Collagenous colitis is an inflammatory condition of the large intestine. A thick layer of collagen-a natural body protein-builds up under the colon lining, preventing proper water absorption and leading to persistent, watery stools. It most often occurs in older adults but can affect any age. Diagnosis requires a colonoscopy and biopsy.
You may experience:
Although the exact cause is unknown, several factors may contribute:
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We've successfully treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.
With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients
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.
Diagnosis requires a colonoscopy to visually inspect the colon lining, along with biopsy samples. Pathologists look for a thickened collagen layer beneath the colon's surface to confirm collagenous colitis.
Yes. A low-fat, low-fiber diet can reduce stool volume and irritation. Staying well-hydrated and, in some cases, adding probiotics under medical supervision may also ease symptoms.
There is no permanent cure, but most patients achieve significant symptom relief and long-term remission with appropriate treatment, including medications and lifestyle adjustments.
Budesonide is a locally acting corticosteroid that reduces inflammation in the colon. It has fewer systemic side effects than traditional steroids and is often prescribed as first-line therapy.
Long-term, low-dose use is generally well tolerated, but we monitor bone density and hormone levels regularly to prevent potential side effects and maintain overall health.
Yes. A gastroenterologist specializes in digestive disorders and is best equipped to diagnose, tailor treatment plans, and perform necessary procedures like colonoscopy and biopsy.
Stress can exacerbate gastrointestinal symptoms by altering gut motility and sensitivity. Incorporating stress-reduction techniques such as mindfulness, exercise, or counseling may help.
Some patients notice improvement within a few weeks of starting therapy, while others may require several months of treatment and ongoing adjustments to achieve remission.
They are distinct conditions but can co-occur. If celiac disease is suspected, your doctor may recommend blood tests or an upper endoscopy to check for gluten-related damage in the small intestine.
Most patients benefit from follow-up every 3 to 6 months initially. These visits allow us to assess your response to treatment, adjust medications, and monitor for potential side effects.
