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Nonalcoholic Steatohepatitis (Nash)

Nonalcoholic steatohepatitis (NASH) affects millions by causing liver inflammation and damage due to fat buildup. At GastroDoxs in Houston, Dr. Bharat Pothuri offers personalized diagnosis and cutting-edge treatments-from lifestyle guidance to advanced interventions-ensuring compassionate, expert care for optimal liver health.

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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.

Common Causes and Risk Factors

  • Obesity or rapid weight gain
  • Type 2 diabetes or prediabetes
  • High cholesterol or triglyceride levels
  • Metabolic syndrome
  • Long-term use of certain medications (e.g., steroids)

Signs and Symptoms

  • Often none in early stages
  • Tiredness or weakness
  • Dull ache or fullness in the upper right abdomen
  • Unexplained weight loss
  • Jaundice (yellowing of skin or eyes) in advanced disease

Expert Treatment for Nonalcoholic Steatohepatitis (Nash) by Dr. Bharat Pothuri

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

Medical History and Exam

He reviews your health history, alcohol use, metabolic risk factors and asks about symptoms such as epigastric pain, fatigue or right-upper-quadrant discomfort.

Blood Tests

We check liver enzymes (ALT, AST), rule out viral hepatitis, and assess glucose and lipid panels to evaluate metabolic health.

Imaging Studies

  • Abdominal ultrasound to detect fatty infiltration and measure liver echogenicity.
  • FibroScan (transient elastography) to assess liver stiffness and estimate fibrosis.

Advanced Testing (if needed)

Occasionally, a liver biopsy is performed to confirm inflammation, stage fibrosis, and guide treatment planning.

Bharat Pothuri
Treatment

Our Team offers a full range of care for Nonalcoholic Steatohepatitis (NASH).

1. Lifestyle and Diet Modifications

  • Weight loss through diet and exercise
  • Low-calorie, Mediterranean-style diet
  • Avoidance of alcohol and high-fructose corn syrup

2. Medications

  • Vitamin E (for selected patients)
  • Pioglitazone (for certain patients)
  • Emerging drugs in clinical trials

3. Monitoring and follow-up

  • Regular liver function tests and imaging
  • Liver biopsy in select cases
1.5K

Patients Treated

Dr. Pothuri has treated more than 1.5K 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 NASH?

A severe form of fatty liver disease with inflammation and damage, not due to alcohol.

What are its symptoms?

Often silent. May cause fatigue, discomfort in the right upper abdomen, and elevated liver enzymes.

How is NASH diagnosed?

Imaging shows fat in the liver. Biopsy confirms inflammation and fibrosis.

What treatments help NASH?

Weight loss, diet changes, exercise, and emerging medications targeting metabolic pathways.

Can NASH progress?

Yes, it can lead to cirrhosis and liver failure if unmanaged.

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