Eosinophilic Esophagitis

What is Eosinophilic Esophagitis?

Eosinophilic Esophagitis (EoE) is a chronic immune-mediated condition in which eosinophils-a type of white blood cell-accumulate in the lining of the esophagus. This buildup causes inflammation, pain, and difficulty swallowing. EoE is distinct from acid reflux and often occurs in people with other allergic conditions.

Common Symptoms

Symptoms can vary by age but often include:

• Difficulty swallowing (dysphagia)
• Food getting stuck in the esophagus
• Chest or upper abdominal pain
• Persistent heartburn despite medication
• Poor appetite or slow weight gain (especially in children)

Causes

The exact cause of EoE isn't fully understood, but several factors contribute:

• Food allergens such as milk, wheat, soy, nuts, eggs or seafood
• Environmental allergens like pollen, pet dander, or dust mites
• Family history of EoE or other allergic diseases
• Coexisting allergic conditions such as asthma, eczema or seasonal allergies

Treatment Options for Eosinophilic Esophagitis in Jersey Village

Treatment includes diet changes, medication, and procedures:

• Elimination diet: Remove common trigger foods (milk, wheat, soy, nuts) for 6-8 weeks, then reintroduce items one at a time to pinpoint culprits.
• Swallowed steroids: Use liquid or aerosolized corticosteroids that coat the esophagus to reduce eosinophil driven inflammation.
• Esophageal dilation: Gently stretch narrowed segments of the esophagus to relieve strictures and improve swallowing.
• Allergy management: Identify environmental allergens (pollen, pet dander, dust) and use avoidance strategies or referral to an allergist for immunotherapy.
• Regular endoscopy: Schedule periodic endoscopic exams with biopsies to monitor eosinophil counts and assess mucosal healing.
• Maintenance therapy: Continue low-dose topical steroids or targeted dietary adjustments long term to prevent relapse and esophageal remodeling.