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Wilson's Disease

At GastroDoxs in Houston, Dr. Bharat Pothuri offers expert care for Wilson's disease, a hereditary condition causing copper buildup in liver, brain, and organs. Early diagnosis and personalized treatments manage symptoms, remove excess copper, and protect long term organ health.

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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

  • Autosomal recessive mutation in the ATP7B gene
  • Inheritance of one mutated gene copy from each parent
  • Family history of Wilson's disease
  • Being an asymptomatic carrier (one mutated gene)

Signs and Symptoms

  • Fatigue or unexplained weight loss
  • Jaundice (yellowing of the skin and eyes)
  • Abdominal pain, swelling, or liver enlargement
  • Tremors, muscle stiffness, or difficulty speaking
  • Mood swings, depression, or other psychiatric changes
  • Kayser-Fleischer rings (copper deposits around the cornea)

Expert Treatment for Wilson's Disease by Dr. Bharat Pothuri

Step 1: Medical and Family History Review

Dr. Pothuri begins by reviewing your personal and family medical history to assess your risk for Wilson's disease.

Step 2: Blood Test for Ceruloplasmin

He may order a blood test to measure ceruloplasmin, a protein that carries copper in the blood. Low levels may suggest Wilson's disease.

Step 3: 24-Hour Urine Copper Test

A 24-hour urine collection checks for elevated copper levels in your body, a key indicator of Wilson's disease.

Step 4: Imaging or Liver Biopsy

If needed, Dr. Pothuri may recommend liver imaging or a biopsy to evaluate copper buildup or liver damage.

Step 5: Genetic Testing

Genetic testing may be used to confirm mutations in the ATP7B gene, which causes Wilson's disease.

Dr. Bharat Pothuri
Treatment

Our Team offers a full range of care for Wilson's disease.

1. Lifestyle and Diet Modifications

  • Personalized low-copper meal plans (avoid shellfish, mushrooms, chocolate, nuts, organ meats)
  • Use filtered water if your home has copper pipes
  • Nutrition counseling on fresh fruits, vegetables, and whole grains to support liver health
  • Hydration and weight management guidance

2. Medications

  • Chelating agents (penicillamine or trientine) to remove excess copper
  • Zinc therapy to block copper absorption in the gut
  • Regular monitoring of blood ceruloplasmin, 24-hour urine copper, and liver enzymes
  • 3. Minimally Invasive or Advanced Procedures

    • Endoscopy to manage portal hypertension and variceal bleeding
    • Imaging (ultrasound, MRI) or liver biopsy for detailed assessment
    • Liver transplant evaluation in cases of advanced or end-stage liver disease
    1K

    Patients Treated

    Dr. Pothuri has treated more than 1K 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 Wilson's disease?

    It is caused by a mutation in the ATP7B gene inherited from both parents, leading to copper buildup in the body.

    What symptoms appear in adults?

    Adults may experience fatigue, unexplained weight loss, jaundice (yellowing of skin and eyes), abdominal pain or swelling, tremors, speech difficulties, and mood changes.

    How is Wilson's disease diagnosed?

    Dr. Pothuri uses blood tests for ceruloplasmin, a 24-hour urine copper test, imaging studies, and genetic testing. A liver biopsy may be recommended in some cases.

    What treatments are available?

    Treatment includes a low-copper diet, chelating agents such as penicillamine or trientine to remove excess copper, and zinc therapy to block copper absorption. Advanced care may involve endoscopy or liver transplant if needed.

    Can Wilson's disease damage the liver?

    Yes. Without treatment, copper accumulation can cause liver inflammation, scarring (cirrhosis), and eventual liver failure.

    Is Wilson's disease hereditary?

    Yes. It follows an autosomal recessive inheritance pattern, so a child must inherit the mutated ATP7B gene from both parents to develop the disease.

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