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Eosinophilic Ileitis
Persistent abdominal cramps, diarrhea, and unexplained weight loss could signal eosinophilic ileitis—a rare small intestine inflammation. At Houston's GastroDoxs, Dr. Nguyen provides expert, compassionate care. Using advanced diagnostics and personalized treatments, he helps patients regain comfort and restore digestive health.
Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.
What Is Eosinophilic Ileitis?
Eosinophilic ileitis is a rare inflammatory disorder in which eosinophils—a type of white blood cell—accumulate in the ileum, the last segment of the small intestine. Instead of fighting infection, these cells trigger swelling and irritation, leading to persistent digestive discomfort.
Common Causes and Risk Factors
Food or environmental allergies
An overactive immune response
Infections by certain parasites or bacteria
Family history of asthma, eczema, or food sensitivities
Signs and Symptoms
Abdominal pain or cramps
Diarrhea or loose stools
Nausea and/or vomiting
Unexplained weight loss
Fatigue or signs of poor nutrition
How Dr. Nghia Nguyen Diagnoses This Condition?
Dr. Nguyen uses a step-by-step approach:
Medical History and Exam
She reviews your abdominal and epigastric pain patterns, dietary history, known allergies, and any family history of GI or immune disorders.
Blood Tests
We measure your eosinophil count and other inflammatory markers to identify abnormal elevations.
Imaging Studies
CT scan or abdominal ultrasound to assess the ileum for thickening, edema, or other signs of inflammation.
Endoscopy with Biopsy
An upper endoscopy or small-bowel enteroscopy lets us visualize the lining and obtain a tissue sample. Pathology confirms eosinophil infiltration, securing the diagnosis.
Treatment
Our Team offers a full range of care for eosinophilic ileitis.
1. Diet and Lifestyle Changes
An elimination diet to identify and remove food triggers
Smaller, more frequent meals to ease intestinal stress
Targeted supplements to correct nutrient deficiencies
2. Medications
Steroids to rapidly reduce intestinal inflammation
Biologics to calm an overactive immune response
Proton pump inhibitors (PPIs) to control excess stomach acid
3. Minimally Invasive or Advanced Procedures
Endoscopic dilation to widen narrowed sections of the ileum
On-site advanced endoscopy for precise diagnosis and treatment
Minimally invasive interventions to restore healthy gut function
Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.
Frequently Asked Questions
What causes eosinophilic ileitis?
It is often caused by allergies, immune system overactivity, or certain infections that lead to eosinophil buildup in the ileum.
How is eosinophilic ileitis treated at GastroDoxs?
Dr. Nguyen combines targeted diet changes, medications like steroids or biologics, and minimally invasive procedures when necessary to control inflammation and symptoms.
Can eosinophilic ileitis be cured?
There is no definitive cure, but most patients experience significant relief and improved quality of life with Dr. Nguyen's comprehensive care plan.
Will the eosinophil buildup ever go away completely?
While eosinophil levels may fluctuate, ongoing treatment and monitoring help keep inflammation under control and minimize flare-ups.
When should I see a doctor for persistent belly pain?
If your abdominal pain is severe, lasts more than a few days, or is accompanied by unexplained weight loss or nutritional issues, schedule an evaluation promptly.
Is eosinophilic ileitis a serious condition?
Yes, it can lead to complications if untreated. Early diagnosis and personalized treatment from Dr. Nguyen help you feel better and maintain gut health.
