Expert Treatment for Cirrhosis by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He will inquire of you; What is your Epic-level of onset of pain; How long did it take; In relation to eating; Do you have nausea and vomiting or weight loss. He then proceeds to undertake an abdominal exam to examine the presence of tenderness, masses or gallbladder and pancreatic disease.
Blood Tests
Just as some examples, we order laboratory tests such as a complete blood count (CBC), liver functions, and amylase and lipase to rule out or to diagnose pancreatitis, along with H. pylori serology or stool antigens in case of the possible presence of ulcer in the suspected case.
Imaging Studies
- Abdominal ultrasound assesses the gallbladder, the bile ducts, liver and pancreas to look at the stones, inflammation or masses.
- The visual inspection of esophagus, stomach, and duodenum can be made with the use of upper endoscopy (EGD) in order to detect ulcers, gastritis, reflux esophagitis or tumours.
Advanced Testing (if needed)
When in follow-up the symptoms do not subside regardless of primary work up, Dr. Pothuri can order gastric emptying studies to suggest gastroparesis, esophageal pH-impedance to suggest reflux, or endoscopic ultrasound to provide further insight on pancreatic or biliary disease.
Frequently Asked Questions
What is cirrhosis?
Cirrhosis is scarring and liver tissue damage caused by prolonged injury from alcohol use, viral infections, or fatty liver disease.
What symptoms appear?
Common symptoms include drowsiness, yellowing of the skin and eyes (jaundice), abdominal swelling (ascites), easy bruising or bleeding, and confusion due to hepatic encephalopathy.
How is cirrhosis diagnosed?
Diagnosis is made through blood tests, imaging techniques such as ultrasound or elastography, and sometimes a liver biopsy for confirmation.
Can cirrhosis be reversed?
Mild liver fibrosis can sometimes be reversed with proper therapy, but advanced cirrhosis is rarely reversible.
What are the available treatments?
Treatment focuses on managing complications (e.g., diuretics for fluid buildup, beta-blockers for portal hypertension, variceal management), antiviral therapy, alcohol cessation programs, and evaluation for liver transplantation if needed.
What are some of the ways I need to be monitored more often?
Regular monitoring includes blood tests and imaging every 6–12 months, as well as endoscopic screening for varices to prevent complications.