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Ulcerative colitis

Hepatic fibrosis, the gradual scarring of the liver, can lead to serious complications if untreated. In Houston, Dr. Bharat Pothuri at GastroDoxs offers advanced diagnostics and personalized treatments to halt disease progression, restore liver health, improve patients' quality of life.

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Texas Medical Board
Harris County Medical Society
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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

  • Genetic predisposition (family history of inflammatory bowel disease)
  • Immune system dysfunction leading to chronic inflammation
  • Environmental triggers (diet high in fat, stress, smoking)
  • Age of onset (most often between 15 and 30 years)
  • Ethnicity (higher incidence in Caucasians and Ashkenazi Jews)
  • Use of nonsteroidal anti-inflammatory drugs (NSAIDs)

Signs and Symptoms

  • Frequent loose or bloody stools
  • Cramping abdominal pain, often in lower left quadrant
  • Urgency to have a bowel movement
  • Rectal bleeding or mucus in stool
  • Unintended weight loss and reduced appetite
  • Chronic fatigue and weakness
  • Fever in more severe flares
  • Tenesmus (feeling of incomplete evacuation)

Expert Treatment for Ulcerative colitis by Dr. Bharat Pothuri

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

Medical History and Exam

He reviews your abdominal pain pattern-especially epigastric discomfort-stool frequency, presence of blood or mucus, weight changes, and family history of inflammatory bowel disease.

Blood Tests

We check for anemia, inflammatory markers (CRP, ESR), and nutritional deficiencies (iron, B12, folate).

Stool Studies

  • Stool cultures and C. difficile toxin to exclude infections.
  • Fecal calprotectin or lactoferrin to quantify intestinal inflammation.

Endoscopic Evaluation

  • Colonoscopy with targeted biopsies to visualize ulcerations, assess disease extent, and confirm ulcerative colitis histology.
  • Upper endoscopy (EGD) when epigastric pain persists, to rule out peptic ulcer disease or gastritis.

Imaging Studies (if needed)

CT or MR enterography to evaluate disease distribution, complications (strictures, abscesses), or to clarify atypical findings.

Advanced Testing

Capsule endoscopy may be considered for small-bowel assessment if symptoms or imaging suggest involvement beyond the colon.

Bharat Pothuri
Treatment

Our Team offers a full range of care for Ulcerative Colitis.

1. Lifestyle and Dietary Modifications

  • Eat small, frequent meals to ease digestion.
  • Stay hydrated by drinking plenty of water.
  • Avoid trigger foods and alcohol; consult a dietitian.
  • Try stress-reduction methods like walking or yoga.

2. Medications

  • Aminosalicylates reduce inflammation and maintain remission.
  • Corticosteroids control moderate to severe flare-ups.
  • Immunomodulators help regulate chronic immune activity.
  • Biologics or JAK inhibitors treat resistant or severe cases.

3. Advanced Therapies and Surgical Options

  • Endoscopy monitors inflammation and identifies complications.
  • Biopsies and colonoscopies track disease and cancer risk.
  • Colectomy may be needed for severe or unresponsive cases.
2.3K

Patients Treated

Dr. Pothuri has treated more than 2.3K 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 ulcerative colitis?

Ulcerative colitis is a chronic inflammatory bowel disease that causes ulcers and inflammation in the colon and rectum.

What are common symptoms?

Symptoms include abdominal pain, bloody diarrhea, urgency to go, fatigue, and weight loss.

What causes ulcerative colitis?

The exact cause is unknown, but it likely involves an abnormal immune response, genetics, and environmental triggers.

How is ulcerative colitis diagnosed?

Diagnosis involves colonoscopy, stool tests, blood work, and sometimes imaging like CT or MRI enterography.

Is there a cure for ulcerative colitis?

There's no cure, but many patients manage it well with medications, lifestyle changes, or surgery in severe cases.

What treatments are available?

Treatment options include anti-inflammatory drugs, immunosuppressants, biologics, and sometimes surgery like colectomy.

Can diet affect symptoms?

Yes. While no specific diet cures UC, certain foods can trigger symptoms. A GI doctor or dietitian can help guide your choices.

Is ulcerative colitis the same as Crohn's disease?

No. Both are IBDs, but Crohn's can affect any part of the digestive tract, while UC is limited to the colon and rectum.

Can ulcerative colitis increase cancer risk?

Yes. Long-term inflammation may raise colon cancer risk. Regular colonoscopies help detect early changes.

When should I see a specialist?

If you have ongoing digestive symptoms, blood in stool, or family history of IBD, consult a gastroenterologist for evaluation.

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