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Lymphocytic Gastritis Gastroenterologist

Lymphocytic gastritis is a uncommon inflammatory process in the stomach that is manifested by excessive lymphocytes in the gastric lining. There is under the application of the skills of Dr. Rishi Chadha of the GastroDoxs in Houston patients are diagnosed and treated as a combination of endoscopic assessment, lifestyle choices and other advanced treatment methods that provide permanent relief.

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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 Gastritis?

Lymphocytic gastritis is a rare form of inflammation of the stomach. It occurs when the immune cells or lymphocytes accumulate in the lining of the stomach. This may cause pain, discomfort or stomach ache. ICD-10 Lymphocytic gastritis is coded 29.5.

Common Causes and Risk Factors

  • Celiac disease - It affects about 30 percent of the patients living with celiac disease and is a form of gastritis.
  • H. pylori infection- This is a pneumonia in the stomach, which is a very popular bacterium that can cause an inflammation.
  • Autoimmune diseases - The body attacks the stomach walls of the body.
  • Drugs - NSAIDs and other analgesics can be hormonal irritants of the stomach.
  • Lifestyle - Heavy alcohol consumption and smoking plunge one to risk.

Signs and Symptoms

  • Burning or pain in the upper belly
  • Bloating or nausea
  • Appetite loss or Fullness
  • Unwanted weight loss
  • Discomfort after meals

How Dr. Rishi Chadha Diagnoses Lymphocytic Gastritis?

Dr. Rishi Chadha follows a step-by-step diagnostic process:

Medical History & Physical Exam

He examines your symptoms, your diet history, celiac risk in the family or yourself, medications, alcohol or tobacco history.

Blood Tests

We rule out anemia, and use celiac serology (tTG-IgA) to rule out gluten-sensitive enteropathy.

H. pylori Testing

Non-invasive procedures- urine breath- test/stool antigen-identifies Helicobacter pylori infection which is a common cause of gastritis.

Endoscopy with Biopsy

  • The upper endoscopy enables one to view the stomach lining directly and effortlessly notice any minute changes.
  • Focal biopsies are performed in order to discriminate lymphocytic enfiltration on histology (=25 lymphocytes per 100 epithelial cells).

Additional Evaluation (If Needed)

In specific cases, other causes are ruled out and treatment course is advised with the aid of additional tests e.g. stool studies, allergy panels or repeat endoscopy.

Rishi Chadha
Treatment

Our Houston team offers comprehensive treatment options for lymphocytic gastritis.

1. Diet and Lifestyle Tips

  • Eat small meals more often
  • Avoid fatty, spicy or acidic food
  • Adhere to a gluten-free diet when you have the celiac disease
  • Reduce the intake of alcohol and cease smoking

2. Medications

  • The proton pump inhibitors (PPIs) in order to reduce stomach acid and facilitate the healing.
  • H2 blockers to decrease the level of acid.
  • Incase of the presence of H. pylori infection: antibiotics.
  • Mild steroid to inflame in certain instances Budesonide.

3. Advanced Care (If Needed)

  • Endoscopic surgery to prevent bleeding.
  • Strictures (narrow areas) Endoscopic dilation.
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 gastritis?

Celiac disease, H. pylori infection, autoimmune diseases or some drugs such as NSAIDs and other analgesics.

Is lymphocytic gastritis serious?

It is painful and it may lead to long-term inflammation, yet it is not often severe in case it is treated.

Is lymphocytic gastritis cancer?

No. It is not cancer and chronic gastritis is untreated but may cause complications.

Can lymphocytic gastritis lead to ulcers?

Yes. There is a possibility that long-term inflammation of the stomach lining puts people at an increased risk of ulcers.

How is lymphocytic gastritis different from other forms of gastritis?

On biopsy, it reveals a high count of lymphocytes within the stomach surface only that it is not like other types.

Does lymphocytic gastritis have an ICD-10 code?

Yes. ICD-10 code of lymphocytic gastritis is K29.5.

What diet helps manage lymphocytic gastritis?

The best is a low acid, low-fat, and bland diet. Otherwise, enjoy a strict gluten-free diet in the event that you have celiac disease.

How long does it take to feel better?

Proper dietary modifications and drugs provide relief to most patients in between 4 to 8 weeks.

Do I need an endoscopy to diagnose it?

Yes. Lymphocytic gastritis can only be confirmed by performing an endoscopy with biopsy to determine the lymphocyte levels in the tissue.

Is lymphocytic gastritis genetic?

No obvious genetic connection is present but it can be more prevalent in families having disease of celiac judgment or any other autoimmune illnesses.

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