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Eosinophilic Esophagitis

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  • Eosinophilic esophagitis

    Eosinophilic esophagitis (EoE) is a recently recognized allergic/immune condition. A person with EoE will have inflammation or swelling of the esophagus. The esophagus is the tube that sends food from the mouth to the stomach.

    In EoE, large numbers of white blood cells called eosinophils are found in the tissue of the esophagus. Normally there are no eosinophils in the esophagus. EoE can occur at any age and most commonly occurs in Caucasian males.

  • Eosinophilic esophagitis

    Symptoms:

    Difficulty swallowing (dysphagia)

    Food impaction

    Chest pain that is often centrally located and does not respond to antacids

    Persistent heartburn

    Upper abdominal pain

    No response to gastroesophageal reflux disease (GERD) medication

    Backflow of undigested food (regurgitation)

  • Eosinophilic esophagitis

    Diagnostic test:

    Upper endoscopy Biopsy Blood tests Medication trials Dietary treatment trials Food-patch test

    Treatment: Medication:

    topical steroid, such as fluticasone or budesonide, which is taken orally to treat eosinophilic esophagitis. Dilation: If you experience severe narrowing (strictures) of your esophagus, your doctor may recommend dilation to help make swallowing easier. Dilation may be used if steroids are not helpful.

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