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Eosinophilic Duodenitis
External Resource
Learn more at the American College of Gastroenterology: https://gi.org
The American College of Gastroenterology offers authoritative, peer-reviewed guidelines and patient resources on eosinophilic GI disorders, including duodenitis. Explore detailed information on symptoms, diagnosis, and comprehensive management strategies, ensuring you stay informed and empowered to make decisions for digestive health.
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
What Is Eosinophilic Duodenitis?
Eosinophilic duodenitis is a rare inflammatory condition in which eosinophils (a type of white blood cell) accumulate in the duodenum, leading to swelling, pain, and digestive disturbances.
Common Causes and Risk Factors
Food allergies (milk, soy, wheat, nuts)
Personal or family history of eosinophilic disorders
Asthma, eczema or seasonal/environmental allergies
Overactive immune response
Use of certain medications (NSAIDs, antibiotics)
Signs and Symptoms
Abdominal pain or cramping
Bloating and excessive gas
Nausea or recurrent vomiting
Loose stools or chronic diarrhea
Unexplained weight loss
Early satiety (feeling full quickly)
How Dr. Scott Diagnoses Eosinophilic Duodenitis?
Dr. Scott uses a step-by-step approach:
Medical History and Symptom Review
He discusses your epigastric pain, bloating, dietary triggers and any personal or family history of allergies or atopic conditions.
Blood Tests
Laboratory work measures peripheral eosinophil counts and rules out parasitic infections, celiac disease and other causes of duodenal inflammation.
Allergy Evaluation
Skin‐prick or serum IgE testing helps identify food or environmental allergens driving the eosinophilic response.
Upper Endoscopy
A thin, flexible scope is advanced into your duodenum to visually assess inflammation, swelling or strictures.
Duodenal Biopsy
Multiple tissue samples are taken during endoscopy to count eosinophils under the microscope. A high eosinophil density confirms the diagnosis.
Treatment
Our Team offers a full range of care for eosinophilic duodenitis.
1. Diet and Lifestyle Modifications
Elimination diet to identify and remove trigger foods (e.g., milk, soy, wheat)
Smaller, more frequent meals to ease digestive stress
Plenty of water and avoidance of foods that worsen symptoms
2. Medications
Proton pump inhibitors (PPIs) to reduce stomach acid
Topical corticosteroids to calm duodenal inflammation
Biologic therapies for long-term control in severe cases
3. Minimally Invasive or Advanced Procedures
Endoscopic dilation to relieve duodenal strictures
In-office endoscopy and biopsy for ongoing monitoring
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Frequently Asked Questions
What is eosinophilic duodenitis?
Eosinophilic duodenitis is a rare inflammatory condition where eosinophils (a type of white blood cell) accumulate in the duodenum, causing pain, swelling, and digestive issues.
How is it different from eosinophilic gastritis?
Eosinophilic gastritis affects the stomach lining, while eosinophilic duodenitis involves the first part of the small intestine (duodenum). Some patients may have both conditions concurrently.
What is the ICD-10 code for this condition?
The ICD-10 code for eosinophilic gastritis and duodenitis is K52.82.
How is eosinophilic duodenitis diagnosed?
Diagnosis requires an upper endoscopy with biopsy. Tissue samples are examined for elevated eosinophil counts, confirming the condition.
Can lifestyle and dietary changes help?
Yes. Identifying and avoiding trigger foods through an elimination diet, eating smaller meals, and staying hydrated can significantly reduce symptoms.
Is eosinophilic duodenitis common in Houston?
No. It's considered rare, but local dietary allergens and environmental factors can trigger flares in susceptible individuals.
How soon can I see Dr. Scott at GastroDoxs?
We offer same-week appointments for urgent digestive concerns. Contact our Houston office to schedule your evaluation.
