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Hepatic Fibrosis

Hepatic fibrosis, scarring of the liver caused by viruses, alcohol, or fatty liver disease, can be halted or reversed with early intervention. In Houston, Dr. Bharat Pothuri at GastroDoxs provides expert diagnosis and personalized treatment plans to protect your liver.

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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

  • Chronic hepatitis B or C infection
  • Excessive alcohol consumption
  • Nonalcoholic fatty liver disease (linked to obesity or diabetes)
  • Autoimmune liver disorders
  • Long-term use of certain medications or toxins
  • Metabolic syndrome and related conditions

Signs and Symptoms

  • Often no symptoms in early stages
  • Fatigue or general weakness
  • Unintentional weight loss or poor appetite
  • Discomfort or fullness in the upper right abdomen
  • Swelling in the legs or abdomen (advanced disease)
  • Jaundice (yellowing of skin and eyes) and itchy skin

Expert Treatment for Hepatic Fibrosis by Dr. Bharat Pothuri

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

Medical History and Examination

He reviews the exact location, quality, timing, and triggers of your pain. He asks about associated symptoms-nausea, vomiting, heartburn or weight loss-and evaluates lifestyle factors like diet, stress, and medications.

Laboratory Tests

We check complete blood count, liver enzymes, pancreatic enzymes, and test for H. pylori to rule out infection or inflammation.

Imaging and Functional Studies

  • Abdominal ultrasound to assess the liver, gallbladder, pancreas, and biliary tree.
  • Upper endoscopy (EGD) to visualize the esophagus, stomach, and duodenum for ulcers, gastritis, or reflux disease.
  • CT scan or MRI in complex cases to detect structural abnormalities.

Advanced Diagnostic Tests (if needed)

When initial tests are inconclusive, gastric emptying studies, esophageal pH monitoring or manometry may be performed. Endoscopic biopsies can confirm H. pylori, eosinophilic gastritis or rule out malignancy.

Bharat Pothuri
Treatment

Our Team offers a full range of care for hepatic fibrosis.

1. Lifestyle and Diet Modifications

  • Personalized meal plans emphasizing fruits, vegetables and lean proteins
  • Alcohol avoidance and weight-management strategies for patients with obesity or diabetes
  • Exercise programs-daily walking or light aerobic activity to support liver health

2. Medications

  • Antiviral therapy for hepatitis B or C to halt ongoing liver damage
  • Medications to control blood sugar and cholesterol in fatty liver disease
  • Access to cutting-edge treatments through clinical trials

3. Minimally Invasive or Advanced Procedures

  • FibroScan and MRI for non-surgical assessment of liver stiffness
  • Paracentesis to safely drain abdominal fluid buildup
  • Endoscopic management of varices and referrals to transplant or specialized liver teams
2.7K

Patients Treated

Dr. Pothuri has treated more than 2.7K 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 is hepatic fibrosis?

Accumulation of scar tissue in the liver due to chronic injury, preceding cirrhosis.

How is fibrosis detected?

Blood fibrosis scores (FibroTest), elastography (FibroScan), and sometimes biopsy.

Can fibrosis be reversed?

Early fibrosis may regress with treatment of the underlying cause and lifestyle changes.

What causes fibrosis?

Alcohol, viral hepatitis, fatty liver, autoimmune disease, or toxins.

How is it managed?

Treat the root disease, avoid alcohol, control weight, and monitor progression.

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