Erosive Gastropathy

What is Erosive Gastropathy?

Erosive gastropathy happens when parts of your stomach lining begin to wear down. This damage is usually mild but visible during an endoscopy. When there are no signs of active bleeding, it's called non-bleeding erosive gastropathy (ICD-10 K29.70). If bleeding is present, the code is K29.71.

Common Symptoms

Symptoms can be uncomfortable but often start mildly. You may notice:

• A burning or gnawing pain in the upper stomach
• Nausea or bloating
• Feeling full too quickly
• Loss of appetite or slight weight loss
• Rarely, hidden blood in the stool

Causes

Erosive gastropathy develops when something irritates the stomach lining. Common causes include:

• Regular use of NSAIDs (such as ibuprofen or aspirin)
• Frequent alcohol consumption
• Smoking
• High stress or serious systemic illness
• Infection with H. pylori
• Acid or bile reflux into the stomach

Treatment Options for Erosive Gastropathy in Jersey Village

Treatment includes medication, lifestyle changes and follow-up care:

• Acid-reducing medications: Proton pump inhibitors (PPIs) or H2 blockers to lower stomach acid and promote healing.
• Stomach protectants: Sucralfate or similar agents to coat and shield the gastric lining from further irritation.
• NSAID management: Stop or reduce nonsteroidal anti-inflammatory drugs; switch to alternative pain relievers when appropriate.
• Dietary modifications: Avoid spicy, fatty or acidic foods; eat smaller, more frequent meals and include bland options like bananas and oatmeal.
• Stress reduction: Relaxation techniques, mindfulness or counseling to help lower stress-induced acid production.
• Follow-up testing: Repeat endoscopy or noninvasive assessments to ensure the lining is healed and adjust treatment as needed.