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HomeAnswersMedical Gastroenterologyerosive gastritisI underwent an endoscopic biopsy. Kindly review my reports.

What does my endoscopic biopsy suggest?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At August 2, 2016
Reviewed AtFebruary 1, 2024

Patient's Query

Hi doctor,

I am working as a software professional. Recently, I had discomfort in digestion, severe bloating, gas formation and a frequent sensation of motions. I went to a gastroenterologist and he made an endoscopy and an endoscopic biopsy. The biopsy report is as below. Nature of specimen: Received single grayish white mucosal tissue bit measuring 0.3 cm. The entire tissue was processed. Macroscopic examination: Section shows single small gastric mucosal bit with superficial erosion of surface epithelium in the focal area. Foveolae and glands are unremarkable. Lamina propria shows moderately dense, diffuse infiltrate of lymphocytes, a few plasma cells and a rare polymorph. Lymphoid follicle formation is seen in one focus. Scant muscularis mucosae included shows no significant pathology. No definite H.pylori, intestinal metaplasia, glandular atrophy or dysplasia or malignancy noted in the section studied. Microscopic examination : Moderately dense, diffuse chronic inflammation in stomach (endoscopic) biopsy. I had antral gastritis a year back and took medication for some time. I am always eating outside food, but nothing spicy. I am currently taking Razo-D in the morning and Razo 20 at night.

Hi,

Welcome to icliniq.com.

  • The reports of biopsy are suggestive of erosive gastritis.
    • Razo-D, Rabeprazole is a good medicine, but you need to take it twice a day before breakfast and dinner.
      • I also suggest Sucrase-O 2 teaspoons four times a day and a good probiotic twice a day for 10 days. Consult your specialist doctor, discuss with him or her and take the medicine with consent.

Patient's Query

Thank you doctor,

What causes this condition? Is it something cancerous? Is it a chronic condition? Is stress solely responsible for this? Can gluten allergy cause this? What kind of foods and timings has to be followed? How frequently do I have to consult a doctor for this condition? Kindly answer these questions.

Hi,

Welcome back to icliniq.com.

  • There are many number of causes ranging from diet, stress and infection to heredity causing these issues.
  • At this stage it is not cancerous. It is usually acute and goes chronic.
  • Stress is a precipitating factor and not the sole cause.
  • Gluten is known to cause bloating and indigestion, which can aggravate gastric symptoms.
  • I have already advised the type of food to be avoided, but small, frequent meals with dinner at 8 PM is advisable if you sleep around 11 PM.
  • In the acute phase, you should visit your doctor every two to three weeks and once your symptoms subside, then maybe every once in 6 to 12 months.

For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ajit Naniksingh Kukreja
Dr. Ajit Naniksingh Kukreja

Medical Gastroenterology

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