Expert Treatment for Intestinal Lymphangiectasia by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Physical Exam
He reviews your symptoms-swelling, diarrhea, greasy stools, weight loss, fatigue and any epigastric discomfort-as well as family history of lymphatic or autoimmune disorders. A targeted exam assesses edema in the legs, face and abdomen.
Blood Tests
We measure serum albumin and total protein to detect protein loss, lymphocyte count to gauge immune cell depletion, and electrolyte panels to identify imbalances.
Stool Studies
Quantitative fecal fat testing confirms malabsorption. Stool elastase or other markers help rule out pancreatic insufficiency.
Imaging Studies
- MRI Enterography-visualizes dilated intestinal lymphatics, bowel wall thickening and mesenteric edema.
- Ultrasound-detects ascites and can suggest lymphatic duct dilation.
Endoscopy with Biopsy
An upper GI endoscopy allows direct inspection of the duodenum and jejunum. Tiny biopsy samples are taken to confirm lymphangiectasia and exclude other causes of epigastric pain or malabsorption.
Frequently Asked Questions
How is this condition confirmed?
Doctors use blood and stool tests to check protein and fat loss, imaging (MRI or ultrasound) to visualize swollen lymphatics, and endoscopy with biopsy when needed to confirm the diagnosis.
Can food changes help?
Yes. A low-fat, high-protein diet supplemented with MCT oil can significantly reduce symptoms, and many patients feel better within weeks of starting dietary changes.
Is it a lifelong condition?
It depends. Some people respond well to treatment and may see lasting improvement, while others require ongoing dietary management and medical therapy.
Is it genetic?
Primary intestinal lymphangiectasia can run in families, whereas secondary cases arise from other issues-such as infections, surgery, or organ disease-and are not inherited.
Does insurance cover it?
Most insurance plans cover the necessary tests and treatments. Our office staff will help you verify your benefits and guide you through the insurance process.