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Eosinophilic Ileitis

GastroDoxs provides eosinophilic ileitis diagnosis and treatment services in local Katy, a community that allows patients to get expert care using modern endoscopic methods and personal assistance to ease the exacerbation of eosinophil inflammation of the terminal ileum and relieve intestinal health near home.

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

What is Eosinophilic Ileitis?

Eosinophilic Ileitis is a rare inflammatory disease that affects ileum (the end part of small intestine) that in turn is as a result of the excessive accumulation of eosinophils-white blood cells that facilitate allergic reactions. This build-up causes swelling, irritation and the lack of digestive ability.

Common Symptoms

You may experience symptoms that develop gradually or come and go. These include:

  • Abdominal pain or cramping
  • Persistent diarrhea
  • Unintentional weight loss
  • Feeling full after small meals (early satiety)
  • Bloating or excessive gas
  • Decreased appetite or general fatigue

Causes

While the exact trigger isn't fully understood, several factors are known to contribute:

  • Food allergies or sensitivities (e.g., milk, soy, wheat, eggs)
  • An overactive immune response targeting the gut
  • Family history of eosinophilic or other gastrointestinal disorders
  • Previous infections-bacterial or parasitic-that may alter intestinal immunity
Treatment

Treatment Options for Eosinophilic Ileitis in Katy

Treatment includes dietary adjustments, medications, and ongoing care:

  • Elimination diet: Systematically remove and reintroduce common triggers (dairy, soy, wheat, eggs) to pinpoint food sensitivities.
  • Anti-inflammatory therapy: Short courses of corticosteroids help reduce eosinophil-driven swelling in the ileum.
  • Immune-modulating drugs: Medications such as azathioprine or biologics may be prescribed to control an overactive immune response.
  • Nutrition support: Tailored vitamin and mineral supplementation to correct deficiencies and support healthy weight maintenance.
  • Regular monitoring: Periodic blood tests, stool analyses, and follow-up endoscopy with biopsy to track inflammation and adjust therapy.
  • Personalized follow-up: Ongoing appointments with your Katy GI specialist, plus dietitian and nursing support, to fine-tune your treatment plan.

Why Choose GastroDoxs?

The digestive health is our priority at GastroDoxs in Katy. Our gastroenterologist board-certified physicians work in areas of diagnosis and treatment of eosinophilic ileitis through their personalized approach i.e., the diets, medication plans and nutrition support based on your needs. You will have the advantage of having on-site lab tests, endoscopy and a team of nurse leaders and dietitians who will combine their efforts to ensure that you get lasting relief.

Ready to feel better? Book your appointment with a Katy GI specialist at GastroDoxs today.

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

Diagnosis of Eosinophilic Ileitis

Diagnosis is done using blood tests to check for high eosinophil levels, stool tests to exclude infections, and an endoscopy of the ileum with biopsy to confirm eosinophil accumulation in the intestinal wall.

How Eosinophilic Ileitis Differs from Other Gut Diseases

Unlike IBS or ulcerative colitis, Eosinophilic Ileitis is characterized by excessive infiltration of eosinophils in the terminal part of the small intestine, leading to inflammation and irritation.

Role of Food Allergies

Food allergens or sensitivities (such as milk, soy, wheat, and eggs) can trigger an immune response that causes eosinophil accumulation in the ileum.

Occurrence in Children

Although more common in adults, children can also develop Eosinophilic Ileitis. Early identification and management are essential to prevent complications and nutritional deficiencies.

Impact on Weight

Chronic inflammation, reduced appetite, malabsorption of nutrients, or dietary restrictions for symptom management can lead to unintended weight loss.

Effect of Stress

Stress does not cause Eosinophilic Ileitis, but it may worsen symptoms such as abdominal pain, bloating, and diarrhea. Stress management can support overall treatment.

Need for Surgery

Surgery is rarely necessary. Most patients respond well to dietary modifications, anti-inflammatory drugs, or immunosuppressants. Surgical intervention is reserved for severe complications.

Duration of Treatment

Some patients experience symptom relief within weeks of dietary and medical therapy, while others require ongoing management and periodic adjustments for long-term control.

Risk of Recurrence

Recurrence can occur if triggers are reintroduced or medication is withdrawn prematurely. Regular follow-ups are critical to monitor and address flares promptly.

When to Consult a GI Doctor

Consult a board-certified gastroenterologist if you experience persistent abdominal pain, ongoing diarrhea, unexplained weight loss, or a combination of these symptoms to ensure timely diagnosis and treatment.

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