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Perianal Abscess Gastroenterologist - Dr. Bharat Pothuri

GastroDoxs offers personal care with incisions and debridement, drainage, and needle aspiration under imaging and supportive treatments, such as sitz baths, antibiotics, and high-fiber diets to heal perianal abscesses fast and ensure long-term healing. Dr. Bharat Pothuri of GastroDoxs in Houston is a specialist in diagnosing and treating perianal abscesses.

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Difficulty Swallowing

American Society for Gastrointestinal Endoscopy

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

Obstructed anal gland resulting into bacterial overgrowth.
Inflammatory bowel disease (e.g. Crohn's disease)
Other illnesses that suppress the immune system such as diabetes.
Cleanliness of the perianal hygiene.
Use of immune-suppressing medications or diseases

Signs and Symptoms

Soreness or aching around the anus, and they tend to feel it when they sit down.
The effect includes redness, warmness, and swelling on the affected region.
A hard, firm nod on the anus.
Decay of temperature or chill in case of contagion.
Pus or blood discharging of the abscess cavity.
Problem or discomfort with bowel movements.

Expert Treatment for Perianal Abscess by Dr. Bharat Pothuri

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

Medical History and Physical Exam

He will enquire when it started, where, and what you feel pain, what you eat, whether you take any kind of medication (NSAIDs, alcohol) and whether you experience any red-flag issues, such as the loss of weight, vomiting, bleeding.

Laboratory Tests

We test complete blood count (CBC) to test anemia or infection, liver function tests (LFTs), Amylase / Lipase as pancreatitis test, and H.-pylori breath or stool test.

Imaging Studies

Abdominal ultrasound to check the gallbladder, liver, and pancreas to be sure they do not have stones or inflammations.
CT scan of the abdomen has been suspected of more detailed anatomy and urgent pathology.

Endoscopic Evaluation

Direct visualization of esophagus, stomach, and duodenum can be done with the help of upper endoscopy (EGD). Ulcers, gastritis or celiac disease can be detected by biopsies.

Advanced Testing (if needed)

In cases where a standard test provides inconclusive results, Dr. Pothuri could order gastric emptying tests to be done in gastroparesis, 24-hour PH to evaluate the reflux, and MRCP to evaluate the biliary branches.

Treatment

Our Team offers a full range of care for perianal abscess.

1. Lifestyle and Home Care

High fiber diet to ensure that bowel movements are soft and regular.
A lot of water consumption to avoid constipation.
Sitz bath two or three times per day to alleviate pain and swelling.
Delicate washing of the anal region following every bowel movement.

2. Medications

Mild and early infections to slows remote bacterial proliferation using antibiotics.
Pain medications that can be purchased over the counter (e.g., ibuprofen) into controlling pain.
Post-surgical drugs to aid in recovery and prevent Exacerbation.

3. Minimally Invasive or Advanced Procedures

Surgical and debridement of pus.
Needle aspiration with the use of ultrasound where necessary.
Seton position in the treatment of fistulas and slow healing of the work tract.
Patient promotion of faster recovery by laser or radiofrequency.

Call Us 832-632-4070 Schedule Now Click Here Text Us 832-632-4070

1.5K

Patients Treated

Dr. Pothuri has treated more than 1.5K 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

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

How long does healing take after drainage?

Majority of the patients experience relief in a few days. It usually takes one to two weeks to heal fully in case of proper care.

Can I prevent another perianal abscess from forming?

Yes. A high-fibre diet and proper hydration and anal hygiene can decrease the possibility to incur abscesses in the future.

When is surgery needed for a perianal abscess?

Big, deep, or recurrent abscesses would most likely need to be cut and drained to eliminate pus and avoid any further complications.

Is antibiotic treatment enough without drainage?

Antibiotics are useful to slow the infection of early or small abscesses, although the majority of them require drainages in order to recover completely.

Will my insurance cover abscess treatment?

Majority of the major plans reimburse drainage procedures and aftercare. Our claims are made in accordance with ICD-10 code K61.0 that would guarantee appropriate billing.

What type of anesthesia is used during drainage?

Drainage surgery is usually carried out either under local anesthesia or light sedation to make you comfortable.

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