Eosinophilic esophagitisis a chronic immune disorder that affects theesophagus.
The esophagus is the muscular tube that connects the mouth to the stomach and brings food into the body.
This leads to difficulty swallowing and chest pain.
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However, it may be helpful to be aware of the common signs and symptoms to look for.
Your primary doctor will start the appointment by taking a thorough medical history.
Only a biopsy with eosinophils present can diagnose eosinophilic esophagitis.
If thepathologistcounts 15 or more eosinophils per high-powered microscopic field, a diagnosis of eosinophilic esophagitis is likely.
These conditions can include asthma, eczema, allergic rhinitis, or food allergies.
This is why people with eosinophilic esophagitis are usually treated by both agastroenterologistand anallergist.
Other diagnostic tests include:
Differential Diagnoses
Eosinophilic esophagitis is a relatively rare autoimmune disease.
More common gastrointestinal diseases are usually ruled out before arriving at an eosinophilic esophagitis diagnosis.
Eosinophils can also be found in the esophagus in other gastrointestinal disorders.
Upper endoscopy with biopsy is needed to diagnose this condition.
Because eosinophilic esophagitis is often associated with food allergies, allergy testing may be performed as well.
As you attend appointments and undergo various tests, be sure to take time for yourself.
This is a stressful time, so using your favoritestress management techniquesmay help.
Frequently Asked Questions
Endoscopy should not be painful but you may experience some discomfort after it.
Possible side effects of endoscopy include a sore throat, abdominal cramping, and bloating.
If those treatment options are unsuccessful, your medical team may recommend esophageal dilation.
Furuta GT, Katzka DA.Eosinophilic esophagitis.N Engl J Med.
2015 Oct 22;373(17):1640-8. doi:10.1056/NEJMra1502863
Reed CC, Dellon ES.Eosinophilic esophagitis.Med Clin North Am.
2020 Jan;145(1):1-7. doi:10.1016/j.jaci.2019.11.011
American Partnership for Eosinophilic Disorders.EoE.
National Organization for Rare Disorders.Eosinophilic esophagitis.