What Is Eosinophilic Gastritis?
Eosinophilic gastritis is a rare inflammatory condition of the stomach wall caused by an abnormal buildup of eosinophils (a type of white blood cell). This infiltration leads to swelling, pain, digestive problems and, if untreated, may result in weight loss, malnutrition or anemia.
Common Causes and Risk Factors
- Food allergies (dairy, wheat, soy, eggs)
- Personal or family history of allergic disorders (asthma, eczema)
- Other eosinophilic gastrointestinal diseases
- Genetic predisposition to abnormal immune responses
- Environmental triggers and seasonal allergies
Signs and Symptoms
- Upper abdominal pain or cramps
- Nausea and vomiting
- Bloating or feeling full quickly
- Diarrhea or constipation
- Unexplained weight loss
How Dr. Rishi Diagnoses Eosinophilic Gastritis?
Dr. Rishi uses a step-by-step approach:
Medical History and Exam
He reviews your symptoms, dietary habits, allergy history, and family background.
Blood Tests
We measure peripheral eosinophil counts and rule out other causes of stomach inflammation.
Endoscopic Evaluation
- Upper endoscopy to visually inspect the stomach lining.
- Biopsy samples taken to confirm eosinophil infiltration in the tissue.
Allergy and Dietary Testing
Optional skin or blood allergy panels and guided elimination diets to pinpoint food triggers.
Frequently Asked Questions
What are the early symptoms of eosinophilic gastritis?
Belly pain, nausea, vomiting and bloating are common early signs.
How long does it take to get a diagnosis?
Most patients receive a diagnosis within 2-4 weeks after blood tests and endoscopy.
Is eosinophilic gastritis genetic?
It may run in families, but food allergies and immune factors also play a role.
Can I eat out at restaurants in Houston?
Yes. Inform staff about your dietary needs to avoid triggers.
Will I need steroids to treat it?
Not always. Many patients start with diet modifications before trying steroids.
Are there risks with treatment?
Dr. Chadha uses the lowest effective doses and monitors closely to minimize side effects.
Can children outgrow eosinophilic gastritis?
Some children do outgrow it, while adults often require long-term management.
How often do I need an endoscopy?
Typically every 6-12 months to track healing and adjust treatment.
Can stress make my symptoms worse?
Yes. Stress can exacerbate symptoms, so we recommend stress reduction and exercise.
Where can I learn more?
Visit the Mayo Clinic's website on Eosinophilic Gastritis for detailed information.