Expert Treatment for Dyspepsia by Dr. Bharat Pothuri
The strategy adopted by Dr. Pothuri is step-by-step:
Medical History and Physical Exam
He examines the history of your symptoms, dietary habits, level of stress, drug intake and family history of digestive ailments. In the course of the examination, he will feel the upper abdomen, in order to identify epigastric tenderness, bloating or other symptoms of dyspepsia.
Laboratory Tests
Blood work is the assessment of anemia, the indicators of inflammation and metabolic factors. H. pylori can be detected or eliminated by the use of noninvasive testing (breath, stool or serology).
Upper Endoscopy
- The esophagus, stomach and duodenum are visibly examined directly to identify ulcers, gastritis or structural problems.
- Differentiating celiac disease, H. pylori or infrequent malignancies.
Functional Studies (where necessary) Imaging Studies (where needed).
Gastric emptying tests determine delayed stomach motility (gastroparesis). An abdominal ultrasound can eliminate gallbladder or biliary pathology that can cause pain in the epigastric area.
Frequently Asked Questions
Can dyspepsia be serious?
Most cases are mild. However, it is time to visit a specialist in case the symptoms persist beyond two weeks.
How long does treatment take?
With the right attention, many people would feel better in four or six weeks.
Can stress cause indigestion?
Yes. The stress may accelerate the acid in the stomach and slow down digestion which aggravates the symptoms of dyspepsia.
Is endoscopy painful?
No. It is done under light sedation and majority of the patients have no or minimal discomfort during the procedure.
Does H. pylori always cause symptoms?
No. There are those who are asymptomatic carriers of the bacteria. The way of treating it prevents incidences of ulcers as well as diminishes dyspepsia, though.
What is the difference between GERD and dyspepsia?
GERD entails the reflux of acid into the esophagus and dyspepsia entails the discomfort or pain in the upper stomach area.
Is this covered by insurance?
Yes. Majority plans reimburse dyspepsia files and we code ICD-10 as K30.