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Eosinophilic Esophagitis

Experiencing persistent heartburn or chest discomfort? At GastroDoxs in Houston, Dr. Bharat Pothuri specializes in diagnosing and treating reflux esophagitis. Using advanced diagnostics, personalized treatment plans, and minimally invasive procedures, he alleviates symptoms, promotes lasting relief, and supports esophageal health.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. 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.

Common Causes and Risk Factors

  • Genetic predisposition (family history of allergies or atopic diseases)
  • Food allergens (dairy, eggs, wheat, soy, nuts, seafood)
  • Environmental allergens (pollen, dust mites, pet dander)
  • Other atopic conditions (eczema, asthma, allergic rhinitis)
  • Immune system dysregulation leading to eosinophil buildup
  • Male sex (more frequently diagnosed in boys and men)
  • Early-life exposures (cesarean delivery, antibiotic use in infancy)

Signs and Symptoms

  • Difficulty swallowing (dysphagia), especially with solid foods
  • Food impaction (food "getting stuck" in the esophagus)
  • Chest pain or upper abdominal discomfort not relieved by antacids
  • Persistent heartburn or reflux symptoms despite treatment
  • Vomiting or regurgitation, particularly in children
  • Poor weight gain or growth delays in infants and young children
  • Feeding aversion or refusal in young patients
  • Endoscopic findings such as rings, strictures, or white exudates

Expert Treatment for Eosinophilic Esophagitis by Dr. Bharat Pothuri

Dr. Pothuri uses a step-by-step approach:

Medical History and Physical Exam

He reviews your symptoms-heartburn, epigastric pain, difficulty swallowing or food impaction-and asks about allergies, asthma or other atopic conditions.

Blood Tests

He orders a complete blood count to look for peripheral eosinophilia and rules out infections or systemic causes of inflammation.

Upper Endoscopy with Biopsy

This is the gold standard. He inspects the esophagus for rings, furrows and white exudates, then takes multiple biopsies. A finding of ≥15 eosinophils per high-power field confirms the diagnosis.

Esophageal pH Monitoring

When reflux and EoE symptoms overlap, 24-hour pH testing helps distinguish acid-driven injury from eosinophilic inflammation.

Allergy Evaluation

Skin-prick or serum IgE tests identify culprit foods or environmental allergens to guide an elimination diet.

Imaging & Motility Studies (if needed)

  • Barium swallow can reveal strictures, rings or narrow segments contributing to pain.
  • Esophageal manometry evaluates muscle function and rules out motility disorders.
Bharat Pothuri
Treatment

Our Team offers a full range of care for Eosinophilic Esophagitis.

1. Lifestyle and Diet Modifications

  • Eat smaller, more frequent meals
  • Avoid trigger foods such as spicy dishes, coffee, soda, and fatty meals
  • Remain upright for at least two hours after eating
  • Quit smoking
  • Lose excess weight
  • Limit alcohol intake

2. Medications

  • Antacids for rapid, short-term relief
  • H₂-blockers to decrease stomach acid production
  • Proton pump inhibitors (PPIs) for longer-lasting acid control and healing

3. Minimally Invasive or Advanced Procedures

  • Endoscopic fundoplication to tighten the gastroesophageal valve
  • The LINX system (magnetic sphincter augmentation) to reinforce the valve
  • Laparoscopic anti-reflux surgery in selected cases
1.1K

Patients Treated

Dr. Pothuri has treated more than 1.1K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

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 causes reflux esophagitis?

Reflux esophagitis is caused by a weakened or relaxed lower esophageal valve that allows stomach acid to backflow and irritate the esophageal lining.

What is the ICD-10 code for reflux esophagitis?

The medical code for reflux esophagitis with esophagitis is K21.0.

What foods should I avoid?

Avoid spicy foods, citrus fruits, tomatoes, chocolate, caffeine, soda, fatty or fried meals, and alcohol to help reduce acid reflux symptoms.

When is surgery needed?

Surgery or advanced endoscopic procedures may be recommended if lifestyle modifications and medications do not adequately control your symptoms or heal the esophagus.

How long does it take to feel better?

Many patients notice symptom relief within a few days of starting treatment; complete healing of the esophagus may take several weeks.

Can reflux cause other problems?

Yes. Untreated reflux can lead to complications such as esophageal ulcers, scarring (strictures), or Barrett's esophagus, which increases the risk of esophageal cancer.

Can children have reflux esophagitis?

Yes. Children and infants can also develop reflux esophagitis, especially if they experience feeding difficulties, obesity, or other gastrointestinal conditions.

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