Eosinophilic esophagitis is a disorder that occurs when eosinophils, a type of cell, build up in the esophageal wall. This buildup can irritate or damage esophageal tissue due to diet, allergies, or gastroesophageal reflux. An injury to the digestive tract tissue can make swallowing painful or lead to food becoming stuck. At Doral Health and Wellness, the Colonoscopy Doctors at Brooklyn will help you to treat your gastrointestinal disorders and guide you to acid reflux treatment and relief.
Symptoms: Swallowing or eating difficulties are the ones that are seen most frequently. The disorder is caused by an abnormally high number of white blood cells dwelling within the esophageal tissue. Other symptoms may manifest differently in children and adults of varying ages. Symptoms can include the following things in children:
- Problems eating or drinking
- Weight loss
- Not growing properly
- Inability to thrive
In adults, manifestations of eosinophilic esophagitis may include the following:
- Having trouble chewing and swallowing
- Chest discomfort
- Pain in the stomach
- Regurgitation of food
Eosinophilic esophagitis can very seldom result in a situation that requires immediate medical attention. Your esophagus may tear if you have an excessive amount of food caught in it, you vomit food, or all of these things happen at the same time. This condition is extremely unusual yet must be treated as an emergency immediately.
People who suffer from asthma, eczema, celiac disease, and other autoimmune conditions are more likely to be affected by this ailment than those who do not.
Causes: Eosinophils are found in the digestive tract. They are also known as eosinophilic macrophages. Eosinophilic esophagitis, on the other hand, is caused when your body has an allergic reaction to foreign material. The following are some possible outcomes of the reaction:
- The esophagus suffered some damage.
Inflammation in the wall of your esophagus can cause scarring, a narrowing of the passageway, and the creation of extra fibrous tissue if left untreated.
- Effect on the gastrointestinal tract.
When exposed to allergens like food or pollen, the wall of your esophagus will have a reaction.
- Eosinophil proliferation is taking place.
Your esophagus is home to a population of eosinophils, which breed and generate a protein that leads to inflammation.
- A difficulty swallowing and impacted food.
You may suffer from dysphagia, which is trouble swallowing, or find that food becomes stuck in your throat when you try to swallow it (impaction).
- You may also be experiencing additional symptoms, such as pain in the chest or abdomen.
In order to make a diagnosis of eosinophilic esophagitis, your physician will take into account both your manifestations and the findings of any tests that are performed. As part of this, we will determine whether or not you suffer from gastroesophageal reflux disease (GERD).
Eosinophilic esophagitis can be diagnosed by the following tests:
- Blood testing
Medical professionals may conduct additional tests to establish a condition of eosinophilic esophagitis and begin investigating potential causes of the patient’s bad reaction (allergens). If your doctor suspects that you have an allergy, he or she may order blood tests to determine whether or not you have elevated eosinophil levels or overall immunoglobulin E levels.
- Endoscopy of the main digestive tract
Your doctor will use a lengthy, small tube called an endoscope to examine your esophagus and throat from the inside. The endoscope will have a small camera and a light. The doctor will search for longitudinal loops, longitudinal corrugations, constriction, and white spots in the lining of your esophagus to determine the severity of any inflammation or swelling. The esophagus may look normal on the outside in some patients with eosinophilic esophagitis.
Your esophagus will undergo a biopsy while you are under anesthesia for an endoscopy at the hospital.
A biopsy requires the removal of a tiny piece of tissue. Your esophagus will very certainly undergo biopsy many times, after which your physician will check the tissue for the presence of eosinophils using a microscope.
- Sponge for the esophagus
This examination takes place in the medical clinic, and it requires the patient to swallow a capsule that has a string attached to it. With the help of the rope, the doctor will remove the sponge from your mouth after the capsule has been digested in your stomach. The doctor will be able to establish the severity of the inflammatory response in your esophagus before subjecting you to an endoscopy by taking a sample of the esophageal tissues that are taken from the sponge as it is removed.
Most patients with eosinophilic esophagitis will require lifelong treatment due to the condition’s chronic, recurrent nature. Any one of the following may be included in the treatment plan:
Therapy through one’s diet
According to the results of your food allergy tests, some foods, like milk and grains, that your physician may advise you to avoid., in an effort to reduce your clinical signs and the inflammation in your body. There are instances when it is necessary to eat in a more restricted manner.
- Using a steroid cream externally
Subcutaneous steroids, such as fluticasone or budesonide, are often prescribed for eosinophilic esophagitis when PPIs fail to alleviate symptoms. If your eosinophilic esophagitis does not improve after using a proton pump inhibitor, your doctor may recommend a topical steroid. There is a low probability that you will experience the common side effects of steroids.
- Proton pump inhibitor (PPI)
Your primary care physician will probably start you out with an acid blocker like PPI. Despite its user-friendliness, this treatment does not significantly alleviate symptoms for the vast majority of patients.
If you have experienced significant constriction (narrowing) of your esophagus, your physician may suggest that you undergo dilatation (stretching) in order to make it simpler for you to swallow. If steroids are not effective, dilation might be tried instead. Alternately, dilation may be an option to consider in order to prevent the need for continued drug use.
If you are experiencing the symptoms of Eosinophilic Esophagitis you can seek help at our Endoscopy Treatment Center Brooklyn or you can reach out to Doral Health and Wellness. You can take a bus, train, or skyway to locate the area. The address is 1797 Pitkin Avenue, Brooklyn, NY 11212. Please book an appointment with us at 347-868-1016 or you might visit our website at http://www.gastroenterologybrooklyn.com/.