Expert Treatment for Diarrhea by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He examines your pattern of symptom-onset, stool frequency and consistency, characteristics of epigastric pain, relationship with meals, travel history and drug use as well as any weight loss or night sweats. An abdominal peritoneal inspection is attentive to tenderness, distension or masses.
Lab and Stool Tests
- Pathogen (bacteria, parasites, C. difficile) and fecal calprotectin stool studies to identify inflammatory bowel disease.
- Blood testing such as CBC to identify anemia, electrolytes to identify dehydration, pancreatic and liver enzymes, and a test of inflammation (CRP).
Imaging Studies
- Abdominal ultrasound to evaluate gallbladder, liver, and pancreas for stones or inflammation.
- CT or MRI enterography if small-bowel disease, abscess, or structural abnormalities are suspected.
Endoscopy and Advanced Testing (if needed)
If initial tests are inconclusive or symptoms persist, he may recommend:
- Upper endoscopy (EGD) with biopsy to look for gastritis, ulcers, or celiac disease.
- Colonoscopy to assess the colon and terminal ileum for IBD or microscopic colitis.
- Small-intestinal bacterial overgrowth or malabsorption of carbohydrates: breath tests.
- Capsule endoscopy or motility studies in selected cases.
Frequently Asked Questions
What is the cause of diarrhea in adult men and women?
Diarrhea may be caused by infection (viral, bacterial, or parasitic), food intolerance, stress, traveling, drugs such as antibiotics, or chronic gut diseases such as IBS or IBD.
When should I see a doctor?
See a doctor when diarrhea lasts over 48 hours, when you feel weak or dizzy, or when you notice blood in your stool or severe pain.
Is diarrhea treatable in the absence of antibiotics?
Yes. Unless there is an infection, it can be treated with dietary modifications, increased fluids, and over-the-counter or prescription symptom-controlling medications.
What foods should I avoid?
To minimize symptoms, avoid dairy, fried or fatty foods, caffeine, alcohol, and artificial sweeteners that may irritate the gut.
What is the length of time to wait before seeking help?
If diarrhea continues for more than two days, worsens, or is accompanied by fever or dehydration, consult a doctor immediately.
Is diarrhea an indication of a serious problem?
Yes. Persistent or severe diarrhea can be a symptom of conditions such as IBS, IBD, or celiac disease, which require specialized medical attention.
How do I make an appointment?
Call to make your appointment with Dr. Bharat Pothuri at GastroDoxs in Houston, or visit their website to schedule your appointment.