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Liver Disease

At GastroDoxs in Houston, Dr. Bharat Pothuri specializes in diagnosing and treating liver disease-from early-stage fatty liver and NASH to advanced cirrhosis. With over 15 years' experience, personalized care plans, cutting-edge diagnostics, and minimally invasive treatments, you're in expert hands.

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

What Is Liver Disease?

Your liver is a vital organ that removes toxins, helps digest food, and stores energy. Liver disease means your liver is inflamed or damaged. In early stages, you might not feel any symptoms, but if left untreated it can progress to scarring (cirrhosis) or liver failure.

Common Causes and Risk Factors

  • Fatty liver from being overweight or having high blood sugar
  • NASH -a type of fatty liver with inflammation
  • Hepatitis B or C virus
  • Heavy or prolonged alcohol use
  • Autoimmune or inherited liver conditions
  • Certain medications or chemical exposure
  • Family history of liver problems

Signs and Symptoms

  • Often none in early stages
  • Feeling tired or weak
  • Pain or swelling in the upper right belly
  • Yellow skin or eyes (jaundice)
  • Dark-colored urine or pale stools
  • Easy bruising or bleeding
  • Swelling in the legs or ankles (advanced disease)

Expert Treatment for Liver Disease by Dr. Bharat Pothuri

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

Medical History and Exam

He asks about the onset, location and timing of your pain (after meals, at night), alcohol and NSAID use, stressors, and any associated symptoms like nausea or heartburn. A focused abdominal exam checks for tenderness, guarding, or masses.

Blood Tests

We order liver function tests, pancreatic enzymes (amylase and lipase), complete blood count, and inflammatory markers. H. pylori breath or antibody testing may be added to evaluate for infection.

Imaging Studies

  • Abdominal ultrasound to look for gallstones, biliary sludge, fatty liver changes, or pancreatic inflammation.
  • CT scan or MRI when more detail is needed to assess pancreatitis, masses, or other structural causes.

Advanced Testing (if needed)

An upper endoscopy (EGD) allows direct visualization of the esophagus, stomach, and duodenum to identify ulcers, erosive gastritis, or reflux esophagitis. Biopsies can be taken for H. pylori or microscopic changes.

Bharat Pothuri
Treatment

Our Team offers a full range of care for liver disease.

1. Lifestyle and Diet Modifications

  • Personalized meal plans to reduce sugar, saturated fats, and processed foods
  • Structured exercise programs to support gradual, sustainable weight loss
  • Strategies to lower liver enzymes through nutrition counseling and fitness guidance

2. Medications

  • We follow the latest FDA and AASLD guidelines for fatty liver disease management
  • Prescription of FDA-approved agents to reduce liver inflammation or control cholesterol and blood sugar
  • Antiviral therapies for coexisting hepatitis B or C when indicated

3. Minimally Invasive or Advanced Procedures

  • FibroScan® for noninvasive assessment of liver fibrosis
  • Clinical trials offering novel therapies for NASH or MASLD
  • Endoscopic interventions for advanced scarring or variceal management in select cases
360

Patients Treated

Dr. Pothuri has treated more than 360 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 common liver diseases?

Hepatitis (viral/autoimmune), NAFLD/NASH, cirrhosis, and biliary disorders.

How do I know if my liver is unhealthy?

Symptoms include fatigue, jaundice, itching, abdominal swelling, and abnormal labs.

What tests assess liver health?

Liver function tests, imaging (ultrasound, CT), elastography, and biopsy.

Can liver disease be prevented?

Avoid toxins, maintain healthy weight, vaccinate against hepatitis, and limit alcohol intake.

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