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Eosinophilic Duodenitis

At GastroDoxs in Houston, Dr. Bharat Pothuri specializes in diagnosing and treating eosinophilic duodenitis. This inflammatory condition of the small intestine causes pain, swelling and digestion issues. Dr. Pothuri offers personalized care with advanced diagnostics, dietary guidance and balloon dilation.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
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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

  • Food allergies (dairy, soy, wheat, nuts)
  • Family history of allergies or eosinophilic disorders
  • Asthma, eczema, or hay fever
  • Autoimmune diseases
  • Certain infections or medications

Signs and Symptoms

  • Upper abdominal pain or cramps
  • Nausea or vomiting
  • Heartburn
  • Bloating and gas
  • Low appetite and unexplained weight loss
  • Diarrhea or loose stools

Expert Treatment for Eosinophilic Duodenitis by Dr. Bharat Pothuri

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

Medical History and Symptom Review

He discusses your epigastric pain, nausea, dietary habits, any known food or environmental allergies, and family history of allergic disorders.

Physical Examination

An abdominal exam checks for tenderness in the upper belly, bloating, or signs of malnutrition.

Blood Tests

We obtain a complete blood count to measure eosinophil levels and rule out parasitic infections or other causes of inflammation.

Allergy Testing

  • Skin-prick tests or specific IgE blood panels identify food or environmental triggers.
  • Elimination diets may be trialed under supervision to pinpoint offending foods.

Upper Endoscopy and Duodenal Biopsy

A flexible endoscope examines the esophagus, stomach, and duodenum. Small tissue samples confirm the presence and extent of eosinophil infiltration.

Additional Imaging or Studies (if needed)

Abdominal ultrasound or CT scans rule out structural abnormalities; stool studies exclude infectious causes of diarrhea.

Bharat Pothuri
Treatment

Our Team offers a full range of care for eosinophilic duodenitis.

1. Lifestyle and Diet Changes

  • Eliminate allergy-triggering foods such as dairy, soy, wheat, or nuts
  • Gradually reintroduce foods under close supervision
  • Eat small, frequent meals to ease digestion
  • Incorporate stress-reduction techniques like yoga or deep breathing

2. Medications

  • Acid blockers to reduce stomach acid and discomfort
  • Steroidal therapies to calm intestinal inflammation
  • Allergy medications to manage underlying triggers
  • Biologic agents for more challenging or refractory cases

3. Minimally Invasive Procedures

  • Endoscopic balloon dilation to gently widen a narrowed duodenum without surgery
1K

Patients Treated

Dr. Pothuri has treated more than 1K 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 are the symptoms of eosinophilic duodenitis?

Common signs include upper abdominal pain or cramps, nausea, vomiting, heartburn, bloating, gas, low appetite, weight loss, and diarrhea-often worse after eating or allergen exposure.

How serious is eosinophilic duodenitis?

If left untreated, it can lead to ulcers, strictures (narrowing), malabsorption, and intestinal blockages. Early diagnosis and management help prevent complications.

Who is the best doctor near me for this condition?

Many patients in Houston trust Dr. Bharat Pothuri at GastroDoxs for personalized, experienced care in diagnosing and treating eosinophilic duodenitis.

Can food allergies cause eosinophilic duodenitis?

Yes. Food allergens-such as dairy, soy, wheat, and nuts-can trigger eosinophil buildup in the duodenum and lead to inflammation.

Will I need surgery to treat it?

Most patients improve with dietary changes, medications, and allergy management. In rare cases of severe narrowing, Dr. Pothuri may perform a balloon dilation-no incision required.

How soon will I feel better after starting treatment?

Many patients report symptom relief within a few weeks of beginning dietary adjustments and prescribed medications.

Is eosinophilic duodenitis the same as celiac disease?

No. Celiac disease is an immune reaction to gluten that damages the small intestine. Eosinophilic duodenitis is driven by eosinophil-mediated inflammation, often linked to allergies.

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