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Top Eosinophilic Jejunitis Doctor - Dr. Bharat Pothuri

Eosinophilic jejunitis is a rare small intestine inflammatory disease in which there is the accumulation of excessive eosinophils in the jejunum with resultant pain, bloating, and digestive complications. GastroDoxs in Houston provides Dr. Bharat Pothuri with qualified probability diagnosis and individual treatment to get some long-term relief.

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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.

What Is Eosinophilic Jejunitis?

Eosinophilic jejunitis is a rare disease of the inflammatory system in which the eosinophils type of white blood cell are deposited in the jejuna (the middle part of the small intestine). This accumulation causes swelling, pain and poor digestion. Gut health may be restored in early recognition and with specialized management that may minimize symptoms.

Common Causes and Risk Factors

  • Food allergies (dairy, wheat, soy, nuts, eggs)
  • Environmental allergies (pollen, dust mites)
  • Overactive immune response sending excess eosinophils to the gut
  • Family history of eosinophilic gastrointestinal disorders
  • Coexisting allergic conditions (asthma, eczema, allergic rhinitis)

Signs and Symptoms

  • Abdominal pain or cramps, especially after meals
  • Bloating and excessive gas
  • Diarrhea or loose, frequent stools
  • Nausea and vomiting
  • Unintentional weight loss
  • Chronic fatigue or lack of energy

Expert Treatment for Eosinophilic Jejunitis by Dr. Bharat Pothuri

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

Medical History and Physical Exam

He examines your abdominal pain, bowel, dietary intake, allergy and family history of eosinophilic diseases.

Blood Tests

To examine both inflammatory markers and eliminate parasitic infections, we order a complete blood count in search of high eosinophil, inflammatory markers, and parasitic infection.

Stool Studies

Stool test is done to check infectious agents, parasite and gut inflammatory biomarkers.

Endoscopy with Biopsy

An upper endoscopy or enteroscopy allows Dr. Pothuri to visualize the jejunum directly and take tissue samples. Pathology confirms eosinophil infiltration.

Imaging Studies

  • CT or MR enterography evaluates small-bowel wall thickening, edema and motility changes.
  • CT/MR enterography measures the thickening of the wall of the small bowel, inflammation, and motility.

Advanced and Allergy Testing (if needed)

Food triggers are identified via allergies panels or elimination diets. Capsule endoscopy can be applied to survey deeper small intestinal bowel.

Dr. Bharat Pothuri
Treatment

Our Team offers a full range of care for eosinophilic jejunitis.

1. Weight Loss through Lifestyle and Diet

  • Elimination diet: Avoid common triggers such as dairy, wheat, soy, nuts, and eggs.
  • Food diary: Chart foods and symptoms to identify potential food sensitivities.
  • Hydration: Drink plenty of water to aid digestion.
  • Reduction of stress: Practice deep breathing, mindfulness, or mild yoga to reduce stress levels.

2. Medications

  • Short-course steroids: Used to quickly lower intestinal inflammation.
  • Coated steroids: Deliver medicine directly to the small intestine.
  • Biologics: Inhibit the formation of cells by targeting eosinophils.
  • Anti-secretory (PPIs): Used when acid reflux contributes to symptoms.

3. Minimal or Complex Surgical Intervention

  • Balloon dilation: Performed to open small intestinal openings of the jejunum.
  • Endoscopic ultrasound: Provides in-depth imaging and guided intervention.
1K

Patients Treated

Dr. Pothuri has treated more than 1K 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 eosinophilic jejunitis? Can it be cured?

Eosinophilic jejunitis refers to inflammation of the middle part of the small intestine (jejunum) caused by an excessive number of eosinophils. Although there is currently no permanent cure, individualized dietary changes, appropriate medication, and ongoing medical supervision by Dr. Pothuri help most patients experience significant improvement.

Does jejunitis produce bloating and diarrhea?

Yes. One of the common effects of eosinophil-induced swelling in the jejunum is gas production, bloating, and loose stools. With specific treatment, symptoms can be alleviated, and inflammation levels can be reduced.

Diagnosis and Treatment of Eosinophilic Jejunitis by Dr. Pothuri

Dr. Pothuri conducts a comprehensive medical evaluation that includes a detailed history, blood tests, and stool examination. Diagnosis is confirmed through endoscopy with biopsy. Treatment usually begins with an elimination diet and may be supplemented with steroids, coated steroids, biologics, acid blockers, or minimally invasive procedures, depending on the patient’s condition.

Where is the biopsy for eosinophilic jejunitis performed in Houston?

Dr. Pothuri performs endoscopic biopsies at several leading medical centers in Houston, including the Texas Medical Center, Memorial Hermann, and HCA Houston Healthcare. His team assists patients with scheduling and preparation to ensure a smooth and hassle-free experience.

What foods should I avoid?

Common dietary triggers include dairy, wheat, soy, nuts, eggs, and certain fruits. Following an elimination diet and maintaining a food diary helps identify individual food sensitivities under Dr. Pothuri’s guidance.

Is long-term steroid use safe?

To minimize steroid exposure, Dr. Pothuri typically recommends short courses of systemic steroids, gut-targeted coated steroids, or biologics whenever possible. He closely monitors each patient’s progress to ensure both safety and effectiveness of the treatment plan.

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