Any thoughts on the causes and treatment for this?
Thanks.
Ask the doc who scoped and biopsied you. That’s the best approach.
Otherwise, most common causes would be NSAID-induced irritation, alcohol-induced irritation, other drug-induced irritation, excessive acid production, chronic inflammation due to regular ingestion of substances one is allergic to, and other.
Best treatments would be cut out the offending substances and/or use antacids, ranging from maalox or tums to H2 blockers like zantac to PPIs like prilosec.
But these are just semi-educated WAGs without knowing more of the clinical situation, based on a post with less than 20 words.
And it’s all assuming that the gastric mucosa was visibly inflamed on inspection, and the biopsy showed no significant changes other than inflammation.
Moved to IMHO from General Questions.
samclem, moderator
Following up on Qadgop’s good advice:
It isn’t that unusual for stomach biopsies to be relatively normal when the endoscopist thinks there’s inflammation or another lesion. Reasons for this include inadequate sampling of tissue and the possibility that what looks abnormal visually really isn’t.*
If there are significant symptoms to match the endoscopic finding, then some treatment/lifestyle adjustment is in order.
One other possibility is Helicobacter pylori-associated gastritis, though the likelihood of that in a microscopically normal stomach is very low.
*I’ve repeatedly seen inflamed-looking gastric mucosa at autopsy that turned out to be microscopically unremarkable. This finding renders highly suspect a recently published study purporting to show that pigs who consume genetically modified feed have gastric inflammation (the study authors reported “inflammation” at autopsy, but never bothered to look at tissue under the microscope).