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Duodenitis Without Bleeding

Experiencing persistent upper abdominal discomfort without visible bleeding? At GastroDoxs in Houston, board-certified gastroenterologist Dr. Bharat Pothuri specializes in diagnosing and treating duodenitis without bleeding. Through lifestyle adjustments, targeted medications, and advanced endoscopic options, we expertly help you find relief.

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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

  • Helicobacter pylori infection
  • Frequent use of NSAIDs (ibuprofen, aspirin)
  • Chronic stress
  • Smoking or other tobacco use
  • Excessive alcohol consumption
  • Autoimmune conditions or family history of gut disorders

Signs and Symptoms

  • Pain or burning sensation in the upper abdomen
  • Bloating or feeling overly full
  • Nausea or vomiting
  • Poor appetite
  • Early satiety (feeling full quickly)
  • Mild, unintentional weight loss

Expert Treatment for Duodenitis Without Bleeding by Dr. Bharat Pothuri

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

Medical History and Symptom Review

He asks detailed questions about your epigastric pain (timing, triggers, severity), NSAID or aspirin use, alcohol and tobacco habits, stress levels, and any family history of gastrointestinal disorders.

Physical Examination

Dr. Pothuri palpates your abdomen to check for tenderness, guarding, or any unusual masses.

Laboratory and Stool Tests

Blood work looks for elevated white blood cells or anemia; a stool antigen test can detect Helicobacter pylori infection.

Upper Endoscopy (EGD)

  • Direct visualization of the duodenal lining to identify inflammation, erosions, or ulcers.
  • Biopsy samples are taken to confirm H. pylori, assess the degree of inflammation, and rule out other conditions.

Additional Imaging (if needed)

On rare occasions, an abdominal ultrasound or CT scan is ordered to exclude other abdominal or biliary causes of epigastric pain.

Bharat Pothuri
Treatment

Our Team offers a full range of care for duodenitis without bleeding.

1. Lifestyle and Diet Modifications

  • Smaller, more frequent meals to reduce duodenal irritation
  • Avoidance of spicy, greasy, or highly acidic foods
  • Reduction of caffeine, alcohol, and tobacco use
  • Stress-management techniques such as breathing exercises, stretching, or meditation
  • Increased hydration with water and caffeine-free herbal teas

2. Medications

  • Proton pump inhibitors (PPIs), such as omeprazole, to lower stomach acid
  • H2 blockers like famotidine for additional relief
  • Antibiotic regimens if Helicobacter pylori infection is detected
  • Over-the-counter antacids for short-term symptom control

3. Minimally Invasive or Advanced Procedures

  • Diagnostic upper endoscopy with biopsy to confirm inflammation and rule out complications
  • Advanced endoscopic therapies to reduce duodenal irritation without surgery
  • Referral to clinical trials for emerging treatments in refractory cases
922

Patients Treated

Dr. Pothuri has treated more than 922 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 causes duodenitis without bleeding?

Duodenitis without bleeding can result from H. pylori infection, frequent use of NSAIDs (like ibuprofen or aspirin), chronic stress, smoking, alcohol use, autoimmune conditions, or a family history of gastrointestinal issues.

Is it serious even if there's no bleeding?

Yes. Even without visible bleeding, duodenitis can damage the duodenal lining, cause significant pain, and lead to ulcers or other complications if left untreated.

How is it diagnosed?

Diagnosis involves a detailed medical history and physical exam, blood tests for infection or inflammation, stool testing for H. pylori, and-if needed-an upper endoscopy with biopsy to directly visualize and sample the duodenal tissue.

Should I see a specialist?

Yes. A gastroenterologist like Dr. Bharat Pothuri has specialized training to accurately diagnose and treat duodenitis and related digestive disorders.

Can diet changes really help?

Absolutely. Avoiding spicy, greasy, or acidic foods; eating smaller, more frequent meals; and cutting back on caffeine, alcohol, and tobacco can significantly reduce inflammation and discomfort.

How long does recovery take?

Most patients experience improvement within four to six weeks of starting the recommended treatment plan, including medications and lifestyle modifications.

When should I go to the ER?

If you experience severe abdominal pain, vomit blood, or notice black, tarry stools, seek emergency care immediately.

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