1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Best External Hemorrhoids Gastroenterologist

In Houston, GastroDoxs, Dr. Bharat Pothuri is involved in diagnosis and treatment of esophagitis, pains and swellings of the esophagus. As a result of integrating modern endoscopy with individual dietary instructions and specialized treatment, he enables patients to experience a painless swallow and a prolonged supply of dietary comfort.

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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.

Common Causes and Risk Factors

  • Straining during bowel movements
  • Chronic diarrhea or frequent bathroom trips
  • Pregnancy and increased pelvic pressure
  • Being overweight or obese
  • Sitting for long periods, especially on hard surfaces
  • Frequent heavy lifting

Signs and Symptoms

  • Painful swelling or small lumps around the anus
  • Itching or burning sensation in the anal area
  • Bright red bleeding on toilet paper or in the bowl
  • Discomfort when sitting or during bowel movements
  • Mucus discharge after passing stool

Expert Treatment for External Hemorrhoids by Dr. Bharat Pothuri

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

Medical History and Symptom Review

He examines chest or epigastric pain, difficulties with swallowing, burning, eating habits, drugs, and risk factors.

Physical Examination

A gentle inspection of the anal canal and perianal skin to identify swollen veins, lumps, skin tags, or inflammation.

Anoscopic Evaluation

Using a small, lighted anoscope, he visualizes the anal canal to confirm the presence and grade of hemorrhoids, and to rule out internal lesions.

Digital Rectal Exam

A lubricated gloved finger exam assesses sphincter tone, checks for masses, and evaluates tenderness.

Additional Testing (if indicated)

Monitors muscle contractions to exclude the possibility of motility disorders such as achalasia.

Dr. Bharat Pothuri Examining Patient
Treatment

Our Team offers a full range of care for external hemorrhoids.

1. Diet and Lifestyle Alteration

  • Take smaller, soft meals to reduce esophageal irritation.
  • Eat only foods that do not trigger symptoms, avoiding spicy, acidic, or very hot foods.
  • Limit or eliminate caffeine and alcohol.
  • Undergo complete food-allergy testing and follow a customized elimination diet.

2. Medications

  • Proton pump inhibitors (PPIs): Reduce stomach acid.
  • Topical steroids: Applied to the esophagus to treat eosinophilic esophagitis.
  • Antacids: Provide quick relief for heartburn.
  • Antibiotics/antifungals: Prescribed if an infection is present.

3. Minimally Invasive or Major Procedures

  • Balloon dilation: Stretches tight areas of the esophagus.
  • Radiofrequency (RF) therapy: Strengthens the lower esophageal sphincter.
  • Endoscopic surveillance: Non-surgical procedure for accurate assessment and monitoring.
871

Patients Treated

Dr. Pothuri has treated more than 871 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 duration of esophagitis?

Most patients begin to feel better within 2–4 weeks of treatment. More serious cases may require prolonged therapy and follow-up.

Is eosinophilic esophagitis self-limiting?

Symptoms often improve with topical steroids and proper elimination diets. Some patients require ongoing treatment to prevent recurrence.

Does untreated esophagitis pose a risk?

Yes. Chronic inflammation can cause strictures, ulcers, bleeding, or scarring, which can make swallowing difficult. Early treatment helps prevent these complications.

Can proper dieting help heal the esophagus?

Avoiding trigger foods—such as spicy, acidic, and allergenic foods—can reduce irritation and support healing. Dr. Pothuri customizes a diet plan based on individual triggers.

Is endoscopy required for diagnosis?

Endoscopy is recommended for persistent or severe symptoms. It allows direct visualization, biopsies, and accurate diagnosis of the underlying cause.

Are natural tips helpful for esophagitis?

Yes. Eating slowly, sleeping with the head elevated, maintaining a healthy weight, and managing stress can complement medical treatment and improve outcomes.

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