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How is Eosinophilic Gastroenteritis diagnosed?

See how Eosinophilic Gastroenteritis is diagnosed. Which specialists are essential to meet, what tests are needed and other useful information for the diagnosis of Eosinophilic Gastroenteritis

Eosinophilic Gastroenteritis diagnosis

Eosinophilic gastroenteritis is a rare gastrointestinal disorder characterized by an excessive accumulation of eosinophils, a type of white blood cell, in the lining of the digestive tract. This condition can affect any part of the gastrointestinal tract, including the esophagus, stomach, small intestine, and colon.



Diagnosing eosinophilic gastroenteritis can be challenging as its symptoms can mimic those of other gastrointestinal disorders. However, there are several diagnostic methods that healthcare professionals use to identify and confirm the presence of eosinophilic gastroenteritis:




  1. Medical History and Physical Examination: The first step in diagnosing eosinophilic gastroenteritis involves a thorough review of the patient's medical history and a physical examination. The doctor will inquire about the patient's symptoms, their duration, and any potential triggers or allergies that may be contributing to the condition.


  2. Blood Tests: Blood tests can be helpful in diagnosing eosinophilic gastroenteritis. Elevated levels of eosinophils in the blood may indicate the presence of the condition. Additionally, blood tests can help rule out other potential causes of gastrointestinal symptoms.


  3. Endoscopy: Endoscopy is a procedure that allows doctors to visualize the inside of the digestive tract using a thin, flexible tube with a camera on the end. During an endoscopy, the doctor can examine the esophagus, stomach, and small intestine for any signs of inflammation or abnormal tissue. They may also take small tissue samples, known as biopsies, for further analysis.


  4. Biopsy: Biopsies obtained during endoscopy are crucial in diagnosing eosinophilic gastroenteritis. The tissue samples are examined under a microscope to determine the presence and extent of eosinophilic infiltration in the gastrointestinal lining. The characteristic finding of eosinophils in the tissue helps confirm the diagnosis.


  5. Imaging Tests: In some cases, imaging tests such as X-rays, computed tomography (CT) scans, or magnetic resonance imaging (MRI) may be ordered to assess the extent of inflammation and rule out other conditions.


  6. Elimination Diet: An elimination diet may be recommended to identify potential food triggers that could be exacerbating eosinophilic gastroenteritis. This involves removing certain foods from the diet and gradually reintroducing them to observe any changes in symptoms.


  7. Allergy Testing: Allergy testing, such as skin prick tests or blood tests, may be conducted to identify any specific food or environmental allergies that could be contributing to eosinophilic gastroenteritis.



It is important to note that the diagnosis of eosinophilic gastroenteritis requires a comprehensive evaluation by a healthcare professional. The combination of medical history, physical examination, blood tests, endoscopy with biopsies, and potentially additional tests like imaging or allergy testing helps to establish an accurate diagnosis.



Once diagnosed, treatment options can be explored to manage eosinophilic gastroenteritis and alleviate symptoms. These may include dietary modifications, medications to reduce inflammation, and in some cases, immunosuppressive therapy.


Diseasemaps
3 answers
Eosinophilic Gastroenteritis is diagnosed by biopsy. One must be on a PPI six weeks prior to endoscopy and all possible diagnosises ( Crohn's, Celiac, parasites...) must be ruled out prior to making the diagnosis.

Posted Sep 14, 2017 by Gail 2000
I started at the emergency room. I had many tests done. Blood work, gallbladder screening, ct scans, MRI's... nothing ever showed up. Eventually I convinced a doctor to do a biopsy of my stomach lining. The biopsy came back with eosinophils in every layer of my stomach to a very extreme concentration. The biopsy was all that was needed to confirm the diagnosis however it does not confirm the cause so additional testing is needed to determine the best course of treatment.

Posted Jul 27, 2020 by Sydney 4050

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