Diagnosis and treatment of eosinophilic esophagitis

By Adem Lewis / in , , , , , , , , , , , , , , , , , , , /

Food allergies are a question that patients
ask commonly. There are a number of considerations. So one important food allergy of course is
gluten in patients who have celiac disease. And that really is essentially an allergy
to gluten for those patients. There’s another condition that we’re seeing more often especially
in our young male patients and that’s called eosinophilic esophagitis. That’s a condition
where there’ inflammation of the esophagus. Patients may present with trouble swallowing,
or just intermittent trouble swallowing or sometimes we see them because they swallowed
something like a large piece of meat, end up in the emergency room and we need to go
down with a scope and remove that. Eosinophilic esophagitis is diagnosed by endoscopy. Sometimes
when we perform an endoscopy, pass a lighted tube down into the esophagus and evaluate
the lining of the food pipe, we can see certain changes that are suggestive of an allergic
esophagitis, eosinophilic esophagitis. And then of course the real gold standard is to
take some small pinches of tissue during that procedure and look at those under the microscope
and we see an increase in the number of allergic type cells called eosinophils and that’s really
the hallmark of eosinophilic esophagitis. Identifying trigger foods is can be a a challenge
in our patients with eosinophilic esophagitis. But there are some foods that are more common
in terms of creating problems or creating allergies. Sometimes patients undergo specific
allergy testing and at other times an elimination diet may be part of the diagnostic process.
We have very effective ways to treat that with medication and also with dietary measures.
We work very closely with our colleagues in allergy and immunology to really improve this
condition. Patients are much better after we work with them with regard to diet and
also to the right medications.

2 thoughts on “Diagnosis and treatment of eosinophilic esophagitis

  1. This is very terrible because of the huge pain it causes and the food and even own saliva getting stuck, but now since I found out many of my worst triggers (treenuts, honey and other beeproducts, coconut/palm sugar, seafood) I'm much better off.

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