Expert Treatment for Diseases of Stomach And Duodenum by Dr. Bharat Pothuri
Dr. Pothuri uses a comprehensive, step-by-step approach:
Medical History and Physical Exam
He examines the onset and the nature of your epigastric pain, diets and drugs used (NSAIDS, alcohol), your smoking history, stressors and relatives of gastrointestinal disorders.
Laboratory Tests
Fundamental blood test parameters of anemia, inflammation and excludes liver or pancreatic etiologies of upper-abdominal pain.
Non-Invasive H. pylori Testing
- Urea breath test detects active H. pylori infection.
- Stool antigen test confirms the presence of bacterial antigens.
Upper Endoscopy (EGD)
A thin, flexible camera examines the stomach and duodenum directly. Biopsies can be taken to identify gastritis, duodenitis or peptic ulcers.
Imaging Studies
- Abdominal ultrasound screens for gallstones, pancreatitis or fluid collections.
- CT scan provides detailed images when complications or alternative diagnoses are suspected.
Advanced Testing (if needed)
In a few instances, special tissue biopsy on endoscopy or special motility examination elucidates complex or recalcitrant situations.
Frequently Asked Questions
What are standard stomach and duodenal diseases?
Common conditions include gastritis, peptic ulcers, duodenal ulcers, Helicobacter pylori infection, and gastroparesis.
What causes peptic ulcers?
The majority of ulcers are caused by H. pylori infection or prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen. Symptoms may be worsened by stress and spicy foods.
Which are the methods of diagnosis of these diseases?
Diagnosis typically involves endoscopy, H. pylori breath or stool analysis, barium swallow X-rays, and blood tests.
What treatments exist?
Treatments include proton pump inhibitors, eradication therapy for H. pylori, dietary modifications, and in severe cases, endoscopic removal or surgery.
Can diet prevent ulcers?
Yes. Avoiding irritants such as alcohol, caffeine, and spicy foods while eating small, frequent meals can reduce acid exposure and promote healing.
What is gastroparesis?
Gastroparesis is delayed stomach emptying that causes nausea, bloating, and early fullness. It is most commonly associated with diabetes or certain medications.
When should I refer to a gastroenterologist?
Consult a gastroenterologist if you experience frequent stomach pain, bloody or black stools, persistent nausea, or unexplained weight loss.
Are ulcers dangerous?
Yes. Untreated ulcers can bleed, perforate the stomach or duodenum, and lead to peritonitis — a severe, life-threatening infection.