What is Eosinophilic Esophagitis? Symptoms, Diagnosis and Treatment

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Eosinophilic esophagitis, is a disease characterized by an increase in white blood cells on the surface of the esophagus. This increase is a response to food, allergen, or acid reflux.

What Are The Symptoms Of Eosinophilic Esophagitis?

  • difficulty swallowing
  • difficulty chewing
  • chest pain (not responsive to antacids)
  • heartburn
  • abdominal pain (especially localized to the upper part of the navel)
  • not getting better with medications given for gastroesophageal reflux
  • return of undigested food from the stomach to the mouth

Eosinophilic Esophagitis In Children

  • Difficulty in feeding
  • Vomiting
  • Abdominal pain
  • Difficulty swallowing
  • Difficulty chewing
  • Unresponsiveness to GERD medications
  • Developmental delay

What Causes Eosinophilic Esophagitis?

Eosinophilic esophagitis causes a reaction in the esophagus to food or pollen.

What Are The Risk Factors For Eosinophilic Esophagitis?

  • Climatic conditions: living in a cold or dry climate
  • Spring Seasons: the period when pollen and other allergens are most abundant.
  • Gender: more common in men
  • Having another family member with eosinophilic esophagitis increases the risk.
  • Having allergies or asthma.
  • Age: Although it is mostly seen in children, eosinophilic esophagitis can be seen in adults.
 

What Are The Complications Of Eosinophilic Esophagitis?

  • Scar tissue formation in the esophagus
  • Stenosis in the esophagus
  • Tearing or perforation in the esophagus

 

Eosinophilic Esophagitis Diagnostic Methods

  • Endoscopy
  • Biopsy

 

Tests that support the diagnosis:

  • blood test (eosinophil and IgE level)
  • recovery with antacids
  • food allergy test

 

 

How Is Eosinophilic Esophagitis Treated?

  • Avoiding foods that cause allergies
  • Antacid drugs
  • Topical steroid (reduces inflammation in the esophagus)
  • If stenosis develops in the esophagus, eosinophilic esophagitis dilatation treatment is applied.

 

Recommended Lifestyle Changes

  • Maintaining a healthy weight, losing excess weight
  • Avoiding foods and drinks that trigger inflammation in the stomach or esophagus (oily and fried foods, tomatoes, alcohol, chocolate, mint, onions, and caffeine)
  • Sleeping on a high pillow

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