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Eosinophilic Ileitis

Eosinophilic ileitis is an inflammatory small intestine disorder, often linked to food allergies. At GastroDoxs in Houston, Dr. Bharat Pothuri provides personalized diagnosis and timely treatment-ranging from diet modifications and medications to advanced procedures-to relieve symptoms and restore digestive 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.

What Is Eosinophilic Ileitis?

Eosinophilic ileitis is an inflammatory condition in which eosinophils (a type of white blood cell) accumulate in the terminal ileum (the last segment of the small intestine). This buildup leads to swelling, pain, and various digestive disturbances. Early diagnosis and targeted care help control inflammation and relieve symptoms.

Common Causes and Risk Factors

  • Food allergies (for example, milk, wheat, soy or nuts)
  • Family history of gastrointestinal disorders or atopy
  • Immune system overreaction or dysregulation
  • Seasonal or environmental allergies
  • Associated conditions like asthma or eczema

Signs and Symptoms

  • Abdominal pain or cramping, especially in the lower right belly
  • Frequent loose stools or chronic diarrhea
  • Nausea, with or without vomiting
  • Unexplained weight loss or reduced appetite
  • Bloating, gas or feeling full after small meals
  • Ongoing fatigue or low energy levels

How Dr. Bharat Pothuri Diagnoses Eosinophilic Ileitis?

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

Medical History and Exam

He reviews your symptoms (including epigastric pain), dietary habits, allergy history, family history of GI or allergic disorders, and performs a thorough abdominal exam.

Blood Tests

We check for elevated eosinophil counts, markers of inflammation, and rule out celiac disease, parasitic infections, and other causes of abdominal pain.

Endoscopy with Ileal Biopsy

An upper endoscopy or colonoscopy with intubation of the terminal ileum allows direct visualization and tissue sampling. Biopsy confirms eosinophil infiltration in the ileal lining.

Imaging Studies

  • Abdominal ultrasound or CT scan assesses bowel wall thickening, inflammation, or obstruction.
  • MR enterography provides detailed cross-sectional images of the small intestine and identifies areas of edema.

Allergy and Dietary Assessment

Skin-prick or serum IgE testing identifies potential food allergens. An elimination diet under Dr. Pothuri's guidance pinpoints dietary triggers contributing to your symptoms.

Dr. Bharat Pothuri
Treatment

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

1. Simple Lifestyle and Diet Changes

  • Identify and eliminate trigger foods (e.g., dairy, wheat, soy, nuts)
  • Eat smaller, more frequent meals to ease digestive stress
  • Stay well-hydrated throughout the day
  • Incorporate stress reduction techniques like deep breathing or light exercise

2. Medications

  • Steroids to quickly reduce intestinal swelling
  • Biologic therapies for moderate to severe cases
  • Antihistamines or other allergy medications for food sensitivities
  • Vitamin supplementation to correct any nutritional deficiencies

3. Minimally Invasive or Advanced Procedures

  • Endoscopic balloon dilation to open narrowed intestinal segments
  • Pill-camera (capsule endoscopy) exam for a full view of the small intestine
  • Enhanced imaging with special dyes during endoscopy to locate inflamed areas
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

How is eosinophilic ileitis diagnosed?

It's diagnosed with an endoscopic exam and biopsy of the small intestine, supported by blood tests to check eosinophil counts and rule out other causes.

Can eosinophilic ileitis cause long-term pain?

Yes. Without proper treatment, ongoing inflammation can lead to chronic abdominal pain, cramps, and other digestive issues.

How common is eosinophilic ileitis?

It's considered rare but may be underdiagnosed unless specific endoscopic and histologic tests are performed.

Who treats eosinophilic ileitis in Houston?

Dr. Bharat Pothuri at GastroDoxs is a local expert in eosinophilic gastrointestinal disorders, with advanced diagnostic tools and personalized care.

What treatments relieve eosinophilic ileitis symptoms?

A tailored approach combining trigger-food elimination, medications (like steroids or biologics), and sometimes endoscopic therapies helps control inflammation and pain.

Does diet really help manage eosinophilic ileitis?

Yes. Identifying and avoiding food triggers, eating smaller meals, and staying well-hydrated can significantly reduce symptoms and improve quality of life.

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