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Lymphocytic Colitis

Lymphocytic colitis is a chronic inflammatory bowel disorder marked by persistent watery diarrhea and abdominal discomfort, which can be expertly diagnosed and treated at GastroDoxs in katy, where our skilled gastroenterologists deliver personalized care, comprehensive evaluations, and advanced therapies.

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Harris County Medical Society
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Bharat Pothuri
Symptoms

What is Lymphocytic Colitis?

Lymphocytic colitis is an inflammatory disorder of the large intestine in which the lining of the colon becomes irritated but without ulcers or major tissue damage. Although it may appear mild, it often causes persistent diarrhea and abdominal discomfort that can interfere with daily life. It's a relatively rare condition, affecting about 5 to 10 people per 100,000 each year, and while most cases aren't directly inherited, a family history of bowel disease may raise your risk.

Common Symptoms

Symptoms of lymphocytic colitis can vary but frequently include:

  • Chronic, watery diarrhea
  • Abdominal cramps, bloating or gas
  • Urgent need to use the bathroom
  • Unintended weight loss
  • Fatigue due to poor nutrient absorption

Causes

The precise cause of lymphocytic colitis is unknown, but several factors are thought to contribute:

  • Certain medications (for example, NSAIDs and some antidepressants)
  • An abnormal immune response attacking the colon lining
  • Previous gastrointestinal infections
  • Genetic predisposition or family history of bowel disorders
  • Smoking and high stress levels
Treatment

Treatment Options for Lymphocytic Colitis in Katy, TX

Treatment includes medication, diet modifications, and ongoing monitoring:

  • Budesonide: A locally acting steroid that reduces inflammation in the colon lining with minimal systemic side effects.
  • Anti-diarrheal agents: Medications such as loperamide help control frequent, watery stools and improve quality of life.
  • Bile acid binders: Cholestyramine or colesevelam can be added when bile acids contribute to persistent diarrhea.
  • Diet adjustments: Eating small, low-fat meals and avoiding triggers like caffeine, spicy foods, and dairy can ease symptoms and reduce flares.
  • Hydration plan: Drinking plenty of water and electrolyte solutions prevents dehydration from chronic diarrhea.
  • Regular monitoring: Periodic colonoscopies and symptom journals help your gastroenterologist track progress and adjust therapy as needed.

Why Choose GastroDoxs?

At GastroDoxs in Katy, we combine patient-centered care and advanced digestive health expertise to diagnose and treat lymphocytic colitis effectively. Our compassionate team develops a personalized plan-using the latest diagnostics, proven medications, and lifestyle guidance-to help you find lasting relief. Ready to reclaim your quality of life? Call us or book your appointment today!

306

Patients Treated

We've successfully treated more than 306 patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

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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

Is lymphocytic colitis genetic?

Although not directly inherited, a family history of bowel disorders may increase your risk of developing lymphocytic colitis.

Is it a rare condition?

Yes; lymphocytic colitis affects about 5 to 10 people per 100,000 each year, making it less common than other forms of colitis.

What usually causes it?

The exact cause is unknown, but common triggers include certain medications (NSAIDs, antidepressants), an overactive immune response, prior gut infections, genetics, smoking, and stress.

How is it diagnosed?

Diagnosis requires a colonoscopy with biopsy, where tissue samples of the colon lining are examined for an increased number of lymphocytes.

Why is budesonide used?

Budesonide is a locally acting steroid that reduces inflammation in the colon with fewer systemic side effects compared to traditional corticosteroids.

What should I eat if I have this condition?

Choose soft, low-fat foods such as white rice, cooked vegetables, and lean proteins, and avoid high-fiber, spicy, greasy, or dairy products that may worsen symptoms.

Can I stop it from happening?

There's no guaranteed way to prevent lymphocytic colitis, but avoiding known triggers (certain medications, smoking, stress) can help reduce the risk of flare-ups.

How fast does treatment work?

Most patients start feeling better within four to eight weeks of beginning appropriate therapy, such as budesonide.

Should I see a GI doctor in Katy?

Yes; consulting a local gastroenterologist ensures prompt diagnosis and a personalized treatment plan tailored to your needs.

Can it come back later?

Yes; lymphocytic colitis can relapse after treatment, so ongoing monitoring and sometimes maintenance therapy may be necessary.

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