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Lymphocytic Duodenitis

At GastroDoxs in Houston, our expert team provides comprehensive lymphocytic duodenitis care, from precise biopsy diagnostics and personalized nutrition guidance to regular ongoing monitoring, ensuring local patients benefit from state-of-the-art gastrointestinal treatment and compassionate, tailored support for optimal digestive health.

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Bharat Pothuri
Symptoms

What is Lymphocytic Duodenitis?

Lymphocytic duodenitis is a condition where excess lymphocytes (a type of white blood cell) accumulate in the lining of the duodenum, the first part of the small intestine. This buildup leads to mild inflammation and irritation, which is most often diagnosed via biopsy during an upper endoscopy.

Common Symptoms

Symptoms can be subtle at first but may include:

  • Bloating or gas
  • Abdominal pain or cramping
  • Loose stools or mild diarrhea
  • Fatigue or low energy
  • Unexplained weight loss

Causes

Several factors can trigger lymphocyte overactivity in the duodenum:

  • Gluten sensitivity or early celiac disease
  • Food allergies or intolerances
  • Certain medications (for example, NSAIDs like ibuprofen)
  • Gastrointestinal infections
  • Autoimmune disorders affecting the gut lining
Treatment

Treatment Options for Lymphocytic Duodenitis in Houston

Treatment includes dietary adjustments and medical care:

  • Gluten-free or specialized diet: Eliminating gluten or other trigger foods (dairy, lactose, FODMAPs) can reduce duodenal inflammation.
  • Elimination and reintroduction plan: A structured approach to identify food intolerances and establish a long-term, symptom-free diet.
  • Vitamin and mineral supplementation: Supplement B12, iron, vitamin D, and other nutrients to correct deficiencies and support mucosal healing.
  • Anti-inflammatory medications: Short courses of budesonide or other gut-targeted steroids may be prescribed to calm lymphocyte-driven irritation.
  • Probiotics and gut support: Specific probiotic strains can help rebalance intestinal flora and promote mucosal recovery.
  • Endoscopic monitoring: Follow-up upper endoscopy with biopsy tracks the response to treatment and ensures the duodenal lining is healing.
  • Laboratory testing: Regular blood work to monitor complete blood count, nutrient levels, and inflammatory markers (e.g., CRP).

Why Choose GastroDoxs?

At GastroDoxs in Houston, we specialize in diagnosing and treating lymphocytic duodenitis and other gastrointestinal conditions. Our patient-centered approach combines expert endoscopy services, personalized dietary guidance, and compassionate follow-up care to help you achieve lasting relief. Don't wait-book your appointment today and take the first step toward a healthier, more comfortable life.

306

Patients Treated

We've successfully treated more than 306 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 Lymphocytic Duodenitis?

Lymphocytic duodenitis is an inflammatory condition in which too many lymphocytes (a type of white blood cell) collect in the lining of the duodenum, causing mild swelling and irritation.

How is Lymphocytic Duodenitis diagnosed?

It's most often diagnosed during an upper endoscopy when a small tissue sample (biopsy) from the duodenum shows an elevated count of lymphocytes under the microscope.

Can Lymphocytic Duodenitis be mistaken for celiac disease?

Yes. Early or mild celiac disease can present with similar duodenal lymphocytosis, but not everyone with lymphocytic duodenitis has full-blown celiac. Additional blood tests and response to a gluten-free diet help distinguish them.

Does diet help manage Lymphocytic Duodenitis?

Often, yes. Many patients improve on a gluten-free or other elimination diet tailored to their food sensitivities, which can reduce inflammation and alleviate symptoms.

How quickly do symptoms improve with treatment?

Some people notice relief in a few weeks after starting dietary changes or medications, but complete healing of the duodenal lining can take longer and requires follow-up evaluation.

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