What Is Lymphocytic Gastritis?
Lymphocytic gastritis is a rare form of stomach inflammation marked by an excessive buildup of lymphocytes (a type of white blood cell) in the stomach lining. This cellular overgrowth can lead to irritation, pain, and various digestive disturbances.
Common Causes and Risk Factors
- Autoimmune disorders targeting the stomach lining
- Celiac disease triggered by gluten exposure
- Infection with Helicobacter pylori bacteria
- Regular use of NSAIDs (non-steroidal anti-inflammatory drugs)
- Age (more common in older adults) and female sex
Signs and Symptoms
- Burning or aching pain in the upper abdomen
- Nausea, with or without vomiting
- Feeling full quickly after small meals
- Loss of appetite and unintended weight loss
- General digestive discomfort and bloating
Expert Treatment for Lymphocytic Gastritis by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Physical Exam
He reviews your symptoms-especially epigastric pain, nausea, early satiety-along with medical history, medication use (NSAIDs), autoimmune risk factors, and dietary triggers such as gluten.
Blood Tests
- Complete blood count to detect anemia or signs of chronic inflammation.
- Serologic screening for celiac disease (tTG-IgA).
- H. pylori testing via urea breath, stool antigen, or antibody assays.
Upper Endoscopy
An endoscopic examination allows direct visualization of the stomach lining to identify erythema, nodularity, or other mucosal changes associated with gastritis.
Biopsy and Histological Analysis
Multiple gastric mucosal samples are taken during endoscopy to quantify intraepithelial lymphocytes and confirm the diagnosis of lymphocytic gastritis.
Additional Testing (if needed)
If autoimmune gastritis or other less common causes are suspected, Dr. Pothuri may order antibody panels or advanced imaging studies to complete the evaluation.
Frequently Asked Questions
What makes lymphocytic gastritis different?
Unlike other forms of gastritis, lymphocytic gastritis is characterized by an abnormally high number of lymphocytes (white blood cells) in the stomach lining, confirmed via biopsy during endoscopy.
Can diet alone fix lymphocytic gastritis?
While dietary adjustments-such as avoiding spicy, acidic, and fried foods-can help relieve symptoms, they do not cure the condition. A full treatment plan often includes medications and addressing underlying causes.
Is lymphocytic gastritis dangerous?
If left untreated, it may lead to complications like ulcers or bleeding. However, most patients respond well to targeted therapies and heal without major issues.
How long does treatment typically take?
Many patients notice symptom relief within 4-8 weeks. Complete healing of the stomach lining can require several months and depends on cause and adherence to treatment.
Will I need follow-up appointments?
Yes. Periodic follow-ups-including endoscopic checks and lab tests-ensure the stomach lining is healing properly and help prevent recurrence.
Can children develop lymphocytic gastritis?
Although rare, children-especially those with celiac disease or autoimmune disorders-can develop lymphocytic gastritis. Diagnosis and management follow similar protocols as in adults.
Are support groups available?
Yes. Local celiac and autoimmune disease support groups in Houston can provide education, resources, and community for patients and families.