Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.
Erosive gastropathy occurs when the protective lining of the stomach breaks down, forming small erosions or sores. Unlike simple gastritis (inflammation only), it may cause minor bleeding visible during endoscopy or through symptoms like dark stools. Common ICD-10 codes are K29.50 (gastritis without bleeding) and K29.70 (gastritis with bleeding).
He reviews your symptoms, medication use (NSAIDs, steroids, blood thinners), alcohol and tobacco use, and any prior GI conditions.
An endoscope is passed through your mouth into the stomach to directly visualize erosions, inflammation, or active bleeding.
Small tissue samples are taken during endoscopy to test for H. pylori infection and to rule out other causes like malignancy.
Abdominal ultrasound or CT scan may be ordered to exclude other sources of abdominal pain or bleeding.
Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.
Erosive gastropathy causes visible erosions or small sores in the stomach lining, whereas gastritis refers only to inflammation without actual tissue breakdown.
It can be. Mild bleeding from erosions may lead to anemia over time, and severe bleeding requires urgent medical attention.
The codes are K29.50 for gastritis without bleeding and K29.70 for gastritis with bleeding.
Some mild cases improve with diet and lifestyle changes alone, but medical treatment accelerates healing and reduces complications.
Yes. An upper endoscopy (EGD) is the gold standard to confirm erosions, assess severity, and rule out ulcers or cancer.
Avoid spicy, acidic, or fatty foods as well as caffeine and alcohol, since they can irritate the stomach lining and worsen symptoms.
Most patients experience significant relief within 4 to 8 weeks of appropriate therapy, including medications and diet changes.
Not necessarily. Many patients can taper and stop PPIs once the lining has healed and symptoms have resolved.
Yes. Physical stressors like serious illness, surgery, or trauma can trigger or worsen erosive changes in the stomach lining.
Yes. Infection with H. pylori can contribute to erosions, and treating the infection promotes faster healing of the stomach lining.
