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Lymphocytic Gastritis
If you're experiencing stomach discomfort, lymphocytic gastritis could be the cause. In Houston, Dr. Nghia Nguyen at GastroDoxs offers expert diagnosis and personalized treatment—from endoscopy and biopsies to dietary changes and medications—to help you find relief and restore digestive health.
Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.
What Is Lymphocytic Gastritis?
Lymphocytic gastritis is a rare form of chronic stomach inflammation. It occurs when white blood cells called lymphocytes accumulate in the stomach lining, leading to irritation, swelling, and discomfort.
Common Causes and Risk Factors
Autoimmune reaction against the stomach lining
Celiac disease or sensitivity to gluten
Helicobacter pylori infection
Long-term use of NSAIDs (e.g., ibuprofen)
Female gender and adult age
Signs and Symptoms
Abdominal pain or cramps
Nausea or vomiting
Feeling full quickly after starting a meal
Reduced appetite
Unintended weight loss
How Dr. Nghia Nguyen Diagnoses Lymphocytic Gastritis?
Dr. Nguyen uses a step-by-step approach:
Symptom Review and Physical Exam
He evaluates your epigastric pain, nausea, appetite changes and reviews medication use (NSAIDs, aspirin) and risk factors like celiac disease.
Blood Tests
We check for anemia, iron levels and celiac-related antibodies to rule out gluten sensitivity.
Breath and Stool Tests
A urea breath test or stool antigen test helps detect H. pylori infection.
Upper Endoscopy and Biopsy
Direct visualization of the stomach lining with a thin, flexible endoscope.
Targeted biopsies are taken to count lymphocytes and confirm inflammation under the microscope.
Additional Imaging (if needed)
Rarely, CT or MRI scans may be ordered to exclude structural lesions or other causes of pain.
Treatment
Our Team offers a full range of care for lymphocytic gastritis.
1. Lifestyle and Diet Changes
Eat small, frequent meals to reduce stomach irritation
Avoid spicy, greasy, or sour foods that can trigger symptoms
Eliminate alcohol, coffee, and tobacco to promote healing
Follow a strict gluten-free diet if celiac disease is present
2. Medications
Proton pump inhibitors or H₂ blockers to decrease stomach acid
Antibiotic regimens to eradicate H. pylori infection, when detected
Probiotic supplements to support healthy gut flora
3. Minimally Invasive or Advanced Procedures
Upper endoscopy with biopsy for definitive diagnosis and targeted management
Endoscopic treatment of ulcers or strictures without the need for open surgery
High-resolution imaging tools for early detection and monitoring of mucosal changes
Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.
Frequently Asked Questions
What is lymphocytic gastritis?
It is a type of stomach inflammation where too many white blood cells (lymphocytes) build up in the stomach lining.
What symptoms should I watch for?
Look for stomach pain or cramps, nausea or vomiting, feeling full after small meals, decreased appetite, and unintentional weight loss.
What causes this condition?
Causes include autoimmune reactions, gluten sensitivity (celiac disease), H. pylori infection, and long-term use of certain medications like ibuprofen.
How long does it take to get better?
Most people begin to feel relief within a few weeks of starting appropriate treatment.
Can changes to my diet help?
Yes. Eating smaller, gentle meals often and avoiding spicy, greasy, sour foods, alcohol, coffee, and gluten (if needed) can aid healing.
Is this a serious problem?
If left untreated, it may lead to ulcers or bleeding. Early diagnosis and care help prevent complications.
How do I get an appointment?
You can call our office or use our website to schedule a visit with Dr. Nghia Nguyen at GastroDoxs.
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