1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Pelvic Discomfort

Persistent pelvic pain can disrupt daily life. Relief begins at GastroDoxs in Houston. Board-certified gastroenterologist Dr. Bharat Pothuri provides personalized evaluations with advanced diagnostics, diet modifications, and minimally invasive treatments to identify the source of discomfort and restore your comfort.

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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

  • Digestive issues: IBS, IBD, or constipation can irritate pelvic nerves
  • Urinary problems: recurrent UTIs or bladder pain syndrome
  • Gynecologic causes: endometriosis, fibroids, or ovarian cysts
  • Muscle or nerve issues: pelvic floor tension or pinched nerves
  • Family history of bowel or pelvic problems
  • Prior abdominal or pelvic surgeries
  • Long-term stress

Signs and Symptoms

  • Constant or intermittent lower abdominal pain
  • Bloating after meals
  • Pain during urination or bowel movements
  • Difficulty with bowel movements
  • Frequent or sudden urge to urinate
  • Pain during sexual activity

Expert Treatment for Pelvic Discomfort by Dr. Bharat Pothuri

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

Medical History and Physical Exam

He reviews your symptom pattern (location, quality, timing), diet, stress levels, menstrual and sexual history, plus a focused abdominal and pelvic exam to pinpoint tenderness or muscle tension.

Laboratory Tests

Routine blood work (CBC, metabolic panel, inflammatory markers), urine analysis, and stool studies help rule out infection, inflammation, or malabsorption.

Imaging Studies

  • Pelvic ultrasound to evaluate the uterus, ovaries, and adnexal structures for cysts, fibroids, or fluid collections.
  • Abdominal ultrasound or CT scan for epigastric pain-to assess the gallbladder, pancreas, liver, and biliary tree.

Advanced Testing (if needed)

Endoscopy or colonoscopy to inspect the GI tract; diagnostic laparoscopy to identify endometriosis or adhesions; pelvic floor manometry or nerve studies when muscle or nerve dysfunction is suspected.

Bharat Pothuri
Treatment

Our Team offers a full range of care for pelvic discomfort.

1. Lifestyle and Diet Changes

  • Eat more fiber (fruits, vegetables, whole grains) to ease bowel movements
  • Drink plenty of water throughout the day
  • Use a food journal to identify and avoid trigger foods
  • Practice gentle exercises such as yoga, walking, or stretching
  • Manage stress with deep-breathing techniques or counseling
  • Try pelvic floor therapy to relax tight pelvic muscles

2. Medications

  • Antispasmodics to calm intestinal and pelvic muscle spasms
  • Fiber supplements to relieve constipation and regulate bowel habits
  • Low-dose antidepressants to modulate pain pathways
  • Probiotics to support a healthy gut microbiome
  • Antibiotics when indicated for bacterial imbalances or infections

3. Minimally Invasive or Advanced Procedures

  • Pelvic nerve blocks to interrupt pain signals at their source
  • Laparoscopy for direct evaluation and treatment of conditions like endometriosis or scar tissue
  • Botox injections into the pelvic floor to relieve chronic muscle tension
2K

Patients Treated

Dr. Pothuri has treated more than 2K 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 causes pelvic discomfort in adults?

Pelvic discomfort can originate from the digestive system, urinary tract, reproductive organs, or nerves in the pelvic region.

Can gut problems lead to pelvic pain?

Yes. Gas, constipation, or inflammation in the gut can irritate pelvic nerves and result in pain or pressure.

Should I see a GI doctor for pelvic pain?

If your pelvic pain is accompanied by bloating, changes in bowel habits, or other digestive symptoms, consulting a gastroenterologist like Dr. Pothuri can be very helpful.

How long does treatment take?

Many patients notice improvement within a few weeks of starting lifestyle and dietary changes. Others may need several months for full relief, depending on the underlying cause.

Are minimally invasive procedures safe?

Yes. Techniques like laparoscopy, pelvic nerve blocks, or Botox injections use small incisions or needles, which generally heal faster and carry lower risk than open surgery.

Will insurance cover my care?

Most insurance plans cover diagnostic exams and treatments for pelvic discomfort. Our team will work with you to verify benefits and minimize out-of-pocket costs.

Can physical therapy fix pelvic pain?

Pelvic floor therapy can be highly effective, especially when combined with dietary adjustments, stress management, and other treatments recommended by Dr. Pothuri.

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