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Experienced Colonic Pseudoobstruction Doctoer - Dr. Bharat Pothuri

Colonic pseudoobstruction or Ogilvie syndrome resembles intestinal obstruction without a physical reason. Dr. Bharat Pothuri, the specialist in the field of diagnosing and treating this condition, works at GastroDoxs, Houston and employs individualized and highly advanced care that is minimally invasive. Learn the causes, symptoms and effective interventions.

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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
Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. 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.

Typical Risk Factors

  • Surgery or severe illness in recent times.
  • Taking of some medicine (narcotics, anticholinergics)
  • Long-term illnesses like diabetes or Parkinsonism.
  • Long hospitalization or long Bed rest.
  • Nerve or spinal cord injury

Signs and Symptoms

  • Bloating or distension of the abdomen.
  • Abdominal pain chronic or acute cramping.
  • Impaction of stool and gas.
  • Nausea and vomiting
  • Satisfied with mini meals.
  • None of the bowel movements in several days.

Expert Treatment for Colonic Pseudoobstruction by Dr. Bharat Pothuri

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

Medical History and Physical Exam

He looks through your last operations, hospitalization, medications (particularly narcotics or anticholinergics), and comorbidities such as diabetes or Parkinson the great. Then he carries out a cautious abdominal examination to determine the distention, tenderness and bowel movements.

Blood Tests

We order lab tests to check white blood cell count, electrolytes, kidney functioning and markers of inflammatory- exclusion of infection, dehydration, and metabolic imbalances that may mimic or exacerbate pseudoobstruction.

Imaging Studies

  • To determine colonic dialation, the cecal diameter and to rule out a mechanical obstruction, abdominal X-ray or CT scan.
  • Ultrasound on demand to assess other abdominal organs and exclude other causes of epigastric pain.

Endoscopic Assessment

Diagnostic colonoscopy will provide a direct view of the colon and will ascertain the absence of an actual obstruction as well as will facilitate the provision of a therapeutic decompression in a situation that is justified.

Colonic Motility Testing (if needed)

In isolated instances, special transport investigations or manometry are used to determine nerve and muscle activity in the colon.

Bharat Pothuri
Treatment

Our Team offers a full range of care for colonic pseudoobstruction.

1. Diet and Lifestyle Changes

  • Eat smaller meals more often
  • Take 6-8 glasses of water per day.
  • Consume high-fiber diets as long as it can be tolerated.
  • Light walking should be included to encourage gut motility.

2. Medications

  • Prokinetic Agents to increase the movement of the colon muscles.
  • IV fluids to replace dehydration and electrolyte imbalances.
  • Medications to reduce pain without potentially using narcotics.

3. Minimal or Advanced Bariatric Procedures

  • Decompression of the gas and stool through colonoscopies.
  • Endoscopic percutaneous colostomy as a long-term drainage procedure.
  • Both nerve stimulation and bowel movement treatments.
1.5K

Patients Treated

Dr. Pothuri has treated more than 1.5K 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

What is the colonic pseudoobstruction?

It is a disorder that occurs when the large intestine becomes immobile and present the effect of obstruction without having anything that can be seen.

What causes it?

It may be post-operative or post-severe illness, and some drugs (many narcotics or anticholinergics), or chronic disease (diabetes, Parkinson, nerve or spinal damage or prolonged bed rest).

What are the symptoms?

The frequent symptoms are belly bloating, abdominal pain, nausea, and vomiting, inability to pass stool or gas, and fullness.

How is it treated?

It can be treated by diet, lifestyle modifications, pro-motility drugs, intravenous fluids, analgesic therapy, and non-surgical procedures such as colonoscopic decompression of the bowels or percutaneous endoscopic colostomy.

What is the speed of treatment?

Others feel relieved after few hours of decompression, medication or might require few days of supportive therapy.

Is this condition dangerous?

In case of untreated cases, the colon may over distend and perforate or get infected. Serious complications are prevented by early diagnosis and management.

Will I have to remain in the hospital?

Mild cases can be treated at home closely monitored. Extreme cases usually call on a short-time hospitalization of IV fluids, observation, and an endoscopic intervention.

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