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Eosinophilic Duodenitis

At GastroDoxs in Katy, our experienced gastroenterologists provide comprehensive diagnosis and personalized treatment for eosinophilic duodenitis, delivering compassionate care locally and conveniently to manage inflammation, ease symptoms and improve digestive health for patients throughout the community and enhance quality of life.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri
Symptoms

What is Eosinophilic Duodenitis?

Eosinophilic Duodenitis is an inflammatory condition of the duodenum (the first part of the small intestine) caused by an abnormal buildup of eosinophils-a type of white blood cell that normally fights infections. When these cells accumulate in the gut lining, they trigger swelling, pain, and interfere with normal digestion.

Common Symptoms

Symptoms can vary in intensity but often include:

  • Belly pain or cramping
  • Nausea or vomiting
  • Gas or bloating
  • Diarrhea or loose stools
  • Feeling full too quickly after eating
  • Unintentional weight loss

Causes

The exact cause of eosinophilic duodenitis remains unclear. Potential triggers and risk factors include:

  • Food allergies (dairy, soy, eggs, wheat)
  • Immune system dysregulation
  • Family history of eosinophilic or allergic disorders
  • Parasitic infections (rare)
  • Other atopic conditions (asthma, eczema)
Treatment

Treatment Options for Eosinophilic Duodenitis in Katy

Treatment includes dietary management, medications, and ongoing support:

  • Elimination diet: Remove common trigger foods-such as dairy, soy, eggs, and wheat-to identify and avoid allergens.
  • Dietitian support: Work with a registered dietitian to ensure you meet nutritional needs and safely reintroduce foods.
  • Corticosteroids: Use oral or topical steroids to reduce inflammation and control eosinophil levels in the duodenum.
  • Biologic therapy: For severe or refractory cases, targeted biologic medications can help modulate the immune response.
  • Nutrition supplementation: Add vitamins and supplements to address deficiencies and support overall digestive health.
  • Regular monitoring: Schedule follow-up endoscopies, biopsies, and clinical visits to track progress and adjust your treatment plan.

Why Choose GastroDoxs?

With a focus on patient-centered care and specialized treatment for Eosinophilic Duodenitis, GastroDoxs in Katy offers comprehensive diagnostics-including endoscopy, biopsy, and allergy testing-alongside personalized management plans. Our board-certified gastroenterologists partner with you on targeted diet modifications, advanced medications, and ongoing support to relieve symptoms and restore digestive health. Book your appointment today and take the first step toward lasting relief.

1K

Patients Treated

We've successfully treated more than 1K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

How is Eosinophilic Duodenitis diagnosed?

It is diagnosed through an endoscopy with biopsy of duodenal tissue to look for an elevated number of eosinophils in the gut lining.

Can Eosinophilic Duodenitis affect children?

Yes. Both children and adults can develop eosinophilic duodenitis, often presenting similar symptoms such as abdominal pain, nausea, and bloating.

Which foods commonly trigger symptoms?

Typical triggers include dairy, wheat, soy, eggs, and nuts. An elimination diet under dietitian supervision can help pinpoint the exact culprits.

How does it differ from celiac disease?

Celiac disease is an autoimmune reaction to gluten, whereas eosinophilic duodenitis is driven by an allergic or immune response that causes eosinophil buildup in the small intestine.

Is there a cure for Eosinophilic Duodenitis?

There is no cure at present, but symptoms can be effectively controlled with dietary modifications, medications (like corticosteroids), and regular follow-up.

Will I need long-term treatment?

Some patients require ongoing management, while others may achieve symptom relief within a few weeks of starting treatment.

What happens if it is left untreated?

Untreated eosinophilic duodenitis can lead to chronic inflammation, ulcers, nutrient malabsorption, and poor growth or weight loss.

Is it the same as eosinophilic esophagitis?

No. Eosinophilic esophagitis affects the esophagus, while eosinophilic duodenitis affects the duodenum (the first part of the small intestine).

How often should I follow up with my doctor?

Initially, follow-ups every few months are common. Once you're stable, visits can be spaced out based on your response to treatment.

Does insurance cover diagnosis and treatment?

Yes. Most insurance plans cover endoscopic evaluations, biopsies, allergy testing, and prescribed therapies. Our team will help verify your coverage.

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