Expert Treatment for Gastrointestinal Disorder by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He inquires of you the quality, where and when your pain is in your epigastric region, whether it has an association with eating or stress, whether you take NSAIDs or drink alcohol, whether you had GI problems in the past, and whether any family members had ulcers or GI cancers.
Blood Tests
Complete blood count is ordered to identify anemia, liver enzymes, pancreatic enzymes (amylase/lipase) and H. pylori antibody exam.
Imaging Studies
- Abdominal ultrasound to evaluate your gallbladder (stones or sludge), liver, pancreas and biliary tree.
- CT scan of the abdomen if you have severe or persistent pain to rule out pancreatitis, perforation or other acute conditions.
Advanced Testing (if needed)
To see the esophagus, stomach and duodenum with ulcers or gastritis or tumors in direct view, upper endoscopy (EGD) is needed. In case of the symptoms, which indicate gastroparesis or reflux, he can incorporate gastric emptying tests or esophageal pH.
Frequently Asked Questions
What is a Gastrointestinal Disorder?
Any disorder of the digestive tract—from the esophagus to the colon—including both functional and structural diseases.
What is the Diagnosis of GI Disorders?
Diagnosis is based on symptoms, laboratory tests, endoscopy, imaging, and motility studies.
What Treatments Exist?
Treatment depends on the specific condition and may include diet modification, medications, endoscopic procedures, or surgery.
When is it Necessary to Visit a GI Specialist?
Referral is recommended for recurrent abdominal pain, gastrointestinal bleeding, unexplained weight loss, or abnormal changes in bowel movements.