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Eosinophilic Esophagitis

Eosinophilic Esophagitis care at GastroDoxs in Houston combines advanced diagnostics, personalized treatment plans, and compassionate support to help local patients manage chronic esophageal inflammation, alleviate uncomfortable symptoms, and enhance quality of life within our community's trusted gastrointestinal specialists providing care.

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Bharat Pothuri
Symptoms

What is Eosinophilic Esophagitis?

Eosinophilic Esophagitis (EoE) is a chronic immune-mediated condition in which white blood cells called eosinophils build up in the lining of the esophagus. This leads to inflammation, swelling, and damage that can make swallowing painful or difficult. Diagnosis is confirmed by endoscopy with biopsy.

Common Symptoms

Symptoms can vary by age but often include:

  • Difficulty swallowing (dysphagia)
  • Food getting stuck in the esophagus (food impaction)
  • Chest or upper abdominal pain
  • Persistent heartburn or acid reflux-like symptoms
  • Nausea or vomiting
  • Feeding difficulties, poor weight gain, or refusal to eat (in children)

Causes

EoE is driven by an abnormal immune response, often triggered by allergens. Contributing factors include:

  • Food allergens (milk, eggs, wheat, soy, nuts, seafood)
  • Environmental allergens (pollen, dust mites, molds)
  • Personal or family history of allergies, asthma, or eczema
  • Coexisting acid reflux in some patients
  • Genetic and other immune system factors that are not fully understood
Treatment

Treatment Options for Eosinophilic Esophagitis in Houston

Treatment includes diet changes, medications, and procedures:

  • Diet changes: Remove common food allergens (milk, eggs, wheat, soy) guided by allergy testing.
  • Budesonide: A swallowed topical steroid that coats the esophagus to reduce inflammation.
  • Dupixent: A biologic injection for severe cases that blocks immune signals and decreases swelling.
  • PPIs (Proton Pump Inhibitors): Acid blockers that may provide relief for some patients.
  • Esophagus dilation: Endoscopic widening of narrowed areas to improve swallowing.
  • Follow-up endoscopy: Performed every 6-12 months to monitor healing and detect any complications.

Book an Appointment Today

Don’t let EoE control your life. Start your personalized treatment plan with GastroDoxs in Houston. Call us at 832-632-4070 or book online now to connect with a local EoE expert.

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Patients Treated

We've successfully treated more than 1.1k patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

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Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What is the ICD-10 code for Eosinophilic Esophagitis?

The ICD-10 code for EoE is K20.0. It's used for medical records, billing, and insurance claims to ensure accurate documentation and coverage.

Is Eosinophilic Esophagitis an autoimmune disease?

No. EoE is an immune?mediated condition driven primarily by allergic responses, not by the body attacking its own tissues.

What is the best diet for managing EoE?

Many patients benefit from a six?food elimination diet, which removes dairy, eggs, wheat, soy, nuts, and seafood. We customize dietary plans based on your allergy testing results.

How does Dupixent (dupilumab) help in EoE?

Dupixent is a biologic injection that blocks specific immune signals (IL-4 and IL-13), reducing inflammation and eosinophil buildup in the esophagus.

Does swallowed budesonide work for EoE?

Yes. Budesonide is a steroid you swallow in an oral viscous form. It coats the esophagus, reduces swelling, and improves symptoms like swallowing difficulty.

What is the mainstay of EoE treatment?

Treatment typically includes dietary modifications, swallowed topical steroids (like budesonide), and, in some cases, esophageal dilation to address strictures.

Can EoE be cured?

There is currently no complete cure, but most patients achieve significant symptom relief and esophageal healing with tailored treatment plans.

Do I need a gastroenterology specialist in Houston for EoE?

Yes. EoE requires precise diagnosis and ongoing monitoring by a GI specialist experienced in esophageal disorders to optimize outcomes and avoid complications.

How often should I have an endoscopy for EoE?

Surveillance endoscopy is generally recommended every 6 to 12 months to assess inflammation, healing, and any narrowing of the esophagus.

Can children develop EoE?

Yes. EoE affects both children and adults. Our team at GastroDoxs treats patients of all ages with age-appropriate dietary guidance and therapies.

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