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Lymphocytic Gastritis
Experiencing stomach pain, bloating or nausea? Lymphocytic gastritis occurs when immune cells accumulate in the stomach lining, causing inflammation and digestive issues. At GastroDoxs in Houston, Dr. Scott offers evaluation, personalized treatment plans and support to restore your gut health.
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
Celiac disease and gluten sensitivity
Other autoimmune disorders
Helicobacter pylori infection
Long-term use of NSAIDs (e.g., ibuprofen)
Signs and Symptoms
Pain or burning in the upper abdomen
Nausea and occasional vomiting
Poor appetite or unintended weight loss
Feeling full after eating small amounts
How Dr. Scott Diagnoses Lymphocytic Gastritis?
Dr. Scott uses a step-by-step approach:
Medical History and Physical Exam
He reviews symptoms such as upper abdominal discomfort, nausea, early satiety, bloating, or unintended weight loss. He also considers risk factors such as autoimmune disorders, celiac disease, or chronic infections. A focused exam checks for abdominal tenderness or signs of nutritional deficiencies.
Blood Tests
Lab work may include a complete blood count (CBC) to check for anemia, vitamin B12 and iron levels, celiac screening (tTG-IgA), and inflammatory markers. These help identify underlying autoimmune or malabsorptive conditions associated with lymphocytic gastritis.
Upper Endoscopy (EGD)
This is the key diagnostic tool. Dr. Scott uses a flexible endoscope to examine the stomach lining for subtle changes such as mucosal nodularity, erosions, or normal-appearing tissue.
Treatment
Our Team offers a full range of care for lymphocytic gastritis.
1. Lifestyle and Diet Modifications
Try a gluten-free diet if you have celiac disease.
Avoid NSAIDs (non-steroidal anti-inflammatory drugs) and limit alcohol intake.
Eat smaller, more frequent meals to reduce stomach pressure.
Keep a food diary to identify and avoid your personal triggers.
2. Medications
Proton pump inhibitors (PPIs) to lower stomach acid and promote healing.
H2-receptor blockers for short-term symptom relief.
Antibiotics when Helicobacter pylori infection is confirmed.
Vitamin B12 or other supplements if testing shows deficiencies.
3. Minimally Invasive or Advanced Procedures
Endoscopy with biopsy for diagnosis, monitoring, and guidance of therapy.
Capsule endoscopy if small-intestinal involvement is suspected or standard endoscopy is inconclusive.
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 causes lymphocytic gastritis?
It's often linked to celiac disease or immune problems. Infections and certain medications may also trigger it.
Can lymphocytic gastritis turn into cancer?
No strong evidence shows this condition leads to cancer. Regular monitoring and follow-up care are still important.
How is lymphocytic gastritis different from H. pylori gastritis?
H. pylori gastritis is caused by a bacterial infection, whereas lymphocytic gastritis is driven by an immune cell buildup in the stomach lining.
Will a gluten-free diet help?
Yes, if you have celiac disease. For other cases, treatment may include acid reducers, dietary adjustments, or addressing underlying causes.
How long does treatment usually take?
Many patients notice symptom relief within a few weeks, but full healing of the stomach lining may take a few months.
Does an endoscopy hurt?
No. You're typically sedated during the procedure and feel minimal to no discomfort.
What is the ICD-10 code for lymphocytic gastritis?
The code is K29.5. Ask Dr. Scott to explain what this means for your diagnosis and treatment plan.
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