Angiodysplasia diagnosis and management by Bharat Pothuri.
Dr. Pothuri adopts the method stepwise:
Medical History and Exam
He takes a history of your pain (when it happens, in relation to eating), the use of painkiller (NSAIDs, aspirin), alcohol consumption, stressors, and a family history of GI diseases. The abdominal examination is a specific examination to identify tenderness, guarding or masses.
Blood Tests
We also order CBC to investigate anemia, liver, (AST, ALT), pancreatic enzymes (amylase, lipase) and H. pylori serology or antibody in order to establish an infection.
Imaging Studies
- By Abdominal ultrasound, the gallbladder, the bile ducts, pancreas, and liver are assessed in cases of stones, inflammation, or any masses.
- Upper endoscopy (EGD) checks gastrointestinal tract of the esophagus, stomach and duodenum against ulcers, gastritis or varices and permits biopsy of H. pylori.
- The CT scan or MRI is alternatively applied in order to evaluate complications of pancreatitis or exclude tumors.
Advanced Testing (if needed)
Endoscopic ultrasound offers clear-cut images of the pancreatic and biliary reducts. 24-hour PH-impedance testing may place it possible to assess acid reflux or non-acid reflux that can cause epigastric pain.
Frequently Asked Questions
What causes angiodysplasia?
Angiodysplasia may be caused by weakening of small vessels of the digestive tract of age, kidney or heart illness, the use of some medications, etc.
In what ways is the detection of angiodysplasia in the small intestine done?
Deep enteroscopy or capsule endoscopy will enable Dr. Pothuri to detect and diagnose angiodysplasia within the small bowel.
Is angiodysplasia capable of occurring in the stomach?
Yes. Angiodysplasia of the stomach is treated and identified through an upper endoscopy.
Should angiodysplasia be treated surgically?
Treatment of most cases occurs endoscopically whereby methods such as argon plasma coagulation or angiographic embolization can just help with the treatments; rarely surgical intervention may be necessary.
Is diet and lifestyle management able to control angiodysplasia?
Treatment and prevention of anemia can be in consuming iron containing foods, drunk a lot of water and avoid NSAIDs or overindulgence in alcohol.
Are angiodysplasia patients at risk of blood thinners?
Yes. Blood thinning drugs may augment the risk of bleeding. Dr. Pothuri collaborates with your healthcare group to make risky alterations to medications.