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Lymphocytic Colitis

Lymphocytic colitis diagnosis and treatment at GastroDoxs in Jersey Village offers trusted, comprehensive care for persistent diarrhea and abdominal discomfort, combining advanced testing, personalized treatment plans, and compassionate support to help our local community regain digestive health and everyday comfort.

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Bharat Pothuri
Symptoms

What is Lymphocytic Colitis?

Lymphocytic colitis is a form of microscopic inflammation in the colon that leads to persistent, watery diarrhea. Despite a normal appearance on colonoscopy, too many lymphocytes (a type of white blood cell) collect in the colon lining. A biopsy under the microscope is required to confirm the diagnosis. In medical coding, lymphocytic colitis is classified as ICD-10 code K52.81.

Common Symptoms

Symptoms may come and go, but you might notice:

  • Watery diarrhea multiple times a day
  • Abdominal cramps or a dull ache
  • Sensation of urgent need to use the bathroom
  • Fatigue or slight weight loss
  • Normal-looking colonoscopy despite ongoing symptoms

Causes

The exact cause isn't known, but risk factors include:

  • An overactive immune system
  • Use of NSAIDs, acid-blocking medications, or certain antidepressants
  • Previous infections in the digestive tract
  • Family history of gastrointestinal disorders
Treatment

Treatment Options for Lymphocytic Colitis in Jersey Village

Treatment includes medical therapies and lifestyle adjustments:

  • Budesonide: A targeted steroid that reduces inflammation in the colon lining, typically given for 4-8 weeks.
  • Loperamide: An anti-diarrheal agent to slow bowel movements and ease frequent, watery stools.
  • Bile acid binders: Medications such as cholestyramine that bind excess bile acids and help control diarrhea.
  • Low-FODMAP diet: Limiting fermentable carbohydrates (certain fruits, vegetables, dairy) that can trigger symptoms.
  • Hydration & electrolytes: Drinking plenty of fluids and using oral rehydration solutions to prevent dehydration.
  • Stress management: Practicing relaxation techniques (meditation, yoga, gentle exercise) to reduce flare-ups.
  • Symptom diary: Tracking foods, medications, and stressors to identify personal triggers and guide adjustments.

Ready to Take Control of Your Digestive Health?

If you're dealing with persistent diarrhea, abdominal discomfort, or other symptoms of lymphocytic colitis, don't wait to get the care you deserve. At GastroDoxs in Jersey Village, our board-certified specialists will work with you to develop a personalized treatment plan-whether that involves medication, dietary guidance, or lifestyle strategies. Book your appointment today and take the first step toward lasting relief and better digestive health.

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We've successfully treated more than 1K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

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With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What is the ICD-10 code for lymphocytic colitis?

The ICD-10 code for lymphocytic colitis is K52.81. This code appears in your medical records and is used for insurance and billing purposes.

How is lymphocytic colitis different from ulcerative colitis?

Ulcerative colitis causes visible ulcers and deeper mucosal damage that can be seen during a colonoscopy. In lymphocytic colitis, the colon lining looks normal on scope; a biopsy is required to detect microscopic lymphocyte inflammation.

What symptoms should I expect with lymphocytic colitis?

Common symptoms include persistent watery diarrhea, abdominal cramps or dull ache, urgency to use the bathroom, fatigue, and sometimes slight weight loss. Symptoms may wax and wane over time.

Can diet changes really help manage lymphocytic colitis?

Yes. Many patients benefit from a low-FODMAP or lactose-free diet, eating smaller meals more frequently, and avoiding spicy, fatty foods and caffeine to reduce diarrhea and cramping.

Where can I read more about lymphocytic colitis?

Reliable information is available on reputable health websites (such as the Crohn's & Colitis Foundation), gastroenterology society pages, and medical libraries. Your specialist can also recommend trusted resources.

How long does treatment for lymphocytic colitis usually take?

With medications like budesonide, most patients notice improvement within 4 to 8 weeks. The exact duration depends on symptom severity and individual response to therapy.

Is it hard to live with lymphocytic colitis long term?

With the right combination of medication, diet adjustments, and stress management, most people lead normal, active lives and keep symptoms under control.

When should I see a doctor about digestive symptoms?

If you experience persistent diarrhea or abdominal pain lasting more than two weeks, significant weight loss, dehydration, or severe urgency, schedule an evaluation with a gastroenterologist.

Can stress affect lymphocytic colitis?

Yes. Stress can trigger or worsen cramping and diarrhea. Techniques like mindfulness, gentle exercise, and adequate rest can help manage stress-related flares.

Will I need another colonoscopy for lymphocytic colitis?

Your doctor may recommend follow-up colonoscopies with biopsies to assess healing, monitor for complications, or rule out other conditions, depending on your treatment response and symptoms.

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