How do I know if I have Eosinophilic esophagitis?

Eosinophilic esophagitis (EoE) is a chronic immune-mediated disorder that affects the esophagus, the tube connecting the throat to the stomach. It is characterized by an abnormal accumulation of eosinophils, a type of white blood cell, in the esophageal tissue. EoE can cause a range of symptoms, including difficulty swallowing, chest pain, food impaction, heartburn, and regurgitation.

Diagnosing Eosinophilic esophagitis:

If you suspect you may have EoE, it is important to consult with a healthcare professional for a proper diagnosis. Here are some steps typically involved in diagnosing EoE:

1. Medical history: Your doctor will ask about your symptoms, their frequency, and any triggers you may have noticed. They will also inquire about your medical history, including any allergies or other immune-related conditions.


2. Physical examination: A physical examination may be conducted to check for any signs of EoE or related complications.


3. Endoscopy: An endoscopy is a procedure where a thin, flexible tube with a camera is inserted through the mouth to examine the esophagus. During the procedure, your doctor may take small tissue samples (biopsies) from different areas of the esophagus to check for eosinophilic inflammation.


4. Biopsy analysis: The collected tissue samples will be sent to a laboratory for analysis. A pathologist will examine the samples under a microscope to determine the presence and extent of eosinophilic infiltration.


5. Elimination diet or food allergy testing: Since EoE is often triggered by food allergies, your doctor may recommend an elimination diet or food allergy testing to identify specific allergens that may be causing the condition.

Seeking medical advice:

If you are experiencing symptoms suggestive of EoE, it is crucial to consult with a gastroenterologist or an allergist-immunologist who specializes in EoE. They will be able to evaluate your symptoms, conduct the necessary tests, and provide an accurate diagnosis. EoE is a chronic condition that requires ongoing management, so seeking medical advice is essential for appropriate treatment and symptom control.

Treatment options:

Once diagnosed, treatment for EoE may involve a combination of approaches, including:

• Dietary modifications: Elimination diets, where specific food triggers are removed from the diet, are often employed. This may involve working with a registered dietitian to ensure proper nutrition while avoiding allergens.


• Medications: Your doctor may prescribe medications such as proton pump inhibitors, corticosteroids, or other anti-inflammatory drugs to reduce esophageal inflammation.


• Dilation: In cases where the esophagus becomes narrowed due to scarring or strictures, a procedure called dilation may be performed to widen the esophagus and improve swallowing.

Remember, only a healthcare professional can provide an accurate diagnosis and appropriate treatment plan for EoE. If you suspect you may have EoE, it is important to seek medical advice promptly.