1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Lymphocytic Duodenitis Doctor - Dr. Rishi Chadha

The immune cell accumulation in the duodenum causes the lymphocytic duodenitis making the duodenum bloat, have mild pain and nutrient problems even though the intestine looks normal. Dr. GastroDoxs Rishi Chadha is a specialist in Houston, where he provides diagnosis, treatment and advanced endoscopy services with an aim of restoring the digestive system.

Call Us 832-632-4070 Schedule Now Click Here Text Us 832-632-4070 Learn More Click Here
Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Rishi Chadha

About the Expert

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.

What Is Lymphocytic Duodenitis?

Lymphocytic duodenitis is a great deal of mild inflammation of the duodenum (the first part of the little intestine) that happens due to excess accumulation of lymphocytes in the duodenum. However, in endoscopic observation, the mucosa may appear normal but biopsy demonstrates an increase in the number of intraepithelial lymphocytes. In cases where it results in malabsorption, it is usually coded under ICD-10 K90.41.

Common Causes and Risk Factors

  • Celiac (with or without complete villous atrophy) disease
  • Other autoimmune conditions, e.g. diabetes type 1 or thyroid disease
  • Gastrointestinal infections
  • As such drugs as NSAIDs or proton pump inhibitors (PPIs)
  • Triggers that are not well known (most of the cases cannot be identified as to their cause)

Signs and Symptoms

  • Bloating or excess gas
  • Light abdominal pain or discomfort
  • True or loose stool or mild diarrhea
  • Weakness due to non-contentment of nutrients
  • The symptoms tend to manifest themselves or after meals or when the stress is high

How Dr. Rishi Chadha Diagnoses Lymphocytic Duodenitis?

Dr. Chadha uses a thorough, step-by-step approach:

1. Medical History

He inquires you about your symptoms, what you eat, and whether your family has gulterations

2. Blood Tests

They are a test of signs of celiac disease (eg, the presence of tissue transglutaminase antibodies) and a test of the important nutrient levels.

3. Endoscopy with Biopsy

An endoscope is a small camera that is used to inspect the duodenal lining and a small piece of tissue is processed by Dr. Chadha. This is then measured in the lab lymphocytes-fewer than 25 per 100 cells is normal.

4. Follow-Up

He also provides detailed review on your biopsy results and answers all your questions to provide treatment.

Dr. Rishi Chadha
Treatment

Treatment Options at GastroDoxs in Houston

1. Diet and Lifestyle Tips

  • Test a gluten light or gluten free diet (when you do not have complete with celiac disease)
  • Consume cooked vegetables, low fat dairy and lean meats
  • Take a lot of water every day

2. Medications

  • Antipyretics (PPIs or H 2 blockers ) to reduce stomach irritation.
  • Budesonide (itanret-local steroid) to easy more stubborn or persistent inflammation.
  • To help maintain a healthy gut gut flora, probiotics are needed.

3. Advanced Tools (if needed)

  • Less invasive endoscopic scopes to reimagine healing.
  • Repeat biopsy to establish a reduction in lymphocytes.
  • Individual follow-up programs-follow up without surgery in most cases.
Rishi Chadha

About the Author

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.

Frequently Asked Questions

What causes lymphocytic duodenitis?

Celiac disease (although not all villi are damaged), autoimmune disorders, intestinal infections, specific medications (NSAIDs or PPIs) or in some cases no cause whatsoever is identified.

Is lymphocytic duodenitis serious?

It is usually mild with the risk of developing malabsorption and fatigue in the case of untreated wide.

What is a normal lymphocyte count in the duodenum?

Less than 25 lymphocytes/100 epithelial-cells is taken as normal.

Is lymphocytic duodenitis linked to celiac disease?

Yes. Celiac changes with no full villous atrophy occur very early in many of the patients.

What is the ICD-10 code for this condition?

When gold swellings are related with malabsorption, then K90.41 is used.

Can diet help manage lymphocytic duodenitis?

Yes. A gluten-free diet or a gluten-reduced diet, consumption of lean proteins and cooked vegetables, and hydration tend to increase the symptoms.

Do I need an endoscopy to diagnose it?

Yes. Endoscopy is necessary to rule out the diagnosis by counting lymphocytes with the help of a duodenal biopsy.

How soon will I feel better after starting treatment?

The positive results of changes in diet and /or medication are observed in most patients after 4 to 8 weeks.

Will I need surgery?

Contact the office of GastroDoxs in Houston. Our team will assist in the insurance, preparing instructions and appointments.

How do I schedule an appointment with Dr. Chadha?

Contact the office of GastroDoxs in Houston. Our team will assist in the insurance, preparing instructions and appointments.

Related Blogs
Abdominal Pain

The Difference Between a Bellyache and Abdominal Pain

Read More
Abdominal Pain

When Abdominal Pain Is Cause for Concern

Read More
Abdominal Pain

Dysphagia

Read More