Lymphocytic gastritis is a rare form of chronic gastritis marked by an abnormal buildup of lymphocytes (a type of white blood cell) in the lining of the stomach. It's most often diagnosed during an endoscopy with biopsy, where pathology reports reveal increased intraepithelial lymphocytes. The official ICD-10 code is K29.81.
Symptoms can range from mild to moderate and often overlap with other stomach disorders. You may experience:
The exact trigger for lymphocytic gastritis isn't always clear, but common associations include:
At GastroDoxs in Cypress, we deliver patient-centered expertise in diagnosing and treating lymphocytic gastritis. Our board-certified gastroenterologists utilize advanced endoscopy, biopsy, and targeted testing to uncover the root cause of your symptoms. We then craft a personalized plan-ranging from acid-reducing medications and H. pylori eradication to dietary strategies like gluten-free or low-FODMAP protocols, probiotics, and immune-modulating therapies. With clear explanations, ongoing follow-up, and compassionate support, we're dedicated to helping you achieve lasting relief and improved digestive health. Call us today to schedule your appointment and take the first step toward a healthier you.
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Diagnosis is made via upper endoscopy and biopsy. During endoscopy, a gastroenterologist visually inspects the stomach lining and takes small tissue samples. A pathologist then confirms excessive lymphocytes in the stomach lining.
Dietary changes-such as adopting a gluten-free or low-FODMAP plan-can significantly reduce inflammation and symptoms. However, most patients also need acid-suppressing medications or other treatments for full relief.
With proper treatment, including medications, dietary adjustments, and addressing any underlying triggers (like H. pylori), many people experience full remission. Untreated cases can persist or worsen over time.
Yes. Chronic stomach inflammation can impair iron absorption or lead to microscopic bleeding, both of which may result in iron-deficiency anemia.
Yes. There is a strong association between lymphocytic gastritis and celiac disease. If you have gastrointestinal symptoms or a family history of celiac, serologic tests and possibly a small-bowel biopsy are recommended.
Certain probiotic strains may support gut barrier function and balance stomach flora. Ask your gastroenterologist which specific strains and doses are best for your condition.
No. Surgery is not a treatment for lymphocytic gastritis. Management relies on medications, dietary changes, and treating any underlying causes like H. pylori infection.
Many patients notice symptom improvement within 2-4 weeks of starting acid-reducing therapy and making dietary changes. Complete healing may take longer, depending on severity and underlying factors.
A repeat endoscopy is only necessary if symptoms persist, recur, or if there is concern for complications. Your gastroenterologist will advise on the timing based on your response to treatment.
Yes. Stress can increase stomach acid production and exacerbate inflammation. Stress-reduction techniques-such as mindfulness, yoga, or counseling-can be a helpful adjunct to medical therapy.