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Gastric Erosion Without Bleeding
Gastric erosion without bleeding is shallow damage to the stomach lining that may cause mild discomfort or no symptoms. In Houston, Dr. Scott at GastroDoxs provides evaluation, personalized treatment plans, and advanced therapies to heal the lining and prevent recurrence.
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Common Causes and Risk Factors
Regular use of NSAIDs (ibuprofen, aspirin)
Excess stomach acid production
Chronic gastritis without bleeding
Infection with Helicobacter pylori bacteria
Heavy alcohol use or smoking
Ongoing stress or chronic illness
Signs and Symptoms
Often none in early stages
Mild burning or discomfort in the upper abdomen
Bloating or feeling full quickly
Nausea or occasional vomiting
Heartburn or acid reflux
Reduced appetite
How Dr. Scott Diagnoses Gastric Erosion Without Bleeding?
Dr. Scott uses a step-by-step approach:
Medical History and Physical Exam
He reviews symptoms such as upper abdominal discomfort, fullness, nausea, and history of NSAID use, alcohol intake, or H. pylori exposure. A focused physical exam helps identify tenderness in the upper abdomen or related signs of gastric irritation.
Blood Tests
Basic labs assess for signs of inflammation, nutritional deficiencies, or subtle anemia. Although overt bleeding is absent, a complete blood count (CBC) may still be done to monitor trends.
Upper Endoscopy (EGD)
This is the key diagnostic tool. Dr. Scott uses a flexible endoscope to directly visualize the stomach lining and identify shallow erosions without active bleeding. He evaluates the severity, location, and extent of the erosions.
Biopsy
Small tissue samples are taken during the endoscopy to rule out H. pylori infection, chronic gastritis, or early dysplastic changes, especially in patients with chronic symptoms or risk factors.
H. pylori Testing
Rapid urease testing from biopsy samples or non-invasive stool antigen/breath tests may be used to detect Helicobacter pylori, a common cause of erosive gastritis.
Medication and Lifestyle Review
Review of NSAID or aspirin use, which can contribute to gastric lining irritation
Evaluation of alcohol, caffeine, and dietary habits that may worsen symptoms
Assessment of stress levels, smoking history, and sleep patterns
Treatment
Our Team offers a full range of care for gastric erosion without bleeding.
1. Lifestyle and Diet Changes
Eat smaller meals more often
Avoid spicy, fried, or acidic foods
Cut back on caffeine, alcohol, and smoking
Drink plenty of water
Try stress-reducing activities like walking or meditation
2. Medications
Proton pump inhibitors (PPIs) to lower stomach acid
H2 blockers to reduce acid more gently
Antacids for fast relief
Antibiotics if H. pylori infection is detected
3. Procedures
Outpatient endoscopic treatment using tiny tools for deeper erosions
Minimally invasive approach with a short recovery time
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Frequently Asked Questions
What is the ICD-10 code for gastric erosion without bleeding?
The ICD-10 code is K29.50 for acute gastritis without bleeding. Your billing team will confirm the correct code for your case.
How long does healing take?
With the right treatment plan, most patients feel better within four to eight weeks, though individual healing times can vary.
Can gastric erosions return?
Yes. If you stop following your care plan-such as discontinuing medications or lifestyle adjustments-erosions may recur.
Will the endoscopy be painful?
No. You'll receive light sedation, and most patients feel nothing during the procedure.
Can I continue taking NSAIDs?
If needed, Dr. Scott may recommend safer alternatives or prescribe medications that protect your stomach lining.
Are supplements beneficial?
Some, like probiotics, may support healing. Always consult Dr. Scott before starting any new supplements.
What is chronic gastritis without bleeding?
It's a long-term inflammation of the stomach lining without bleeding. Symptoms may be mild or entirely absent.
