Lymphoid hyperplasia, can anyone shed a bit of light on this?

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I've read that this is common in young patients, even into your 20s, but does anyone know more about lymphoid hyperplasia? I.E. at what point (size, number, location, etc.) does it become indicative of something unusual?

I ask because a pic from my pillcam report has some seriously gross, big looking polyp-like things that don't seem like they could possibly be normal. Actually, one looks big enough to cause some trouble with stuff getting through the intestine smoothly.

Sorry, I'm asking a lot of questions. I'm just scared and can't get into my doctor for a while, so I'm stuck :-/.

Thanks!
 
My son was given 'nodular lymphoid hyperplasia' as a diagnosis when he was a child. The GI we saw after his scopes, but not the one who performed them, said it looked like what you described above in your post and that as things move through the intestine the swollen 'heads' of the tissue are disturbed, resulting in pain and blood in the stool.

My GI said that this is now considered 'normal' in children; however at the time of his illness, my son also had abnormal blood test results, weight loss, fatigue, swollen extremities, etc. My son was given oral sodium cromoglycate, which is a mast cell stabilizer, for treatment for a year. Now I believe that he actually had mastocytic entercolitis (ME) (http://www.crohnsforum.com/wiki/Mastocytic-Enterocolitis), which requires special staining of the biopsies to be diagnosed.

The good news is, that after three years of being ill, the one year of treatment put him into remission. He has been well ever since--13 years!

So no need to panic about the lymphoid hyperplasia--but you still do need answers about your pill cam. If they decide to do a scope I would ask them to do the special staining for ME.

Good luck.
 

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