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Change in Bowel Habit

Experience expert digestive care in Houston with Dr. Scott at GastroDoxs. Noticing persistent diarrhea, constipation or unpredictable bowel patterns? Our comprehensive evaluations, advanced diagnostics and personalized treatment plans help restore comfort and confidence. Schedule your appointment today for lasting relief.

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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
Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

Common Causes and Risk Factors

  • Irritable bowel syndrome (IBS)
  • Gastrointestinal infections (viral or bacterial)
  • Food intolerances (lactose, gluten)
  • Inflammatory bowel disease (Crohn's disease, ulcerative colitis)
  • Medication side effects (antibiotics, laxatives)
  • Stress or anxiety
  • Age over 50 or family history of colon cancer
  • Recent international travel with exposure to new pathogens

Signs and Symptoms

  • Diarrhea lasting more than a few weeks
  • Constipation persisting beyond your normal pattern
  • Alternating episodes of diarrhea and constipation
  • Blood or mucus in the stool
  • Chronic abdominal pain, cramping, or bloating
  • Unexplained weight loss
  • Sensation of incomplete bowel emptying

How Dr. Scott Diagnoses This Condition?

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

Medical History and Physical Exam

He reviews your symptoms (including epigastric pain), family history of celiac disease or other autoimmune disorders, and any previous gut issues.

Blood Tests

We check for celiac-specific antibodies such as tissue transglutaminase IgA (tTG-IgA) and total IgA levels to screen for an immune response to gluten.

Genetic Testing

When the diagnosis is uncertain, testing for HLA-DQ2 and HLA-DQ8 genes helps determine your genetic predisposition to celiac disease.

Endoscopy with Biopsy

An upper endoscopy allows Dr. Scott to take small samples from your small intestine. Microscopic examination confirms villous atrophy and other gluten-related changes.

Additional Testing (if needed)

  • Capsule endoscopy to visualize areas beyond the reach of a standard scope if symptoms persist.
  • Nutritional assessment for deficiencies (iron, vitamin D, calcium) to guide supplement recommendations.
Dr. Scott
Treatment

Our Team offers a full range of care for changes in bowel habits.

1. Lifestyle and Diet Changes

  • Add fiber gradually with fruits, vegetables, and whole grains
  • Drink 6 to 8 glasses of water daily
  • Keep a food diary to track triggers
  • Manage stress through walking, breathing exercises, or yoga

2. Medications

  • Fiber supplements or stool softeners for constipation
  • Anti-diarrheal medication such as loperamide
  • Antispasmodics to ease cramping
  • Probiotics to support a healthy gut
  • Prescription therapies for conditions like IBS or IBD

3. Minimally Invasive or Advanced Procedures

  • Colonoscopy to examine the colon lining for polyps or inflammation
  • Balloon dilation to open narrowed segments of the colon
  • Capsule endoscopy for small intestine visualization
  • Ultrasound or CT imaging for detailed evaluation
Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

Frequently Asked Questions

How soon will I feel better?

Most patients notice relief within 2 to 4 weeks after starting recommended diet changes or medications. Dr. Scott will monitor your progress and adjust treatment as needed.

Do I need a colonoscopy?

Whether you need a colonoscopy depends on your age, symptoms, and risk factors. Dr. Scott will review your history and explain if and when this test is necessary.

Is a change in bowel habit serious?

A change in bowel habit can be minor but may also signal conditions like IBS, IBD, or colon cancer. Early evaluation helps identify serious issues sooner.

Can stress affect digestion?

Yes. Stress and anxiety can alter how food moves through your digestive tract, leading to diarrhea, constipation, or cramping.

What if I see blood in my stool?

Contact our office right away. Blood in the stool may indicate an urgent condition that requires prompt diagnosis and treatment.

Are natural remedies helpful?

Natural options like fiber, probiotics, and peppermint oil can support gut health. Discuss any supplements with Dr. Scott before adding them to your routine.

Will my insurance cover tests?

We work with most major insurance plans and will verify your benefits before any procedure to help you understand potential costs.

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