Gastric Varices

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

Medical History and Exam

He asks about the onset, location, duration, character, and triggers of your epigastric pain. He reviews your diet, medication use (especially NSAIDs), alcohol intake, and any history of ulcers or reflux. A focused abdominal exam checks for tenderness, guarding, or masses.

Laboratory Tests

We order blood work including:

• CBC to look for anemia or infection
• Liver function tests (AST, ALT, ALP, bilirubin)
• Pancreatic enzymes (amylase, lipase)
• H. pylori breath or stool antigen test if peptic ulcer is suspected

Imaging Studies

• Abdominal ultrasound to evaluate gallbladder, bile ducts, liver, and pancreas
• CT scan of the abdomen/pelvis when complications like pancreatitis, perforation, or masses are a concern

Endoscopic Evaluation

An upper endoscopy (EGD) provides direct visualization of the esophagus, stomach, and duodenum to detect ulcers, gastritis, hiatal hernia, or other lesions. Biopsies can be taken for H. pylori or malignancy testing.

Advanced Testing (if needed)

In select cases, esophageal pH monitoring or manometry may be used to assess reflux and motility disorders. Endoscopic ultrasound can further evaluate submucosal lesions or chronic pancreatitis changes.