Patient's Query
Hi doctor,
I began to get a dull pain and burning sensation in my right upper abdomen. It spread to the middle and left side of the upper part of my stomach over some time. I also get some sharp pains for a second or two on the lower right side of my abdomen directly to my belly button's right. Here are my endoscopy results. What is reactive gastropathy, and what are your suggestions for treatment? Right upper quadrant pain, epigastric pain diagnosis, A. Stomach, antrum, biopsy: Reactive gastropathy no helicobacter organisms identified, and no evidence of intestinal metaplasia, dysplasia, or malignancy. B. Stomach body biopsy: Gastric mucosa with no significant histopathologic findings. Images reactive gastropathy gross description, A. Stomach antrum biopsy received in formalin are three tan tissue fragments, 0.2 - 0.3 cm, all as A.
B. Gastric body biopsy obtained in formalin are three tan tissue fragments, 0.1 - 0.2 cm, all as B.
Microscopic findings A: Stomach antrum biopsy- Fragments of antral type gastric mucosa with foveolar hyperplasia, vascular congestion, and smooth muscle proliferation. There is also an increase in lymphoplasmacytic infiltrate in the lamina propria. No active inflammation is identified, and no intestinal metaplasia is seen on H and E and PAS/Alcian Blue stains. No Helicobacter organisms were identified on Diff-Quik stain. No evidence of dysplasia or malignancy. B: Gastric body biopsy- The biopsy shows oxyntic type gastric mucosa with no significant inflammation identified. No intestinal metaplasia is seen on H and E and PAS/Alcian Blue stains. No Helicobacter organisms are identified on Diff-Quik stain. No evidence of dysplasia or malignancy.
Laboratory tests like ultrasound, HIDA scan, and MRCP all came back normal.
Hi,
Welcome to icliniq.com.
I went through your clinical and endoscopy details. Regarding your query, reactive gastropathy is a type of gastritis to say type C, chemical induced gastropathy. It will show some pathological changes in the biospy, but there will not be any signifiant inflammation. It is most commonly caused by exposure of gastric mucosa to chemicals. Substances under chemicals include alcohol, even your own bile reflux and exposure to medicines most commonly NSAIDS (nonsteroidal anti-inflammatory drug) or painkillers. Not all people develop this condition. There are individual tendencies that expose certain people to such risks. If you can provide me some more detail, it will be helpful.
Follow my advice as given below and review after two weeks?
Investigations to be done
Probable diagnosis
Treatment plan
Preventive measures
Regarding follow up
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Answered byDr. Prathish Kumar
Medically reviewed byDr. Preetha. J
Same symptoms don't mean you have the same problem. Consult a doctor now!
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