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Lymphocytic Duodenitis

At GastroDoxs in Jersey Village, our dedicated team specializes in diagnosing and managing lymphocytic duodenitis, providing personalized endoscopic evaluation, advanced biopsy analysis, and expert nutritional guidance to help local patients achieve lasting relief and improved digestive health with compassionate care.

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Bharat Pothuri
Symptoms

What is Lymphocytic Duodenitis?

Lymphocytic Duodenitis is a mild inflammation of the duodenum, the first part of the small intestine. It occurs when more than 25 lymphocytes (a type of white blood cell) are found per 100 lining cells. These immune cells accumulate in response to various triggers and are typically identified through a biopsy during an endoscopy.

Common Symptoms

Symptoms can vary but often include:

  • Ongoing diarrhea
  • Belly pain or cramps
  • Bloating or excess gas
  • Feeling full quickly
  • Unexplained weight loss
  • Fatigue from poor nutrient absorption

Causes

Several factors can trigger an increase in duodenal lymphocytes:

  • Celiac disease (gluten sensitivity)
  • Food intolerances (e.g., dairy or fructose)
  • Certain medications (NSAIDs, antibiotics)
  • Gut infections (bacterial or viral)
  • Other autoimmune conditions
Treatment

Treatment Options for Lymphocytic Duodenitis in Jersey Village

Treatment includes cause-specific therapy and supportive care:

  • Gluten-free diet: For cases linked to celiac disease, strictly avoid gluten to reduce intestinal inflammation.
  • Elimination diet: Identify and remove trigger foods (dairy, fructose) to ease symptoms.
  • Probiotics & anti-diarrheals: Restore healthy gut flora and control persistent diarrhea.
  • Budesonide: A corticosteroid used for moderate to severe inflammation to relieve ongoing cramps and pain.
  • Repeat endoscopy: Follow-up biopsy to check that lymphocyte counts are decreasing and the lining is healing.
  • Low-FODMAP meal plan: Reduce fermentable carbohydrates to minimize bloating, gas, and cramps.
  • Stress management: Techniques such as mindfulness, yoga, or counseling to calm the gut-brain axis.

Why Choose GastroDoxs?

At GastroDoxs in Jersey Village, our patient-focused team combines advanced diagnostics, board-certified expertise, and personalized treatment plans to help you conquer Lymphocytic Duodenitis. From high-accuracy biopsies to tailored diet and lifestyle guidance, we're committed to your long-term digestive health and comfort. Ready to take control of your symptoms? Book your appointment online or call us today. let's start your journey to lasting relief and wellness.

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Patients Treated

We've successfully treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

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 Lymphocytic Duodenitis?

Lymphocytic Duodenitis is a mild inflammation of the duodenum (first part of the small intestine) characterized by an increased number of lymphocytes (immune cells) in the intestinal lining.

How is Lymphocytic Duodenitis diagnosed?

Diagnosis typically involves an upper endoscopy with biopsy. A pathologist counts lymphocytes in the duodenal tissue; more than 25 per 100 epithelial cells indicates Lymphocytic Duodenitis.

What is a normal duodenal lymphocyte count?

In a healthy duodenum, fewer than 25 lymphocytes are found per 100 epithelial cells. Counts above this threshold suggest inflammation.

Can Lymphocytic Duodenitis be linked to celiac disease?

Yes. Celiac disease is a common cause. Gluten triggers an immune response that increases lymphocytes in the duodenum. A gluten-free diet often reduces inflammation.

What symptoms should make me consider this diagnosis?

Common symptoms include chronic diarrhea, abdominal pain or cramps, bloating, early fullness during meals, unexplained weight loss, and fatigue from poor nutrient absorption.

What other conditions can cause Lymphocytic Duodenitis?

Besides celiac disease, it can result from food intolerances (e.g., dairy, fructose), certain medications (NSAIDs, antibiotics), gut infections, and other autoimmune disorders.

How is Lymphocytic Duodenitis treated?

Treatment targets the underlying cause. Options include a gluten-free or elimination diet, probiotics or anti-diarrheal medications, budesonide for more severe cases, and stress reduction or low-FODMAP meal planning.

How long does it take to feel better after starting treatment?

Most patients experience symptom relief within 4-8 weeks of appropriate dietary changes, medications, and lifestyle adjustments.

When should I see a doctor about these symptoms?

If you have persistent diarrhea, unexplained abdominal pain, weight loss, or fatigue, seek evaluation. Early diagnosis can prevent complications and improve quality of life.

Where can I get expert care for Lymphocytic Duodenitis in Jersey Village?

GastroDoxs in Jersey Village offers board-certified gastroenterologists, high-accuracy biopsy testing, and comprehensive care plans-including dietary support and follow-up endoscopies-to help you heal.

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