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 is a disorder which occurs when the protective lining of the stomach is destroyed that forms small erosions or sores. Unlike plain gastritis (inflammation only), it may result in mild bleeding which that may be observed on endoscopy or due to such signs as dark stools. An example of ICD-10 common code includes K29.50 (gastritis without bleeding) and K29.70 (gastritis with bleeding).
He analyzes your symptoms, medicines (NSAIDs, steroids, blood thinners), alcohol and tobacco, and past GI diseases.
A very big endoscope is placed directly into your stomach through your mouth so as to look at erosions, inflammation, or active bleeding.
In endoscopy, small pieces of tissue samples are used to test the presence of H. pylori infection and the rule out of other illnesses including malignancy.
To exclude other causes of abdominal pains or bleeding, the abdominal ultrasound or CT scan can be ordered.
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 erosions or small sores which can be seen in the stomach lining but gastritis just signifies inflammation without tissue damage.
It can be. Mild bleeding can be the result of erosion and it will lead to the state of anemia in the long run, provided that severe bleeding takes place.
These codes are K29.50 gastritis without bleeding and K29.70 gastritis with bleeding.
Milder cases would be ameliorated by change in diet and lifestyle, but medical management remedies them quicker and reduces complications.
Yes. The highest standard of determining erosions, severity, and absence of ulcers or cancer is upper endoscopy (EGD).
Avoid spicy, acidic or fatty foods and caffeine and alcohol as well due to the irritation of the lining of the stomach and worsening of the symptoms.
Most patients will obtain a significant amount of reprieve within a span of 4 -8 weeks when subjected to proper therapy probably including medications and change of diet.
Not necessarily. Many patients can taper and stop PPIs when the lining is healed and the symptoms have disappeared.
Yes. Physical stressors (like serious illness, surgery or trauma) may cause or worsen the erosive changes of the stomach lining.
Yes. H. pylori infection can be included in the factors contributing to erosions and treatment of this infection will enhance the faster healing of the stomach lining.
