What Is Eosinophilic Ileitis?
Eosinophilic ileitis is an inflammatory condition in which eosinophils (a type of white blood cell) accumulate in the terminal ileum (the last segment of the small intestine). This buildup leads to swelling, pain, and various digestive disturbances. Early diagnosis and targeted care help control inflammation and relieve symptoms.
Common Causes and Risk Factors
- Food allergies (for example, milk, wheat, soy or nuts)
- Family history of gastrointestinal disorders or atopy
- Immune system overreaction or dysregulation
- Seasonal or environmental allergies
- Associated conditions like asthma or eczema
Signs and Symptoms
- Abdominal pain or cramping, especially in the lower right belly
- Frequent loose stools or chronic diarrhea
- Nausea, with or without vomiting
- Unexplained weight loss or reduced appetite
- Bloating, gas or feeling full after small meals
- Ongoing fatigue or low energy levels
How Dr. Bharat Pothuri Diagnoses Eosinophilic Ileitis?
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He reviews your symptoms (including epigastric pain), dietary habits, allergy history, family history of GI or allergic disorders, and performs a thorough abdominal exam.
Blood Tests
We check for elevated eosinophil counts, markers of inflammation, and rule out celiac disease, parasitic infections, and other causes of abdominal pain.
Endoscopy with Ileal Biopsy
An upper endoscopy or colonoscopy with intubation of the terminal ileum allows direct visualization and tissue sampling. Biopsy confirms eosinophil infiltration in the ileal lining.
Imaging Studies
- Abdominal ultrasound or CT scan assesses bowel wall thickening, inflammation, or obstruction.
- MR enterography provides detailed cross-sectional images of the small intestine and identifies areas of edema.
Allergy and Dietary Assessment
Skin-prick or serum IgE testing identifies potential food allergens. An elimination diet under Dr. Pothuri's guidance pinpoints dietary triggers contributing to your symptoms.
Frequently Asked Questions
How is eosinophilic ileitis diagnosed?
It's diagnosed with an endoscopic exam and biopsy of the small intestine, supported by blood tests to check eosinophil counts and rule out other causes.
Can eosinophilic ileitis cause long-term pain?
Yes. Without proper treatment, ongoing inflammation can lead to chronic abdominal pain, cramps, and other digestive issues.
How common is eosinophilic ileitis?
It's considered rare but may be underdiagnosed unless specific endoscopic and histologic tests are performed.
Who treats eosinophilic ileitis in Houston?
Dr. Bharat Pothuri at GastroDoxs is a local expert in eosinophilic gastrointestinal disorders, with advanced diagnostic tools and personalized care.
What treatments relieve eosinophilic ileitis symptoms?
A tailored approach combining trigger-food elimination, medications (like steroids or biologics), and sometimes endoscopic therapies helps control inflammation and pain.
Does diet really help manage eosinophilic ileitis?
Yes. Identifying and avoiding food triggers, eating smaller meals, and staying well-hydrated can significantly reduce symptoms and improve quality of life.