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Granuloma in Intestine

At GastroDoxs in Katy, our expert gastroenterologists specialize in diagnosing and treating intestinal granulomas, offering personalized, comprehensive care, state-of-the-art endoscopic technology and advanced imaging to pinpoint inflammation, ensuring rapid relief and supporting local patients with compassionate, community-focused gastrointestinal expertise.

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Houston Methodist leading Medicine
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Bharat Pothuri
Symptoms

What is Granuloma In Intestine?

Granuloma in the intestine is a small, localized collection of immune cells that forms when the body tries to contain chronic inflammation or infection in the gut wall. These nodules can develop in the small intestine or colon and are often detected on CT scans, colonoscopy, or biopsy. Granulomas represent the body's attempt to "wall off" substances it can't eliminate.

Common Symptoms

People with intestinal granulomas may experience:

  • Abdominal pain or cramping
  • Diarrhea or constipation
  • Unexplained weight loss
  • Low-grade fever and fatigue
  • Blood in the stool (visible or occult)

Causes

Granulomas in the gut can arise from several conditions:

  • Crohn's disease (the most common cause)
  • Intestinal tuberculosis (rare)
  • Sarcoidosis, an inflammatory immune disorder
  • Reactions to foreign bodies or certain medications
  • Less commonly, immune system disorders or cancers
Treatment

Treatment Options for Granuloma in Intestine in Katy

Treatment includes medications, dietary adjustments, and procedures:

  • Steroid medications: reduce gut inflammation and shrink granulomas
  • Biologic therapies: target immune pathways, especially for Crohn's-related granulomas
  • Anti-infective agents: antibiotics or anti-TB drugs if an underlying infection is confirmed
  • Dietary changes: soft, low-fiber foods and tailored nutrition to ease symptoms and prevent weight loss
  • Supplements: vitamins and minerals to correct deficiencies and support intestinal healing
  • Endoscopic procedures: balloon dilation for strictures or biopsy sampling to guide diagnosis
  • Surgical intervention: resection of affected segments in severe or unresponsive cases
  • Ongoing monitoring: periodic CT scans, colonoscopies, and lab tests to track treatment progress

Ready to Take Control of Your Digestive Health?

If you're experiencing abdominal pain, unexplained weight loss, or other intestinal symptoms, don't wait. At GastroDoxs in Katy, our specialists combine advanced diagnostics with personalized treatment plans to get you back on track. Book your appointment today-online or in-office-and let us help you find relief and restore your quality of life.

342

Patients Treated

We've successfully treated more than 342 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

How is a granuloma in the intestine diagnosed?

Diagnosis typically involves imaging with CT scans, direct visualization via colonoscopy, and microscopic confirmation through biopsy of the affected tissue.

What does a granuloma look like on a scan?

On CT or MRI, intestinal granulomas appear as small, round areas of localized swelling or nodules within the bowel wall.

Can diet help manage intestinal granulomas?

Yes. A low-fat, low-fiber diet and easily digestible foods can ease symptoms and support healing, especially during flare-ups.

Is a granuloma in the intestine always caused by Crohn's disease?

No. While Crohn's is the most common cause, granulomas may also arise from infections (like TB), sarcoidosis, foreign-body reactions, or other immune disorders.

How long does treatment for intestinal granulomas last?

Treatment duration varies: some patients improve within weeks, while others-especially those with chronic conditions-may require longer or ongoing therapy.

Can strictures caused by granulomas be treated without surgery?

Yes. In many cases, endoscopic balloon dilation can open narrowed segments, avoiding or delaying the need for surgery.

Will I need lifelong medication for intestinal granulomas?

Not always. Some people can taper off medications once inflammation is controlled; others with recurrent disease may require long-term therapy.

Can children develop intestinal granulomas?

Yes. Granulomas are seen in pediatric cases, particularly in children with early-onset Crohn's disease or other inflammatory conditions.

What follow-up is needed after treatment?

Follow-up typically includes repeat imaging (CT scans) or colonoscopy to monitor healing, assess response to therapy, and detect any new changes.

Where can I get expert care for intestinal granulomas in Katy?

At GastroDoxs in Katy. Our experienced gastroenterologists offer advanced testing, personalized treatment plans, and both in-office and virtual visit options.

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