (PPIs) and H2 blockers well. Dr. Pothuri will review potential side effects and monitor you throughout therapy.

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